ASSISTANT, HEALTH INFORMATION MANAGEMENT SYSTEM

KPJ Healthcare Berhad; Petaling Jaya; On-site; MYR 28,000 - 45,000; Full time

Job summary

KPJ Healthcare Berhad seeks an Assistant in Health Information Management System to manage patient records and documentation across clinics, wards, and A&E. The role involves processing inpatient records, ensuring discharge checklist compliance, and releasing records only to authorized personnel.

The candidate should be detail‑oriented, familiar with HIMS operations, and possess SPM or equivalent qualifications. IT literacy and experience with hospital information systems are preferred.

Qualifications

• SPM or other relevant qualifications.
• Familiarity with HIMS/medical records procedures.
• Detail-oriented and accurate in handling records.

Responsibilities

• Retrieve and provide patient medical records notes upon request via phone call or system for clinics, wards, A&E, audits, or other authorized purposes.
• Process and receive medical record notes from wards and clinics, ensuring movements are accurately documented and tracked.
• Receive, verify, and process inpatient medical record documents to ensure completeness and compliance with discharge checklist.
• Issue and release medical records notes only to authorized personnel and maintain tracking logs for all movements.
• File, arrange, scan, index and maintain returned medical record notes accurately.
• Identify duplicate medical records and ensure merging is completed according to hospital policies and data integrity standards.

Skills

HIMS / medical records

IT literacy

Detail-oriented

Education

SPM (Sijil Pelajaran Malaysia)

Tools

Hospital Information System (HIS)

Job description

ASSISTANT, HEALTH INFORMATION MANAGEMENT SYSTEM

• Retrieve and providepatient medical recordsnotesupon requestsvia phone call or systemfor clinics, wards, Accident & Emergency (A&E), audits, or other authorized purposes.
• Process, and receivedmedical recordnotesfrom wards and clinics, ensuring all movements are accurately documented and tracked.
• Receive, verify, and process inpatient medical record documents to ensure completeness and compliance with the discharge checklist.
• Issue and releasemedical recordsnotesonly to authorized personnel andmaintainand collateaccuratetracking logs (manual or electronic) for allmedicalrecordsnotesmovements.
• File, arrange, scan, indexandmaintainreturned medical recordnotesaccurately.
• Identifyduplicate medical records and ensure the merging process is accurately executed and fully completedin accordance withhospital policies and data integrity standards.
• Ensure and checkthat all medical records are stored securely and neatly under proper environmental conditions (clean, dry, and pest-free) and ensure maintenance of facilities in apropercondition.
• Assistand liaisewith staff inlocatingor retrieving missing or misfiled medical recordsnotesand promptlyreport and evaluatecases of loss or damage to the Head of HIMS.
• Gather and distributereports on notification of infectious diseases to the MOH via email / fax or through the e-Notification system within the stipulated time (if applicable)
• Gather, collect, and dispatch the external form from the nearest JPN branch within the stipulated time.
• Indent and collect the external form from the nearest JPN branch to ensure availability.
• Liaise and communicatewith medical practitioners to clarify incomplete, uncertain, or unclear documentation in patient medical records.
• Assistinassigning ICD and external cause code / procedure codes for all inpatient cases based on discharge diagnoses,in accordance withICD regulations for statistical and reporting purposes.
• Liaisewith Information Technology (IT) services for change request via the system to register new ICD code in the system.

Requirements:

Education:

• Sijil Pelajaran Malaysia (SPM)or other relevant qualifications.

Knowledge and Experiences:

• Preferably at least1-5 years of experience from any established medical organization.
• Familiarity working in HIMS / medical records
• Familiarity with filing systems (terminal digit, straight numeric, etc.) preferred.
• Basic IT knowledge for Hospital Information System (HIS) use.
• Knowledgeable and committed to job responsibilities.
• Detail-oriented with a focus on accuracy.

