Here's a skilled Job Description (JD) for a Medical Record Technician suitable for a hospital or healthcare organization.
Job Description – Medical Record Technician
Position: Medical Record Technician (MRT)
Department: Medical Records
Reporting To: Hospital Administrator
Qualification:
- Diploma/Bachelor's Degree in Medical Record Technology, Health Information Management, or a related healthcare field.
- Certification in Medical Coding is an added advantage.
Experience:
- candidates with 1–3 years of experience in a hospital or healthcare setting.
- Experience with Electronic Medical Records (EMR/HIS) is preferred.
Key Responsibilities
- Maintain accurate, complete, and up-to-date patient medical records in both physical and electronic formats.
- Ensure timely collection, verification, filing, retrieval, and archiving of patient records.
- Perform medical coding using standard coding systems (ICD, CPT, or other applicable coding standards) while ensuring accuracy and compliance.
- Maintain strict confidentiality of patient information and comply with healthcare privacy regulations and organizational policies.
- Enter, update, and validate patient data in the Hospital Information System (HIS) or Electronic Medical Record (EMR) system.
- Prepare and maintain medical records, departmental reports, statistics, and other documentation required by management and regulatory authorities.
- Assist in internal and external audits by organizing and providing required medical records and documentation.
- Support quality improvement initiatives by ensuring the accuracy, completeness, and integrity of medical records.
- Coordinate with doctors, nurses, and other healthcare professionals to obtain complete and accurate clinical documentation.
- Identify missing or incomplete documentation and follow up with the concerned departments for timely completion.
- Ensure proper storage, retention, and disposal of medical records as per statutory and organizational guidelines.
- Perform any other duties assigned by the Medical Records Manager or Hospital Administration..
📌 Medical Record Technician (India)
🏢 Thanal
📍 India