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.

Personality Type

• Conventional / Enterprising

Knowledge

• 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.

• 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.

• Medical informatics

  The processes and tools used for the analysis and dissemination of medical data through computerized systems.

• Database

  The classification of databases, that includes their purpose, characteristics, terminology, models and use such as XML databases, document-oriented databases and full text databases.

• Clinical coding

  The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.

Skills

• Undertake clinical audit

  Undertake internal clinical audit through the collection of statistical, financial and other data related to service delivery.

• Perform clinical coding procedures

  Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.

• 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.

• 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.

• Manage information in health care

  Retrieve, apply and share information among patients and healthcare professionals and across healthcare facilities and community.

• Communicate effectively in healthcare

  Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.

• Use electronic health records management system

  Use specific software for the management of health care records, following appropriate codes of practice.

• Manage digital archives

  Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.

• Recruit employees

  Hire new employees by scoping the job role, advertising, performing interviews and selecting staff in line with company policy and legislation.

• Oversee record management

  Control and oversee electronic records of an organisation throughout the records life-cycle.

• Supervise staff

  Oversee the selection, training, performance and motivation of staff.

• Identify patients' medical records

  Locate, retrieve and present medical records, as requested by authorized medical personnel.

• 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.

• Evaluate employees

  Analyse employees' individual performance over a certain time span and communicate own conclusions to the employee in question or higher management.

• 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.

• 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.

• 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.

• Apply organisational techniques

  Employ a set of organisational techniques and procedures which facilitate the achievement of the goals set. Use these resources efficiently and sustainably, and show flexibility when required.

• 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.

• Work in multidisciplinary health teams

  Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.

Optional knowledge and skills

Source: Sisyphus ODB