Unlock job insights

Hirer responsiveness Salary match Number of applicants

Healthcare Services More than 10,000 employees

KPJ Healthcare Berhad is the leading provider of private healthcare services in Malaysia, with a history dating back to 1981 when it introduced the first private specialist hospital in Johor. The Group's core values of Safety, Courtesy, Integrity, Professionalism, and Continuous Improvement drive its integrated network of more than 29 specialist hospitals across Malaysia. Additionally, KPJ has expanded its presence internationally, with hospitals in Indonesia, Bangkok, and Bangladesh, as well as investments in retirement and age-care resorts in Australia and Malaysia.

KPJ's competitive advantage stems from its extensive reach and accessibility throughout the nation, offering a wide range of medical specialist services, some of which are pioneering in the country's healthcare industry. The company also excels in utilizing integrated technology to enhance patient care, including the adoption of Cloud Computing and continuous improvements to the KPJ Clinical Information System (KCIS). Furthermore, KPJ is exploring digitalized medical technology applications in areas such as E-Pharmacy, wearable technology, robotics, Artificial Intelligence (AI), and the Internet of Things (IoT).

With over three and a half decades of experience in hospital development and management, KPJ is built on strong fundamentals, positioning it well for the evolving healthcare industry. The company's health tourism segment has experienced significant growth through aggressive marketing strategies, expanding its footprint in various regions.

In addition to hospital-based care, KPJ has made strides in healthcare-related industries, particularly in KPJ Senior Living Care services and Healthcare Education, recognizing their potential for the future due to increasing consumer demand. KPJ hospitals have received recognition from accreditation bodies, ensuring the quality and safety of their services.

The company is committed to giving back to the community and has established a network of Klinik Wakaf An-Nur (KWAN) charity clinics and a Hospital Waqaf An-Nur (HWAN) to provide care to the underprivileged. With 18 KWAN clinics and five mobile clinics, KPJ's efforts have positively impacted over one million patients since 1998.

Overall, KPJ Healthcare Berhad's extensive network, commitment to innovation, and dedication to quality healthcare services and community outreach make it a prominent and trusted player in the private healthcare industry.

KPJ Healthcare Berhad is the leading provider of private healthcare services in Malaysia, with a history dating back to 1981 when it introduced the first private specialist hospital in Johor. The Group's core values of Safety, Courtesy, Integrity, Professionalism, and Continuous Improvement drive its integrated network of more than 29 specialist hospitals across Malaysia. Additionally, KPJ has expanded its presence internationally, with hospitals in Indonesia, Bangkok, and Bangladesh, as well as investments in retirement and age-care resorts in Australia and Malaysia.

KPJ's competitive advantage stems from its extensive reach and accessibility throughout the nation, offering a wide range of medical specialist services, some of which are pioneering in the country's healthcare industry. The company also excels in utilizing integrated technology to enhance patient care, including the adoption of Cloud Computing and continuous improvements to the KPJ Clinical Information System (KCIS). Furthermore, KPJ is exploring digitalized medical technology applications in areas such as E-Pharmacy, wearable technology, robotics, Artificial Intelligence (AI), and the Internet of Things (IoT).

With over three and a half decades of experience in hospital development and management, KPJ is built on strong fundamentals, positioning it well for the evolving healthcare industry. The company's health tourism segment has experienced significant growth through aggressive marketing strategies, expanding its footprint in various regions.

In addition to hospital-based care, KPJ has made strides in healthcare-related industries, particularly in KPJ Senior Living Care services and Healthcare Education, recognizing their potential for the future due to increasing consumer demand. KPJ hospitals have received recognition from accreditation bodies, ensuring the quality and safety of their services.

The company is committed to giving back to the community and has established a network of Klinik Wakaf An-Nur (KWAN) charity clinics and a Hospital Waqaf An-Nur (HWAN) to provide care to the underprivileged. With 18 KWAN clinics and five mobile clinics, KPJ's efforts have positively impacted over one million patients since 1998.

Overall, KPJ Healthcare Berhad's extensive network, commitment to innovation, and dedication to quality healthcare services and community outreach make it a prominent and trusted player in the private healthcare industry.