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
- Manage healthcare staff
The managerial tasks and responsibilities required in a health care setting.
- 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).
- Clinical coding
The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.
The classification of databases, their purpose, terminology, characteristics, models and use such as document-oriented databases, XML databases and full text databases.
- Medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
- Professional documentation in health care
The written standards applied in the health care professional environments for documentation purposes of one`s activity.
- 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.
- 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.
- Manage digital archives
Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.
- Manage information in health care
Retrieve, apply and share information among patients and healthcare professionals and across healthcare facilities and community.
- Evaluate employees
Analyse employees' individual performances over a certain time span and communicate your conclusions to the employee in question or higher management.
- 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.
- 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.
- 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.
- 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.
- 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.
- Communicate effectively in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
- Recruit employees
Hire new employees by scoping the job role, advertising, performing interviews and selecting staff in line with company policy and legislation.
- 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.
- Undertake clinical audit
Undertake internal clinical audit through the collection of statistical, financial and other data related to service delivery.
- 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.
- 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.
- 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.
- Supervise staff
Oversee the selection, training, performance and motivation of staff.
- Work in multidisciplinary health teams
Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.
- Oversee record management
Control and oversee electronic records of an organisation throughout the records life-cycle.
- Perform clinical coding procedures
Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.
Optional knowledge and skillssupervise daily information operations health care system record treated patient's information formulate a treatment plan bookkeeping regulations maintain healthcare user data confidentiality maintain treatment records review patient's medical data interview people monitor regulations in social services advise medical staff human anatomy meet the requirements of social security reimbursement bodies answer patients' questions human physiology collect healthcare user's general data carry out records management medical terminology record healthcare users' billing information customer service patient record storage manage budgets risk management perform backups transfer medical information process data manage workflow processes
Common job titles
- Manager, records management
- Manager coding & records
- Medical records / health information manager
- International records coordinator
- Medical records manager
- Electronic medical records manager
- Health information management manager (him) – interim
- Records coordinator
- Records manager