Medical Record Executive

Wockhardt Hospitals; Mumbai; On-site; INR 300,000 - 500,000; Full time

Job summary

Wockhardt Hospitals is seeking a Medical Records professional to maintain and secure all written and electronic records within the facility's records department. You will ensure completeness, accuracy, and restricted access to authorized personnel.

The role involves ICD coding, handling reports, and coordinating with doctors and wards to assemble discharge files. Strong communication and organizational skills are essential for success.

Qualifications

• Any Graduate or Diploma in Medical Records.
• Minimum 1+ years in relevant field.
• Experience in medical records management preferred.

Responsibilities

• Work with the hospital information system and other IT resources as assigned.
• Prepare the files of the Discharges.
• Collect discharges from wards.
• Assemble the files in order.
• ICD coding of diseases.
• Maintain and arrange files in Medical Records room.
• Issue path, radiology, cath lab, cardiology, X-ray reports.
• Issue medical claim forms and certificates as required.
• Address queries related to Medical Records from patients and staff.
• Hand over case papers to patients and complete formalities.
• Maintain statistics (admissions, discharges, occupancy).
• Prepare SOPs and provide on‑the‑job training.

Skills

Interpersonal skills

Communication skills

Analytical skills

Time management

Planning & execution

Rapport building

Flexibility

Education

Any Graduate/Diploma in Medical Record

Tools

EMR

HIS

ICD 10 Coding

Medical Terminology

Job description

Required Education

• Any Graduate/Diploma in Medical Record

Experience

• Minimum 1+ years in relevant field

Technical competencies

• ICD 10 Coding
• Medical Terminology
• EMR
• HIS

Behavioral Competencies

• Good interpersonal skills
• Good communication skills
• Good Analytical & Mathematical Skills
• People-oriented, flexible and adaptable
• Rapport Building
• Planning & Execution
• Time Management

Job Summary

• Maintaining and securing all written and electronic medical records within a facility's medical records department or its equivalent
• To ensure that information contained in the record is complete, accurate and only available to authorized personnel.

Key Responsibilities

Principal Responsibilities

• To work with the hospital information system and other information technology resources and software as may be assigned on a periodic basis from time to time as per attached appendix
• Preparing the files of the Discharges.
• Collecting the discharges from wards.
• Assembling the files in order.
• International Classification of diseases (ICD) coding of diseases.
• Responsible for arranging & maintaining the files in the Medical Record room.
• Issuing of path reports, Radiology reports, Cath lab reports, Cardiology reports, X-ray reports.
• Issuing of Discharge, Fitness, Expenditure, and Railway reservation Concession Certificates.
• Issuing of Med claim forms.
• Handing of queries related to Medical Records of the patients.
• Hand over the case papers to the patients and completing the necessary formality.
• Maintain the records for doctors visit.
• Maintaining & issuing the books for library.
• Maintaining Statistics (E.g. Admissions, discharges, death, Occupancy, etc.).
• Giving on-the-job training.
• Preparing SOPs.
• Ability to comprehend verbal instructions given by the supervisor or head of the department.
• To give accurate and tactful explanations to patients.
• Ability to comprehend written instructions given by the Doctors and the other related departmental personnel.
• Ability to plan & organize ones work schedule effectively. Speaking and listening are essential requirements to understand and carry out the instructions given by the supervisors and other related departmental personnel.