Medical Records Officer job at Health Service Commission | Apply Now

Record Maintenance: Oversee the management and maintenance of electronic and paper-based medical records, ensuring accuracy, completeness, and compliance with regulatory standards.

Data Entry: Enter and update patient information, medical histories, diagnoses, treatments, and other healthcare-related data into electronic health record (EHR) systems or other databases.

Coding and Classification: Assign appropriate diagnostic and procedural codes to patient records using standard coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology).

Privacy and Security: Ensure the confidentiality and security of medical records by implementing and enforcing policies and procedures in compliance with healthcare privacy laws such as HIPAA (Health Insurance Portability and Accountability Act).

Release of Information: Process requests for medical records from patients, healthcare providers, insurance companies, and other authorized parties in accordance with applicable laws and regulations.

Quality Improvement: Participate in quality assurance initiatives by conducting audits, identifying discrepancies or errors in medical records, and implementing corrective measures to improve data accuracy and integrity.

Technology Management: Stay updated on advances in health information technology (HIT) and EHR systems, and assist in the selection, implementation, and maintenance of software systems used for medical record keeping.

Training and Education: Provide training and support to healthcare staff on proper documentation practices, coding guidelines, and compliance requirements related to medical records management.