Job Description: Medical Records Supervisor in Maternal Health Care & Child Health Care Hospitals
The Medical Records Supervisor in Maternal Health Care & Child Health Care Hospitals is responsible for overseeing the management and maintenance of medical records for patients in the hospital. They ensure that all medical records are accurate, complete, and up-to-date, and that they comply with legal and regulatory requirements.
Responsibilities:
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Supervise the medical records department: The Medical Records Supervisor is responsible for managing and supervising the medical records department. They oversee the work of medical records clerks and ensure that all tasks are completed accurately and in a timely manner.
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Maintain and update medical records: The supervisor is responsible for ensuring that all medical records are properly maintained and updated. They ensure that all patient information, including medical history, diagnoses, treatments, and test results, are accurately recorded and filed.
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Ensure compliance with legal and regulatory requirements: The supervisor ensures that all medical records comply with legal and regulatory requirements, such as patient confidentiality and privacy laws. They stay updated on any changes in regulations and implement necessary changes in the medical records department.
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Train and educate staff: The supervisor provides training and education to medical records clerks on proper record-keeping procedures, data entry, and confidentiality. They ensure that all staff members are knowledgeable about the policies and procedures related to medical records management.
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Implement electronic health record systems: The supervisor may be responsible for implementing and managing electronic health record systems in the hospital. They work with IT staff to ensure that the system is properly installed, maintained, and used by medical records staff.
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Collaborate with healthcare providers: The supervisor collaborates with healthcare providers, such as doctors and nurses, to ensure that medical records are accurate and complete. They may attend meetings and provide input on improving the documentation process.
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Conduct audits and quality assurance: The supervisor conducts regular audits of medical records to ensure accuracy and completeness. They also implement quality assurance measures to identify and address any issues or errors in the medical records department.
Qualifications:
- Education: A bachelor’s degree in health information management or a related field is typically required. A master’s degree may be preferred.
- Work Experience: Previous experience working in a medical records department, preferably in a maternal health care or child health care hospital, is required. Supervisory experience is also preferred.
- Knowledge: Strong knowledge of medical terminology, medical coding systems, and electronic health record systems is necessary. Familiarity with legal and regulatory requirements related to medical records management is also important.
- Skills: Excellent organizational and time management skills are essential for this role. The supervisor should have strong attention to detail and the ability to multitask. Strong communication and leadership skills are also necessary to effectively manage a team.
Overall, the Medical Records Supervisor plays a crucial role in ensuring the accuracy, completeness, and compliance of medical records in maternal health care and child health care hospitals. They are responsible for managing the medical records department, maintaining and updating records, ensuring compliance with regulations, training staff, implementing electronic health record systems, collaborating with healthcare providers, and conducting audits and quality assurance.
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