Medical Records Auditor
- Dr Sulaiman AlHabib Medical Centers
- Saudi Arabia
- Full-time
وصف الوظيفة
Description
Job Purpose / Objective
Monitor, review and update patient’s record files both in-patient and out-patient to ensure the completeness and proper documentation are observed with the accordance to both local and international standards.
Key Responsibilities / Accountabilities
- Review medical records from departments such as Emergency Department (ER), In-patient and Out-patient departments based on review requirements using established international and local standards.
- Organize and prioritize work to ensure that all review documents are completed in accordance with the pre-set timelines.
- Work in collaboration with Medical Administration and Quality Department to ensure efficient records reviews are complete.
- Review prior discharge of patient files for the completeness and by assuring the accuracy of a Medical Records.
- Follow-up of incomplete documents by calling the concern physicians (consultants, specialists and residents).
- Coordinate in-service meetings to educate medical staffs on the proper documentation procedures and repot any incorrect or missing documents to the concerned physician and/or HOD for the completion.
- Actively participates in Quality meetings/ reviews as required to certify adherence to established concrete guidelines.
- Prepare and present monthly report in Quality Meetings and Surveys.
- Prepare a regular meeting to the physicians known to have deficient medical files for education.
- Orienting newly hired physicians for all related issues in the department i.e. VIDA System, Approval and Claims.
- Assure the full representation of clinical pathway in all file compartments.
- Comply with the standards laid down by the Joint Commission International Accreditation (JCIA) / Central Board for Accreditation of Healthcare Institutions (CBAHI).
- Follow and apply medical records department policy and procedure and insures that other staffs were following it.
- Report to Medical Coordinator for any violation of Medical Records Documentation (MRD) and Policies and procedures (P&P).
- Adhere the safety and security measures and apply the infection control measures.
- Participate in the hospital education activity program.
- Participate in, and lead person-centered care initiatives undertaken by HMG.
- Enrich patient experience with compassion, respect and dignity.
- Perform all other tasks/duties assigned within the realm of his/her knowledge, skills and abilities.
Education/ Professional Qualification
- Bachelor’s Degree
- Professional - Nursing; preferably Medicine and Surgery
- Preferably four (4) years’ experience in a medical records environment.
- Saudi Council
