Profession medical records manager
Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.
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- Conventional / Enterprising
- Clinical coding
The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.
- Medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
- Health records management
The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.
- Health care legislation
The patients` rights and responsibilities of health practitioners and the possible repercussions and prosecutions in relation to medical treatment negligence or malpractice.
- Document management
The methodology of tracking, managing and storing documents in a systematic and organised manner as well as keeping a record of the versions created and modified by specific users (history tracking).
- Manage healthcare staff
The managerial tasks and responsibilities required in a health care setting.
- Professional documentation in health care
The written standards applied in the health care professional environments for documentation purposes of one`s activity.
- Data storage
The physical and technical concepts of how digital data storage is organised in specific schemes both locally, such as hard-drives and random-access memories (RAM) and remotely, via network, internet or cloud.
The classification of databases, their purpose, terminology, characteristics, models and use such as document-oriented databases, XML databases and full text databases.
- Oversee record management
Control and oversee electronic records of an organisation throughout the records life-cycle.
- Manage healthcare users' data
Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.
- Supervise staff
Oversee the selection, training, performance and motivation of staff.
- Participate in medical records' auditing activities
Assist and help with any requests arisen during audits related to the archiving, filling and processing of medical records.
- Manage digital archives
Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.
- Collect statistics on medical records
Perform statistical analysis of various medical records of the healthcare facility, referring to the number of hospital admissions, discharges or waiting lists.
- Work in multidisciplinary health teams
Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.
- Manage information in health care
Retrieve, apply and share information among patients and healthcare professionals and across healthcare facilities and community.
- Work in a multicultural environment in health care
Interact, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.
- Undertake clinical audit
Undertake internal clinical audit through the collection of statistical, financial and other data related to service delivery.
- Follow clinical guidelines
Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.
- Communicate effectively in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
- Use electronic health records management system
Be able to use specific software for the management of health care records, following appropriate codes of practice.
- Comply with legislation related to health care
Comply with the regional and national legislation that is relevant to one`s work and apply it in practice.
- Use e-health and mobile health technologies
Use mobile health technologies and e-health (online applications and services) in order to enhance the provided healthcare.
- Recruit employees
Hire new employees by scoping the job role, advertising, performing interviews and selecting staff in line with company policy and legislation.
- Identify patients' medical records
Locate, retrieve and present medical records, as requested by authorized medical personnel.
- Perform clinical coding procedures
Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.
- Archive healthcare users' records
Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.
- Evaluate employees
Analyse employees' individual performances over a certain time span and communicate your conclusions to the employee in question or higher management.
- Apply organisational techniques
Employ a set of organisational techniques and procedures which facilitate the achievement of the set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.