Medical Record Technician

Here's a professional Job Description (JD) for a Medical Record Technician suitable for a hospital or healthcare organization.

• Diploma/Bachelor's Degree in Medical Record Technology, Health Information Management, or a related healthcare field.
  

• Certification in Medical Coding is an added advantage.
  

• candidates with 1–3 years of experience in a hospital or healthcare setting.
  

• Experience with Electronic Medical Records (EMR/HIS) is preferred.
  

• Maintain accurate, complete, and up-to-date patient medical records in both physical and electronic formats.
  

• Ensure timely collection, verification, filing, retrieval, and archiving of patient records.
  

• Perform medical coding using standard coding systems (ICD, CPT, or other applicable coding standards) while ensuring accuracy and compliance.
  

• Maintain strict confidentiality of patient information and comply with healthcare privacy regulations and organizational policies.
  

• Enter, update, and validate patient data in the Hospital Information System (HIS) or Electronic Medical Record (EMR) system.
  

• Prepare and maintain medical records, departmental reports, statistics, and other documentation required by management and regulatory authorities.
  

• Assist in internal and external audits by organizing and providing required medical records and documentation.
  

• Support quality improvement initiatives by ensuring the accuracy, completeness, and integrity of medical records.
  

• Coordinate with doctors, nurses, and other healthcare professionals to obtain complete and accurate clinical documentation.
  

• Identify missing or incomplete documentation and follow up with the concerned departments for timely completion.
  

• Ensure proper storage, retention, and disposal of medical records as per statutory and organizational guidelines.
  

• Perform any other duties assigned by the Medical Records Manager or Hospital Administration..
  

• Knowledge of medical terminology and healthcare documentation.
  

• Proficiency in medical coding standards and practices.
  

• Strong data entry and record management skills.
  

• Familiarity with Hospital Information Systems (HIS) and Electronic Medical Records (EMR).
  

• Understanding of healthcare privacy, confidentiality, and regulatory compliance.
  

• Excellent attention to detail and accuracy.
  

• Good organizational, analytical, and time management skills.
  

• Strong communication and interpersonal skills.
  

• Proficiency in Microsoft Office applications (Word, Excel, Outlook)
  

• Accuracy and attention to detail
  

• Confidentiality and integrity
  

• Organizational and documentation skills
  

• Analytical thinking
  

• Teamwork and collaboration
  

• Accountability and professionalism
  

• Ability to work under deadlines and maintain data quality