Medical Records Compliance Officer

Medical Records Compliance Officer performs monitoring functions in Inpatient ward units for effective management of medical records. Such functions are real-time qualitative analysis and real time completion of required documents of doctors and nurses and other stakeholders to ensure the completeness of the patient medical record during confinement and upon discharge. Currently, the completeness of medical records in FVH is way below standards. Since FV Hospital is gearing towards JCI accreditation, completeness of documentation for currently confined patients is a must since most of the JCI patient centered - standards are evaluated through the open medical records. A strategy which was proven effective in JCI Accredited hospitals is real time and constant monitoring and reminders to stakeholders of incomplete and below quality standards medical documents.

* Key duties and responsibilities:
- Perform Real Time analysis of medical records for completeness of documentation based on approved documentation guidelines
- Coordinate with physicians, nurses, and members of the healthcare team to complete the medical records of their patient while still confined and before discharge
- Ensure the completeness of the records before forwarding discharge patient records by the Unit's administrative assistant
- Generate reports of complete vs. incomplete records, completion compliance rate, and delinquent individuals to their immediate superior (Medical or Nursing Director) and to the Medical Records Manager and Quality Management Director .
- Perform quality assurance function to monitor or validate data on quality indicators as required by the Quality Management Department.
- Other duties and responsibilities assigned from time to time

1. Qualification/ Trình độ chuyên môn:
- B S Graduate in Nursing or related healthcare field
2. Experience/ Kinh nghiệm:
- Preferably with 6 months experience on medical records analysis in a reputable healthcare facility
3. Skills and knowledge/ Kiến thức và kỹ năng:
- Thorough knowledge in the hospital operation and use of computer
- Knowledgeable in the standard format of patient records
- Knowledgeable in the contents of a patient record

1. JOB KNOWLEDGE
- Has expert knowledge about work processes and its overall impact on unit's objectives
- Experienced at least for 1 year on medical records review and can train new hires regarding unit's processes and procedures

2. INNOVATIVENESS
- Advocate and practice the paradigm shift to continuously improve work performance towards organizational development.
- Initiate, suggest and execute process improvement and takes risks to achieve organizational improvements
- Demonstrate openness and willingness to learn and apply new processes,' procedures to benefit the unit/ organization

3. FLEXIBILITY AND ADAPTABILITY
- Consistently perform tasks with very minimal supervision; do work independently without waiting for instructions.
- Exceptional ability to adapt to changes in work assignments
- Proactive in approaching job responsibilities and ability to initiate change towards improvement

4. TEAMWORK
- Always act jointly with others in accomplishing goals; inherent to go out of his way to assist others without prodding
- Manner is highly pleasing, cheerful and diplomatic
- Able to generate cooperation with others and demonstrate effective inter and intra networking within the organization in achieving organizational goals.

5. CUSTOMER SERVICE! CLIENT SATISFACTION
- Ability to analyze customer needs and develops strategy and action plans in his/her area that is beneficial both to the customers and hospital, which as a result will benefit the image and growth of the institution
- Consistently attend to internal and external customers enthusiastically; is exceptionally keen anticipating customer's needs and satisfying client expectations without sacrificing the interest of the Hospital
- Champion customer service

6. COMMUNICATION SKILLS
- Highly proficient in both oral and written communication
- Always able to express his ideas clearly and concisely with ease and facility

7. PLANNING & ORGANIZING
- Has outstanding ability in setting goals and monitoring one's performance with optimum use of resources
- Schedules/plans and ensures deadlines are consistently met
- Able to identify and set correct procedures for maximum productivity

8. ACCOUNTABILITY
- Always demonstrate excellent pro-active skills under all circumstances particularly on important and complex matters without compromising the Hospital.
- Take full responsibility for his/her actions and actions are well thought for the good of the institution

9. PUNCTUALITY & ATTENDANCE
- Should have perfect attendance and was exceptionally punctual in observing work hours and break periods
- Main policies and procedures related to the position (please put here a short-list of the essential policies to be known by the employee)

4. Foreign language(s)/ Ngoại ngữ: English

- Healthcare Insurance

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