Job Code: JSLP-3619
Industry: Healthcare
Location: Ernakulam
Job Title: Medical Records Technician
Job Description: A Medical Records Technician is a healthcare professional responsible for managing, organizing, and maintaining patient medical records and health information. They play a crucial role in ensuring the accuracy, security, and accessibility of medical records to support healthcare delivery and compliance with regulations.
Responsibilities may include but are not limited to, confirm your Job Descriptions with the Interviewer:
Medical Record Management:
- Compile, process, and maintain accurate patient records, including test results, diagnoses, and treatment plans.
- Ensure medical records are organized and up-to-date.
Health Information Coding:
- Assign codes to diagnoses and procedures using standardized classification systems (e.g., ICD-10, CPT).
- Ensure proper coding for insurance claims and reimbursement processes.
Regulatory Compliance:
- Maintain compliance with healthcare regulations such as HIPAA to safeguard patient confidentiality and privacy.
- Ensure records meet legal and accreditation requirements.
Data Entry and Retrieval:
- Input medical data into electronic health record (EHR) systems.
- Retrieve records for authorized personnel and healthcare providers when needed.
Collaboration with Healthcare Teams:
- Work with doctors, nurses, and other healthcare staff to clarify documentation and ensure accuracy.
- Serve as a liaison between administrative staff and clinical teams for medical records-related matters.
Quality Assurance:
- Conduct regular audits to check for accuracy and completeness of records.
- Identify and rectify discrepancies in patient information.
Technical Expertise:
- Operate and maintain electronic medical records (EMR) systems.
- Troubleshoot issues with medical records software or filing systems.
Required Skills and Qualifications:
- Msc Medical Documentation with 1 year experience or Bsc Medical Documentation with 3 year of experience.