Duties and Responsibilities:

• Create, maintain, and update patient medical records, including medical history, treatment plans, test results, and other pertinent information, using electronic health record systems or paper-based filing methods
• Ensure the accurate and timely entry of patient data into the system.
• Verify the correctness of patient information, treatment codes, and other relevant data to prevent errors and discrepancies
• Process requests for medical records from authorized individuals or entities, adhering to privacy and security regulations
• Organize and file medical records in a systematic manner, ensuring easy retrieval and accessibility for healthcare providers and authorized personnel
• Conduct regular audits to review the accuracy and completeness of medical records
• Identify and rectify discrepancies or missing information to maintain data integrity
• Work closely with healthcare providers and administrative staff to retrieve and update patient information promptly and efficiently
• Manage the archiving and disposal of medical records in compliance with retention policies and legal requirements
• Assist new staff in understanding medical record procedures and the use of the systems.
• Offer guidance and support in maintaining accurate records
• Demonstrates compassionate communication skills while providing support and care to the patients, as “the patient is the center of our care”.

JOB REQUIREMENTS / QUALIFICATIONS :

Education:

• College level and formal training in computer required
• training in ICD coding is preferred