Medical Records Officer
2 days ago
- Records Management
- Collects, files, and maintains patient medical records in an organized and confidential manner.
- Ensures completeness and accuracy of patient charts before filing or release.
- Retrieves records promptly upon authorized request.
- ICD-10 Coding and Documentation
- Applies accurate ICD-10 coding for diagnoses and procedures based on physician notes.
- Reviews and verifies coding accuracy in compliance with DOH and PhilHealth requirements.
- Updates patient records with coded data for billing, reporting, and statistical purposes.
- Data Reporting and Compliance
- Prepares reports on morbidity, mortality, and other health statistics as required by DOH.
- Ensures compliance with hospital policies, confidentiality laws, and record retention standards.
- Coordination and Communication
- Coordinates with doctors, nurses, and billing staff regarding record completion and coding.
- Assists in audits and evaluations of medical records.
- Administrative and Support Functions
- Monitors and maintains supplies, forms, and record materials.
- Participates in continuous training and professional development.
- Education: Bachelor's degree in medical Records Management, Health Information Management, Nursing, or related field
- License/Certification:
- Registered or Certified ICD-10 Coder (from DOH or accredited institution)
- Experience: At least 1 year of experience in a hospital or medical records setting (preferred)
- Proficient in ICD-10 coding and medical terminology
- Strong organizational and attention-to-detail skills
- Knowledge of confidentiality standards and data privacy laws
- Good communication and teamwork skills
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