Medical Records Auditor

• Daily monitoring of work queues to evaluate electronic medical records are completed in timely manner.
• Perform audit on the completed clinical notes as per the hospital guidelines and ensure all the physicians who have valid consultation / admission are covered in the audit.
• Prepare Physician documentation compliance on timely basis
• Monthly share physician documentation compliance rate to the Clinical HOD and Medical Administration
• Partner with Health Informatics Officer, if any additional training is required for the new joiners (doctors) to complete the documentation in EMR
• Ensure the note types selected to complete the clinical notes are appropriate and followed the standard guidelines.
• Maintain audited cases database for future reference and training as and when required.
• Prepare areas of improvement and slides for clinical departmental meetings
• Maintain patient's confidentiality, security and integrity of the electronic medical record and ensure hospital policies are complied.
• Assist in preparing letters to physician as a reminder to complete deficient documents
• Electronically transcribes discharge summary whenever it is requested by the Customer Service Department.
• Promotes inclusive health by providing equitable and accessible care to patients and families with special needs.
• Ensures safety standards (occupational and patient safety) are complied.
• Performs miscellaneous job-related duties as assigned by the Direct Reporting Authority.
• Applies knowledge of medical terminology and medical procedures to properly evaluate clinical documents
• Demonstrates responsibility for professional growth and development by actively learning.
• Compiles data into reports for the stakeholders or committee including analysis of trends.
• Ensures quality and patient safety practices are followed
• Provides or promotes people centered care
• Promotes inclusive health by providing equitable and accessible care to patients and families with special needs.

• Ability to work independently and demonstrate problem-solving skills.
• Ability to organize work, set priorities and analyze data accurately.
• Must have good time management skills
• Excellent communication (Verbal and written), organizational skills and attention to detail
• Multi-task oriented with the ability to handle complex issues while providing excellent service to all including physicians, clinical staff, patients, reviewers, etc.
• Accomplishing tasks by accurately checking processes; being watchful over a period of time.

• Quality Assurance Officer
• Medical Chart Controller
• Statistics Officer
• Medical Coder
• Health Informatics Officer

• Preferably local with valid and transferable visa in Kuwait

Dar Al Shifa Hospital