Medical Record Technician

Company Description

Job Description

•Compile medical record files and carry out coding of disease diagnoses and other medical procedures to ensure neatness of documentation in order to provide information to relevant departments who need it and process statistical data on patient medical records to be used as basic material for internal and/or external reporting of the Hospital

•Arrange patient medical record files according to a predetermined structure to increase the efficiency of medical services

•Classifying disease diagnoses based on ICD-10, surgical procedures, and medical procedures based on ICD-9CM so that the coding process is in accordance with applicable international standards

•Inputting disease diagnosis codes, surgical procedures and other medical actions into the Hospital information system and/or INA CBG's application so that they can be accessed by departments and/or authorities who need them

•Ensure the completeness of forms and their filling to serve as the basis for quantitative analysis of medical records

•Process statistical data from outpatient and inpatient medical records as a basis for daily, monthly, annual reports and incidental reports according to request

•Checking the completeness of primary data before, during and after treatment to be used as a reference for disease history and patient visit statistics

•Implement procedures and practices for quality and safety services, including attending training, collecting data, documenting and/or making reports needed to support the achievement of hospital wide indicators and related department/unit targets

•Diploma (D3) Degree from Medical Records and Health Information.

•Medical Records and Health Information.

•Experience with EHR systems, data entry, and maintaining patient records is valuable.

•Strong attention to detail for accurate data entry and record maintenance.

•Excellent organizational skills for managing large volumes of medical records and ensuring efficient retrieval and storage.

•Ability to handle sensitive patient information with discretion and maintain confidentiality.

Qualifications

•Diploma (D3) Degree from Medical Records and Health Information.

•Experience with EHR systems, data entry, and maintaining patient records is valuable.

•Strong attention to detail for accurate data entry and record maintenance.

•Excellent organizational skills for managing large volumes of medical records and ensuring efficient retrieval and storage.

•Ability to handle sensitive patient information with discretion and maintain confidentiality.

Additional Information

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