Medical Records Quality & Compliance Lead

Medical Records Executive

Job Description

• Performs quality assurance of medical records, including deficiency analysis, completion and data preparation.

Responsibilities

• Perform technical analysis and evaluation of medical records in compliance with hospital standards
• Responsible for evaluating documentation deficiencies and arranging for completion of records
• Prepare monthly reports based on discharged inpatient records deficiencies
• Assist medical/nursing/paramedical staffs in completion of deficient records.
• Collect and arrange the data needed to prepare various hospital statistics
• Responsible for releasing the patient medical information upon authorized approval.
• Strictly adheres to organization’s regulations and policies especially those related to infection control, patient safety, HAAD, JCI and ISO.
• Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
• Participates and contributes in scheduled in-service training programs, in‑house activities, conferences or other programs as requested.
• Exercises effective interpersonal skills in dealings with department staff, associates and management.
• Maintains confidentiality as per the agreement signed.
• Demonstrates the ability to listen to others in promoting effective communication.
• Develops thorough understanding of policies and procedures of the hospital and demonstrates respect for them.
• Carries out other duties when requested by the Head of Department.
• Complies with all OSH and infection control policies, standards and procedures and cooperates with hospital management to comply with those requirements.
• Works in accordance with the documented OSH procedures and instructions, specific responsibilities.
• Be familiar with emergency and evacuation procedures.
• Notifies OSH hazards, incidents, near misses and issues and assists with the preparation of risk assessments and incident reports.
• Complies with waste management procedures and policies.
• Attends applicable OSH/Infection control training programs, mock drills and awareness programs.
• Uses appropriate personal protective equipment and safety systems.

Qualifications

• Qualification: Post‑Graduation in Medical Documentation
• Experience: Minimum Four (4) years.
• Skills: Computer literacy.
• Excellent command of oral and written English. Knowledge of Arabic is desirable but not essential.