Duties and tasks

  • Supervising clerical and administrative workers involved in the maintenance of medical records
  • Planning, developing, maintaining and operating a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyse information
  • Transcribing, compiling and processing patient medical records, admission and discharge documents, and other medical reports into record-keeping systems to provide data for patient monitoring and referral, epidemiological monitoring, research, billing, cost control and care improvement
  • Reviewing records for completeness, accuracy and compliance with regulations
  • Protecting the security of medical records to ensure that confidentiality is maintained and releasing information to authorized persons and agencies in accordance with regulations
  • Translating narrative descriptions and numeric information from medical records and other documents on health services delivery into codes associated with standard classification systems

    Skill level

    Skilled
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