Job Description

Responsible to supervise all operational dynamics within medical records & reports including files creation. file management, file maintenance, clinical coding, discharge summary completion, file extraction. Tile confidentiality, medical reports issuance, coordination with physicians and team scheduling for 24 hours operations.

Major Responsibilities

Ensures through his action, either directly or indirectly, that a superior quality of medical treatment, compassion and understanding is given to every patient served at the Hospital and Clinics

Plan, develop and maintain a system of Medical Records to attain the hospital goals and meet standards of CBAI I l & JCIA.

Prepares technical reports reflecting the volume of work, procedures utilized and Medical Records & Reports services: coordinate the preparation of reports and analyses setting forth progress. Adverse trends and appropriate recommendations or conclusions.

Implements policies and procedures for processing/handling medical records & reports (OP & Il)). Release of patient information. Incomplete medical records, and diagnostic data services (JCIA& CBAIII standard).

Maintain sufficient inventory of materials and equipment for performance of duties and maintain standard Medical Record Department equipment with budgetary guidelines.

Assure implementing Quality Assurance and Safety to comply with internal and external regulations.

Train. Supervise and evaluate the performance of Medical Record Technicians, develop work performance standards. Schedule/assigns work and priorities and provide technical expertise as needed or requested.

Organization and operation of Medical Records & Reports services (OP & IP) in relation to the standards and in relation to new technology, e.g. computers, etc. and make appropriate revisions.

Provides for a staff education and development program for new hire orientation, teaching, new procedures and techniques. Upgrading skills. Approves or recommends annual leave, educational leave, and training assignments.

Taking an active role in helping the medical staff comply with the JCIA & CBAHI requirements for medical record review.

Supplying data and assisting physicians in conducting research studies.

Recommends employment promotion and release of personnel.

Interfaces with the other departments to coordinate and resolve problems. Submits monthly reports to Hospital Administration and any additional reports as required.

Submits Health Care Statistics to Manager Health Information Management (OP &IP) monthly. Quarterly. Half yearlong and annually.

Maintain Medical Records code of ethics

Performs applicable tasks and duties assigned within the realm of the employee is knows ledge. Skills and duties.

Reporting to

• Director of Health Information Management

Supervises

• Assistants.

• Clerks.

• Encoders.

• Orderlies.

Qualifications:

Education:

• Required

Bachelor of Degree of Medical Record Science

Bachelor degree / Post graduate with Diploma in Medical Record Technology

Experience:

Required

Seven (7) years’ experience in a supervisor post in 350 beds hospital.

Minimum of 5 years in large medical /teaching hospital as Medical Record Supervisor

Competencies:

Fluency in verbal and written English.

Must possess complete familiarity with required medical record documentation, Medical Terminology, Anatomy, Pathology and Health care statistics. Competent knows ledge and understanding of current medical records functions guidelines and principles.

• Ability to understand diverse documentation style and read various diagnostic reports contained in the Medical Record.

Ability to operate computerized patient information system and the personal

Computer.

Exhibits professionalism and excellent interpersonal communication skills