Job Summary

The Medical Records Officer will be responsible for organizing and evaluating patients’ health information and records.

  • Minimum Qualification: Degree
  • Experience Level: Executive level
  • Experience Length: 3 years

Job Description

WHO WE ARE

Cedarcrest Hospitals was founded in Abuja in January, 2008; and was formerly known as Cedarcrest Orthopaedic Clinics. Within a few years the hospital expanded its scope of practice into a full-fledged private multispecialty hospital. The core vision of the organisation is to provide world class healthcare services to patients in Nigeria, West Africa, and globally.

With hospitals located in both Abuja and Lagos our services accommodate over one hundred  (100) beds and provide services and facilities such as; emergency / trauma centre, a helipad, major radiology diagnostic centre, a prosthetic manufacturing plant, an oxygen manufacturing plant, modular surgical operating theatres, cardiac catheterization unit and several other facilities that make for a modern multispecialty hospital.

 

THE ROLE

 


The Medical Records Officer reporting to the Client Service Manager, will be responsible for organizing and evaluating patients’ health information and records. The Medical Records Officer will create new medical records for new patients and update existing ones with additional information to maintain accuracy. The incumbent will be charged with liaising with administrative and clinical units to collect patient information, issue medical files, filing medical records, and processing patient admission/discharge documents.

The duties of the Medical Records Officer include; retrieving, filing, sorting, and managing records of patients so they are easily accessible to physicians and patients. The incumbent will also be responsible for inputting the patient's information on Medic Plus and ensuring accuracy and timeliness of documentation. The Medical Records Officer will also be responsible for processing patient admissions and discharge paperwork, ensuring ease of patients.


RESPONSIBILITIES

  • Responsible for collecting new patients’ information and uploading on Medicplus as well as properly filing hard copy information.
  • Protects the security of medical records and ensure that confidentiality is maintained at all times.
  • Manages the generation, preservation, and retrieval of medical records whenever they are needed.
  • Ensure healthcare providers are kept abreast of patients' medical conditions and outcomes as may be required from time to time.
  • Review patients' records for completeness, accuracy, and compliance with regulations.
  • Process patient admission or discharge documents.
  • Enter data such as history and extent of illness, diagnostic procedures, or treatment into Medicplus where necessary.
  • Manages and coordinates a system for safeguarding and updating active and inactive patient medical records.
  • Responsible for the documentation of patient visits.
  • Serves as an advisor on medical records policies.
  • Maintains a referral tracking system to ensure proper follow-up of patient care referred for outside consultations and imaging services.
  • Maintains accurate documentation of reasons why medical records are not accessible with proper terminology for accounting and statistical purposes.
  • Obtains documentation requested by healthcare professionals, such as test results that are not yet filed in medical records.
  • Follows procedures, protocols, and rules to perform job duties while adhering to Cedarcrest regulations and policies.
  • Resolve or clarify issues relating to conflicting diagnoses, missing, or unclear medical information by consulting with Doctors.
  • Compile monthly medical statistical reports for statutory bodies.
  • Ensure elaborate medical records are available for HMO patients.
  • Performs other duties as assigned.

QUALIFICATIONS

 


·         BSc/HND in Health Information Management, Business Administration, or any related field.

·         1- 2years of administrative experience.

·         Excellent in MS Office and EMR usage.

·         Advanced understanding of medical terminology and administration processes.

·         Proficient in information management programs and MS Office.

·         Outstanding communication and interpersonal abilities.

·         Strong attention to detail with excellent organizational skills.

·         Committed to responsibilities while adhering to ethical principles and remaining sensitive to diversity.

 

SPECIAL CONDITIONS

 


·         Employment is contingent on passing a medical screening conducted by the hospital

·         Employee will be subject to various testing including but not limited to drug and medical testing throughout the tenure of their employment

·         Knowledge of workflow processes.


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