ASSISTANT, HEALTH INFORMATION MANAGEMENT SERVICES

Job Description

Assist in checking return of medical record folders from wards and movements are accurately documented and tracked.
Ensure accuracy in assigning ICD and external cause code / procedure codes for all inpatient cases based on discharge diagnoses, in accordance with ICD regulations for statistical and reporting purposes.
Ensure the accuracy and consistency of ICD coding by conducting regular cross-checking and coding audits in accordance with established standards and guidelines.
Review, check, and validate medical records, discharge summaries, and related documentation to ensure accuracy, completeness, and consistency.
Conduct administrative audits and produce reports on the completeness, legibility, and accuracy of medical record documentation.
Prepare, organize, and submit monthly E-Reporting and SMRP data to the Ministry of Health (MOH), mortality statistics to Group Clinical, KPJHQ and hospital management within the timelines given.
Provide and assist in the preparation and submission of coding-related reports, summaries, and analyses for state district center and hospital management use.
Register and submit cancer cases to the National Cancer Registry in compliance with MOH guidelines and reporting standards (if applicable)
Gather and distribute reports on notification of infectious diseases to the MOH via email / fax or through the e-Notification system within the stipulated time (if applicable).

Job Requirement