Head of Medical Information Records

Position Overview

• We are seeking a highly organized and detail-oriented individual to join our team as the Head of Medical Information Records.
• The successful candidate will be responsible for overseeing the management and maintenance of all medical records and information within the hospital.
• This role requires strong leadership skills, excellent communication abilities, and a thorough understanding of medical recordkeeping standards and regulations.

Key Responsibilities

• Develop and implement policies and procedures for the management of medical records in compliance with regulatory requirements and best practices.
• Supervise a team of medical records officers, ensuring accurate and timely entry, retrieval, and storage of patient information.
• Oversee the electronic health record (EHR) system, including system maintenance, updates, and troubleshooting.
• Collaborate with healthcare providers and administrative staff to ensure accurate documentation of patient encounters and treatments.
• Train staff on medical recordkeeping protocols, confidentiality guidelines, and data security measures.
• Conduct regular audits of medical records to ensure completeness, accuracy, and compliance with legal and regulatory standards.
• Coordinate with billing and coding teams to ensure proper coding of diagnoses and procedures for accurate billing and reimbursement.
• Serve as a resource to healthcare providers and staff regarding medical record documentation requirements and best practices.
• Stay informed about changes in medical recordkeeping regulations and industry standards, and implement necessary updates to policies and procedures.
• Manage the department budget, including equipment purchases, staffing levels and trainings.

Qualifications

• Bachelor's degree in Health Information Management or related field; Master's degree preferred.
• Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is required.
• Minimum of 5years of experience in medical records management, with at least 2 years in a supervisory or leadership role.
• Thorough understanding of medical terminology, coding systems (e.g., ICD-10, CPT), and healthcare documentation standards.
• Proficiency in electronic health record (EHR) systems and other health information technologies.
• Strong leadership skills, with the ability to motivate and develop a team of professionals.
• Excellent communication and interpersonal skills, with the ability to interact effectively with healthcare providers, administrators, and staff.
• Knowledge of Nigerian healthcare regulations and compliance requirements is preferred.