Medical Records Officer
C Care
About C Care
Job Description
The Medical Records Officer will be responsible for the accurate management, maintenance, and confidentiality of patient medical records using the hospital electronic system. The role supports clinical teams through document audits, data accuracy, reporting, and compliance with medical records standards.
Responsibilities
Transfer paper-based patient records into the electronic medical records system.
Ensure medical records are complete, accurate, timely, and properly organized.
Maintain strict confidentiality and safeguard patient information in line with hospital policies and data protection standards.
Apply clinical coding ( to accurately capture diagnoses and treatments.
Audit patient records and communicate discrepancies or omissions to doctors and specialists for correction.
Manage patient indexing, including correction of duplicate records and wrong activations.
Book patient appointments and provide reminders, particularly for inpatients (IPD).
File and manage internal and external documentation including laboratory reports, radiology results, medical reports, and medication administration records.
Prepare and submit routine medical records and system usage reports.
Take responsibility for assigned tasks to enhance medical records management, compliance, and institutional reputation.
Conduct routine medical record quality audits (completeness, timeliness, accuracy, and compliance).
Collaborate with clinicians, nursing teams, and quality teams to improve clinical documentation standards.
Timely and accurate preparation and submission of all mandated clinical and health information reports to statutory authorities, including the Ministry of Health (Uganda), in full compliance with prescribed reporting standards and deadlines.
Requirements
A Diploma in Medical Records Management from a recognized institution.
At least one (2) year of experience working in a healthcare facility.
Experience using computers and electronic medical record systems.
Good knowledge of medical terminology and clinical documentation.
Strong data entry and typing skills.
Excellent verbal and written communication skills.
Attention to detail, confidentiality, and accuracy