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Job description
Job Responsibilities and Functions
- Manage the creation, upkeep, and updating of patient medical records within the Hospital Information System (HIS) or Electronic Medical Record (EMR) systems.
- Ensure all patient documentation, including files, consent forms, lab and imaging reports, and treatment records, are complete and accurately maintained.
- Retrieve and securely archive patient records as needed, strictly maintaining confidentiality.
- Digitize medical documents by scanning, uploading, and organizing them into electronic health records.
- Verify patient documentation for completeness and correctness prior to medical consultations and procedures.
- Collaborate effectively with multidisciplinary teams such as physicians, nurses, embryologists, laboratory staff, pharmacy, and billing to ensure timely and accurate record keeping.
- Assist with insurance-related paperwork including medical record submissions for pre-authorization and claims processing.
- Prepare medical reports and summaries of patient records on demand.
- Uphold compliance with data protection laws, patient confidentiality policies, and healthcare regulatory requirements.
- Engage in quality assurance efforts and partake in medical record audits for continuous improvement.
Industry
Hospitals & Health CareSkills
How they work
Organisation