The MRD Incharge is responsible for the overall management of the Medical Record Department, ensuring accurate creation, maintenance, storage, retrieval, confidentiality, and timely availability of patient medical records in compliance with NABH, NMC, Ayush University, and applicable legal and statutory requirements.
Key Responsibilities
- Supervise the day-to-day functioning of the Medical Record Department.
- Ensure accurate registration, indexing, filing, coding, and storage of patient medical records.
- Maintain complete medical records for OPD, IPD, Emergency, Day Care, and Discharge patients.
- Ensure timely collection, verification, and completion of patient case files before record closure.
- Monitor documentation deficiencies and coordinate with consultants, residents, and nursing staff for timely completion.
- Maintain confidentiality and security of all patient medical records as per hospital policy and legal requirements.
- Ensure proper issuance, retrieval, and tracking of patient records.
- Coordinate with clinical departments for record completion and documentation compliance.
- Maintain electronic and physical medical record systems.
- Prepare and submit daily, monthly, and annual MRD reports and hospital statistics.
- Generate hospital census, morbidity, mortality, and clinical data reports as required.
- Maintain disease coding using ICD standards (where applicable).
- Support NABH, NMC, Ayush University, insurance, medico-legal, and statutory inspections by providing required records.
- Maintain Medico-Legal Case (MLC) records and ensure legal compliance.
- Coordinate with Insurance/TPA departments for record verification and documentation.
- Ensure safe retention, archival, and disposal of medical records as per record retention policy.
- Train MRD staff regarding documentation standards and departmental SOPs.
- Conduct periodic audits of medical records and implement corrective actions.
- Maintain departmental registers, record movement logs, and document issue registers.
- Perform any other duties assigned by the Hospital Administration.
Pay: ₹20,000.00 - ₹30,000.00 per month
Work Location: In person