Works under the supervision of Medical Records Manager. Responsible for transcribing dictated/handwritten medical reports, operative reports, consultation reports, discharge summaries and Lab reports. Coordinates with the file room supervisor
Responsibilities:
• Transcribe medical dictation to provide permanent record of patient care, i.e. Operative Reports, Consultation Reports, Discharge Summaries, and Radiology etc.
• Demonstrate an understanding of the medico-legal implications and responsibilities related to the transcription of patient records to protect the patient and the hospital.
• Operate the designated word processing, dictation and transcription equipment as directed to complete assignments.
• Expand job related knowledge and skills to improve performance and adjust to change.
• Coordinate with the file room supervisor to act as a back-up medical records file room clerk to ensure smooth functioning of the medical records request and retrieval processing.
• Carryout technical analysis and evaluation of medical records in accordance with accreditation standards.
• Evaluate medical record documentations for deficiencies in the Inpatient medical records and to arrange for completion of records with the cooperation of medical and nursing staff.
• Responsible to collect, analyze and report appropriate statistical data.
• Collect parent’s information for completion of birth notification for newborn
as per MOH requirement.
• Perform other duties and tasks within the realm of his/her knowledge and ability as required.
• Answer patients’ queries and ensure quality customer service.
• Coordinate with nursing department and effectively providing secretarial services in the wards.
Qualifications:
Bachelor’s Degree
A medical secretary training program preferred.