Job Description:
ORGANIZATIONANDMANAGEMENT
i.Medical Report
- Assist in handling and preparing medical report applications, endorsements, and payments for medical reports and insurance claims.
- Manage the retrieval, filing, issuing, and receiving of medical records related to medical report applications and endorsements.
- Support medico-legal requirements for the release of patient medical information.
ii.Electronic Medical Record Archive (EMRA)
- Ensure all hard-copy medical records are integrated with electronic medical records to maintain patient continuity of care.
- Verify the accuracy of hard-copy medical records and ensure their preparedness for authorized requests.
- File patient medical records from respective services using the Medical Record Number (MRN) system.
- Check the completeness of patient medical records from outpatient and inpatient services on a timely basis.
iii.Library
- Prepare patient medical records for appointments, walk-ins, and authorized requests.
- Manage the distribution and collection of patient medical records on a daily basis.
- Oversee the creation, barcoding, color coding, and documentation of new, volume, and deceased medical records in manual books and the HITS system.
- Monitor the movement, location, and retention of patient medical records at all times.
2) HUMANRESOURCEANDDEVELOPMENT
- Actively participate in new services introduced by the hospital.
- Adhere to Standard People Practice (SPP) and carry out all 5S activities as directed by management.
3) POLICIESANDPROCEDURES
- Ensure strict control of access to records and entry into the unit by authorized personnel only.
- Comply with the PHFS Act 1998 & Regulations 2006, and PDPA Act 2010.
- Manage new, volume, and deceased medical records, including creation, barcoding, color coding, and documentation in manual books and the HITS system.
4) FACILITIESANDEQUIPMENT
- Maintain adequate stock levels of stationery and ensure equipment is in good working condition.
- Report any equipment breakdown promptly.
- Ensure the preparedness of patient medical records for authorized requests.
- Manage both physical and electronic medical records.
5)SAFETY AND QUALITY IMPROVEMENT ACTIVITIES
- Participate actively in all quality improvement activities.
- Carry out duties as stipulated in the Occupational Safety and Health Act Regulations 1994 (OSHA).
- Ensure medical records are checked for completeness on a timely basis.
- Comply with all accreditation standards and regulations.
Job Requirement:
Education:
- Sijil Pelajaran Malaysia (SPM) preferable.
Knowledge andExperiences:
- Familiarity with HIMS systems.
- Minimum of2years of experience in managing health information systems.
Skills &Competencies:
Special skills required
- Strong communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Knowledgeable and committed to job responsibilities.
- Critical thinking, problem-solving, and negotiation skills.
- Familiarity with medical record management, data entry, and medical report preparation.
- Ability to manage and prioritize tasks effectively under pressure
Personal attributes
- Good leadership, interpersonal, and communication skills.
- High integrity, patience, and attention to detail.
- Willingness to work scheduled hours, shifts, weekends, public holidays, and during emergencies.