Medical Record Officer

Shri Venkateshwara University; Gajraula; On-site; INR 450,000 - 700,000; Full time

Job summary

Shri Venkateshwara University is seeking a Medical Records/MRD specialist to maintain and manage patient records with accuracy and consistency. The role requires coordinating with clinical, nursing, billing and other departments to ensure complete, properly filed documentation in line with hospital policies.

The candidate should have a Diploma/Degree in Medical Records or Health Information Management and experience in MRD operations within a medical college or teaching hospital.

Qualifications

• Qualification: Diploma/Degree in Medical Records or Health Information Management.
• Experience: 815 years in a Medical College/Teaching Hospital.
• Strong MRD operations knowledge and documentation standards.
• Proficiency in HIS/HMIS and MS Office.
• ICD-10 coding, indexing, classification, and statistics preferred.
• Experience in MRD MIS, hospital statistics, and regulatory reports.
• Exposure to NABH/NMC inspections and accreditation docs an advantage.
• Knowledge of patient confidentiality and record retention policies.
• Strong team management, coordination, and communication skills.
• Experience in large teaching hospital with high patient volume preferred.

Responsibilities

• Maintain and manage medical records accurately and systematically.
• Ensure proper collection, verification, filing, indexing, and retrieval of patient records.
• Maintain inpatient and outpatient medical records per hospital policies.
• Coordinate with doctors, nursing, billing, and other departments for documentation.
• Ensure confidentiality and security of patient information.
• Manage MRD registers, statistics, and daily/monthly reports.
• Support preparation of hospital statistics and MRD MIS reports.
• Ensure proper coding, indexing, and classification; ICD-10 knowledge is an advantage.

Skills

Medical Records

MRD operations

HIS/HMIS

ICD-10 coding

MS Office

Team management

Education

Medical Records / Health Information Management degree

Tools

MS Office

Job description

Role & responsibilities

• Maintain and manage medical records of patients accurately and systematically.
• Ensure proper collection, verification, filing, indexing, and retrieval of patient records.
• Maintain inpatient and outpatient medical records as per hospital policies.
• Ensure completeness of records, including case sheets, discharge summaries, investigation reports, consent forms, and treatment documentation.
• Coordinate with doctors, nursing, billing, and other departments for missing or incomplete documentation.
• Ensure proper confidentiality and security of patient medical information.
• Manage record retention, storage, archiving, and disposal as per applicable hospital policies and regulations.
• Maintain and monitor MRD registers, statistics, and daily/monthly reports.
• Support preparation of hospital statistics and MIS reports related to patient records.
• Ensure proper coding, indexing, and classification of medical records; knowledge of ICD-10 coding is an advantage.

Preferred candidate profile

• Qualification: Diploma/Degree in Medical Records / Health Information Management or equivalent.
• Experience: 815 years of relevant experience in a Medical College / Teaching Hospital.
• Strong knowledge of Medical Record Department (MRD) operations and documentation standards.
• Good knowledge of hospital information systems (HIS/HMIS) and MS Office.
• Knowledge of ICD-10 coding, indexing, classification, and medical record statistics preferred.
• Experience in preparing MRD MIS, hospital statistics, and regulatory reports.
• Exposure to NABH/NMC inspections, audits, and accreditation documentation will be an advantage.
• Strong understanding of patient confidentiality and medical record retention policies.
• Good team management, coordination, and communication skills.
• Candidates with experience in a large teaching hospital/medical college with high patient volume will be preferred.