Key Results Areas

Key Performance Indicators
Preparing In-patient Discharge Summaries
Preparation of certificates
To assist in NABH audit
Training
Maintenance & Confidentiality

a. Updating details from EMR(Shivam) & case-sheet into the software: i.e. Investigations & Summary Info.

b. Types of Summaries: Antenatal / Abortion or miscarriage / Normal delivery / Caesarean delivery / Post-Natal observation / General observation / Gynaec. Summaries to be kept ready before discharge.

c. Fair copies: In coordination with the concern doctors rough copy summaries are made into fair copies and handed over to ward-coordinators.

d. Letters to referral doctors (if any) are prepared at the time of discharge, after approval from concern doctor to be email to referral doctor/submitted to concern dept. for posting.

e. On patient request after concern doctor approval document to be submitted to concern person.

a. Medical certificate: After approval of the consultant out-patient summaries & medical certificates are made in coordination with Registrar or consultant (Rough copy followed by fair copy).

b. Types of certificate:



EDD certificate / Delivery certificate / Maternity leave certificate / Paternity leave certificate / Travel fitness certificate / Emergency certificate / Certificate for restricted activity / Second copy case summaries etc.

a. To do the retrospective audit of case files.

b. To assist in monitoring the quality indicators & Key performance indicators.

c. To assist in moving the records from one area to another.

d. Helping in file management at central medical records.

a. Training current employees and junior staff

b. Teaching entries, updating files, preparing summaries, certificates

a. Shall be responsible for protected/confidential of the records and prevention from damage

b. Shall notify the maintenance department regarding any sort of leakage that may prove dangerous to the records.

c. Shall liaise with housekeeping department to ensure that rodent and other pest/menace is eliminated.

Qualifications: Any Graduation is required

Pay: ₹15,000.00 - ₹25,000.00 per month

Perks:
Provident Fund

Work Location: In person

📌 Medical Records Executive Hyderabad
🏢 FERNANDEZ FOUNDATION
📍 Hyderabad