Medical Records Officer at The Nairobi Hospital

REF: TNH/HRD/MRO/06/2024

The overall purpose of this job is to maintain medical records in the hospital’s wards to ensure completeness and ease of retrieval in line with established procedures.

ROLES AND RESPONSIBILITIES 

• Collect, check completeness and edit daily discharge charts for assigned wards in line with set guidelines;
• Assign International Classification of Diseases in Oncology (ICD-O) to cancer patient in line with the  
• World Health Organization guidelines
• Assign International Classification of Diseases (ICD 10) code to each patient’s diagnosis in line with World Health Organization guidelines;
• Fill in addressographs on patients’ charts to ensure completeness of patients’ information;
• Register all deaths in the assigned wards in timely manner;
• Register clients in the hospital health Information management system and assign the unique patient identifier
• Prepare and compile daily statistics and hospital documents statistics for the assigned wards in line with established guidelines; 
• Prepare and issue birth notifications for new born babies in the maternity ward as applicable;
• Compile and ensure timely dispatch of birth notifications to the Nairobi City Council as applicable;
• Compile and ensure timely uploading of the Ministry of Health data.
• Dispose old hospital records as applicable in line with the hospital’s disposal policy; and  
• Any other responsibilities that may be assigned to the job holder by the supervisor from time to time.

EDUCATION AND EXPERIENCE 

• Diploma in Health Records Information Management from a recognized institution.
• Must be registered with the Health Records & Information managers board and hold a valid practicing licence.
• Minimum of 3 years’ relevant experience.

CORE COMPETENCIES

• Knowledge of disease and procedure classification
• Knowledge of hospital information management system
• Attention to details
• Customer service skills
• Interpersonal skills 
• Planning and organising skills
• Communication skills
• Team working skills
• Accountability 
• Integrity