Medical Summary jobs in Pune, Maharashtra

• Maintain and manage inpatient (IPD), outpatient (OPD), emergency, and discharge medical records.
• Ensure completeness of patient files, including admission notes, investigation reports, consent forms, discharge summaries, and other relevant documents.
• Verify medical records for missing documents, signatures, dates, and required clinical information.
• Arrange, index, code, file, and archive medical records systematically.
• Retrieve and issue medical records to authorized departments and healthcare professionals when required.
• Track the movement of medical files and ensure their timely return.
• Maintain confidentiality and security of patient information in accordance with hospital policies.
• Enter and update medical record details in the Hospital Information System (HIS/HMIS).
• Coordinate with doctors, nursing staff, billing, insurance, and other departments to obtain incomplete documentation.
• Support medical record audits, quality assessments, NABH documentation requirements, and statutory record maintenance.
• Maintain records of medico-legal cases (MLC) and ensure secure handling as per hospital policy.
• Assist in scanning, digitization, indexing, and electronic storage of patient records.
• Prepare daily, monthly, and periodic reports related to medical records, file movement, pending documentation, and record retrieval.
• Ensure proper preservation, retention, and authorized disposal of records according to applicable rules and hospital policy.
• Report discrepancies, missing files, unauthorized access, or breaches of confidentiality to the MRD In-charge.

Pay: ₹28,000.00 - ₹33,000.00 per month

Benefits:

• Health insurance
• Paid sick time
• Provident Fund

Work Location: In person