Medical Records Specialist (Electronic Health Records) TrakCare Live
Royale Hayat Hospital
مجموع سنوات الخبرة :21 years, 9 أشهر
(1) Coding and Indexing of Diagnoses and Procedures (Inpatient using HS-11, EMR Environment)
(2) Condensed Classification of Health Interventions (CCHI)
(3) International Classification of Procedures in Medicine (ICPM)
(4) International Classification of Diseases (ICD-10 CM-WHO)
(5) Completion of Inpatient Medical Records for Accuracy, Adequacy and Consistency of Documentation through Deficiency Check as per the policies (EMR)
(6) Data Feeding, Retrieval, and Presentation through Crystal Reports-Trakcare Live (EMR) for Ministry of Health, Kuwait and Management Statistics as required by Health Information Manager/Administrator.
(7) Introduce Health Information Forms, Policies & Procedures, Qualities Indicators-JCIA Requirement
(8) Exposure to Electronic Medical Records (Intersystem-TrakCare Live) & Terminal Digit Filing System
(9) Exposure to Cache Database-Crystal Reports-Overall Health Information Management. Super User in Health Information Department
(10) Statistics Admission-Discharge-Day Case Procedure, Surgeries, IP, OP, Laboratory Services, and Radiological Services
(11) Monitoring and Supervising Filing Section and its work flow
(12) Managing Inactive Files and Merging of Duplicate Files
• ICD 10-CM Medical Coding & Indexing (Outpatient/Inpatient)
• Deficiency Check, Auditing of Health Information for Accuracy and its Completion as per JCI requirement.
• Monitor Medical Transcription Section (Quality/Productivity/TAT)
• Online Health Services like Sick Leave Attestation, Birth, Death, Still-Birth Notification, Infection Disease Notification, and other Clinical Information as per Dubai Health Authority Requirements/Standard/Policies.
• Medical Records Statistics Management as per JCI Quality Indicators and Management/Admin Requirement
• Monitor Quality, Productivity, and TAT of MRD Staffs and Task Allotted.
• Data feeding pertaining to patient care, Medical Records and quality monitors into computer for processing, storage, retrieval, and presentation when required using MS Excel (Database).
• Complete task allotted by Medical Records Manager, Hospital Administrator, or Medical Director for JCI-MRD Quality Indicators/Policies
• Physical Storage System (Movable & Non-Movable) with Straight Numerical Filing System
• Exposure-Working Knowledge HIS (Health Information System) Functions pertaining to Health Information Management Department.
Medical Assessment Form Completion Rate
Time Out Compliance Rate
Nursing Assessment Form Completion Rate
Volume of Inpatient Rate
Medical Assessment Effectiveness Rate
Inpatient Service Days
Legible Handwriting Compliance Rate
Average Length of Stay
Missed Files Rate Bed Occupancy Rate
UAE National Inpatient Rate
Inpatient Document Deficiency Rate
Unplanned Admission within 30 days with same diagnosis
Completion of Deficiency Forms Rate
Major Discrepancies between Surgical Preop & Postop
Reverted Referral Rate Mortality Rate
Top 10 Prevailing Diseases (Coding Data)
Govt Report Submission Compliance Rate
Clinical Performance Rate
Editorial Account Management & Data Mining for Yahoo Search Engine Marketing
Conversion of Voice File, Scanned File, or Descriptive Clinical Data to Error Free Reports, Clinical documentation through EMR
Secondary school teacher for Health Science, General Science, and Environmental Science and Population Studies.
Anatomy, Physiology Biochemistry International Classification of Diseases (ICD 10-CM) Health Information Management Medical Terminology Pathology Pharmacology and Clinical Pathology Biostatistics Hospital Organization Introduction to Computer Basics
Anatomy Physiology Embryology Cytology Cell Biology Environment Biology Microbiology Animal Diversity Biochemistry Evolution Applied Science