09 Sep
|
NKS HOSPITAL
|
New Delhi
09 Sep
NKS HOSPITAL
New Delhi
Medical Records Management
- Establish, organize, and effectively manage the Medical Records Department and its operations.
- Develop, implement, and periodically review MRD policies, procedures, and protocols in accordance with Ministry of Health, statutory requirements, and hospital standards.
- Ensure completeness, accuracy, and timely maintenance of inpatient, outpatient, emergency, and day-care medical records.
- Review patient records to ensure inclusion of all mandatory documents, clinical notes, investigations, consent forms, discharge summaries, and other relevant information.
- Ensure systematic filing, retrieval, storage, tracking, and circulation of patient records.
Medical Records Committee &
- Documentation
- Assist the Medical Records Committee in designing, reviewing, and standardizing hospital forms, formats, and documentation systems.
- Monitor compliance with documentation standards across departments.
- Recommend improvements in documentation processes and record management practices.
Coding, Indexing &
- Health Information Management
- Ensure proper coding and indexing of diseases, procedures, surgeries, and therapeutic interventions as per applicable coding standards and regulatory guidelines.
- Maintain accurate disease and procedure indexes for statistical and research purposes.
- Generate and provide health information required for planning, evaluation, and decision-making.
Legal &
- Regulatory Compliance
- Maintain medico-legal records under strict security and confidentiality.
- Ensure compliance with legal requirements related to patient records, record retention, and destruction policies.
- Coordinate and correspond with courts, police authorities, insurance companies, medical boards, and government agencies regarding medical records and medico-legal cases.
- Attend court proceedings and provide documentation support whenever required.
Birth, Death &
- Medical Certification Management
- Maintain birth and death registers and ensure issuance of certificates as per statutory requirements.
- Coordinate with relevant authorities for timely reporting and compliance with legal procedures.
Quality, Accreditation &
- Audit Support
- Participate in Quality Assurance, Infection Control, Utilization Review, NABH/NABL, and other hospital committees.
- Support internal and external audits by providing accurate documentation and records.
- Ensure departmental compliance with hospital quality objectives, policies, and accreditation standards.
Statistical Reporting &
- Analysis
- Prepare and submit monthly, quarterly, and annual hospital statistics and management reports.
- Analyze trends and provide recommendations for operational and quality improvements.
- Maintain departmental KPIs and performance indicators.
Digital Records &
- Scanning Management
- Ensure timely scanning and digitization of discharge files, investigation reports, and other medical records.
- Support implementation and optimization of Electronic Medical Record (EMR) systems.
- Maintain secure electronic archives and backup systems.
Research &
- Educational Activities
- Participate in research projects aimed at improving healthcare administration and health information management.
- Support clinical research activities through accurate record retrieval and data management.
- Participate in seminars, workshops, conferences, and continuing education programs related to Medical Records and Health Information Management.
Interdepartmental Coordination
- Collaborate effectively with consultants, nursing services, clinical departments, insurance teams, legal authorities, and external healthcare agencies.
- Facilitate timely availability of records for patient care, education, training, audits, insurance claims, and legal purposes.
- Ensure smooth communication and coordination among all stakeholders.
📌 Walk-in || Manager Medical Records Department (MRD) (New Delhi)
🏢 NKS HOSPITAL
📍 New Delhi