| 1 | Collect discharged patient medical records and any loose reports from the wards each day and Perform tracer activities. |
| 2 | Check completeness of Medical Record files documentation according to the deficient checklist |
| 3 | Check the accuracy of patient identification ( PIN ) on each form of the file |
| 4 | Check the completeness of Those who are authorized to make Entry in the Patient's clinical records and Check all deficiencies of these Entries in Patient's clinical record using the deficiency checklist |
| 5 | Notify and communicate with DRs who have deficient files for completion |
| 6 | Assist physicians and nursing staff with completion of deficient records and Focus on quality of records and all deficiency are documented and categorized |
| 7 | Prepare monthly statistical reports of all Physicians/Nurses medical record file deficiencies for the medical records manager |
| 8 | Maintain quality control on charts awaiting completion |
| 9 | Interact with colleagues and other administrative staff regarding accurate documentation |
| 10 | Perform in depth analysis of medical documentation for completion |
| 11 | perform clinical audits of various kinds when advised |
| 12 | Work independently to help maximize concurrent processes. |
| 13 | Receive medical record parts for long stay patients and review these files to ensure their completion |
| 14 | Notify and communicate with DRs. to complete the deficient forms of the long stay patient / who still admitted |
| 15 | Review hospital forms and act as a member of MRD Forms Committee |
| 16 | Collect and analyze monthly data for the medical record files completion upon receiving discharge medical record file and after completion is performed by DRs. and generate monthly KPIs chart |
| 17 | Maintain established department policies, procedures, quality assurance and safety control |
Educational RequirementsBC. Degree in Medicine, Dental, Pharmacy, or Science.Experience RequirementsFrom 1 to 3 years of experience in a hospital or multi-disciplinary healthcare facility doing medical audio transcription or its equivalent .Knowledge, Skills and AttitudeKnowledge of patient care charts and patients' history. Ability to analyze complex medical records. Advanced knowledge of medical coding procedures, systems and regulatory issues within a specified area of medical specialty. Medical typewriting at 30 wpm with 85% accuracy before editing and 100% accuracy after editing. Knowledge of variety of basic office functions. A thorough knowledge of medical terminology, including laboratory tests, instruments, English grammar composition, spelling, and abbreviations. Equipment Operated: Computer and good knowledge of MS Excel, Word and PPT. Languages: Proficiency both in English and Arabic is preferred.