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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Personality Type

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

process data record treated patient's information health care system maintain healthcare user data confidentiality human physiology monitor regulations in social services medical terminology risk management bookkeeping regulations maintain treatment records carry out records management meet the requirements of social security reimbursement bodies formulate a treatment plan patient record storage record healthcare users' billing information supervise daily information operations advise medical staff answer patients' questions customer service interview people review patient's medical data manage workflow processes perform backups human anatomy collect healthcare user's general data manage budgets transfer medical information