Job Description
Purpose and Scope of the Job: Under direct supervision of HIM Supervisor, Medical Records Auditor is responsible to review and analyze the patient chart to ensure Physician documentation are complying with hospital policy and guidelines.Main Duties and Responsibilities/Performance Standards:Daily monitoring of work queues to evaluate electronic medical records are completed in timely manner.Perform audit on the completed clinical notes as per the hospital guidelines and ensure all the physicians who have valid consultation / admission are covered in the audit.Prepare Physician documentation compliance on timely basisMonthly share physician documentation compliance rate to the Clinical HOD and Medical Administration
Responsibilities + Skills
Must have good time management skillsExcellent communication (Verbal and written), organizational skills and attention to detail
Education
Education: Degree/ Diploma related with Nursing or Medical Records Documentation Management
Experience