Technical Clerk – Medical Records and Information Management
Mediclinic vacancies
Available Locations:
Sandton, Gauteng
Job Description
Job Summary
The Technical Clerk – Medical Records & Information Management is responsible for the accurate creation, maintenance, protection, retrieval, and reporting of patient health information across Mediclinic facilities. You will ensure records are complete, compliant with regulatory/clinical coding standards, securely stored, and digitally available to authorised stakeholders, enabling high‑quality patient care, operational efficiency, and robust clinical governance.
Key Responsibilities
- Medical record lifecycle management: Open, assemble, index, scan, track, archive, and securely dispose of health records in line with policy and legal retention requirements.
- Data quality & integrity: Validate patient demographics, episode details, discharge summaries, and clinician documentation for completeness and correctness; flag and resolve discrepancies.
- Coding & classification support: Assist clinicians/coders by retrieving source documentation; ensure timely availability of charts for ICD/DRG coding and audits.
- Electronic Medical Record (EMR) operations: Upload, label, and verify scanned documents; monitor queue/worklists; troubleshoot basic EMR issues and escalate when needed.
- Confidentiality & compliance: Enforce privacy, consent, and information security standards (e.g., POPIA/GDPR/HIPAA—based on jurisdiction) when handling requests and disclosures.
- Release of information (ROI): Process internal and external information requests (patients, insurers, legal entities) within turnaround SLAs, ensuring proper authorisations.
- Clinical audit & medico-legal readiness: Prepare files and data extracts for internal/external audits, quality reviews, morbidity & mortality meetings, and medico‑legal cases.
- Reporting & KPIs: Maintain logs, dashboards, and monthly statistics (turnaround times, missing documentation, ROI volumes, record completeness, scanning accuracy).
- Process improvement: Identify gaps, suggest automation/standardisation opportunities, and help implement best practices in health information management.
- Front-desk/administrative cover (as needed): Support admissions/discharge teams with document control and data corrections.
Required Skills and Qualifications
- Diploma or certificate in Health Information Management, Medical Records, Health Administration, or a related field (Bachelor’s degree preferred).
- Solid understanding of medical terminology, medical record structures, and clinical documentation standards.
- Working knowledge of EMR/EHR platforms, document imaging/scanning solutions, and records tracking systems.
- Familiarity with ICD-10/ICD-11, CPT/OPCS, DRG frameworks (exposure/awareness level acceptable; formal coding certification is an advantage).
- Proficiency in MS Office (Excel, Word, Outlook) and basic data reporting.
- Strong attention to detail, organisational skills, and the ability to manage high-volume workloads with tight deadlines.
- Excellent communication skills with a strong commitment to confidentiality and data protection.
Experience
- 1–3 years of experience in medical records/health information management, hospital administration, or a similar clinical support role.
- Experience working within multi-disciplinary clinical environments and with EMR systems is highly desirable.
- Prior involvement in release of information, clinical audits, or medico‑legal documentation handling is an advantage.
Working Hours
- Full-time, typically 40–45 hours per week.
- Rotational shift coverage (including evenings, weekends, and public holidays) may be required to support 24/7 clinical services and urgent ROI needs.
- Occasional overtime during audits, compliance reviews, or peak operational periods.
Knowledge, Skills, and Abilities (KSAs)
- Knowledge: Health information management standards, retention schedules, privacy legislation, EMR workflows, and clinical documentation structure.
- Skills: Data entry accuracy, document imaging, indexing, record retrieval, KPI tracking, customer service, and basic problem-solving.
- Abilities: Maintain confidentiality, prioritise competing tasks, work collaboratively with clinicians and administrators, and adapt to digital transformation initiatives.
Benefits
(Benefits may vary by location and contract type.)
- Competitive salary with performance-linked increments.
- Medical insurance / health benefits for you and eligible dependents.
- Retirement/Pension contributions.
- Paid time off (annual leave, sick leave, and statutory holidays).
- Access to learning & development programmes, certifications, and internal mobility opportunities.
- Employee wellness and assistance programmes.
Why Join Mediclinic
- Work with a leading, patient-centric healthcare group committed to quality, safety, and innovation.
- Be part of a digitally evolving health information environment with opportunities to upskill in EMR, coding, analytics, and compliance.
- Collaborate with multi-disciplinary teams that value accuracy, integrity, and continuous improvement.
- Clear career pathways into health information management, clinical coding, quality & risk, or healthcare administration.
How to Apply
- Prepare an updated CV/resume highlighting your experience in medical records, EMR systems, and compliance.
- Write a brief cover letter explaining your interest in the role and how your skills align with Mediclinic’s standards.
- Submit your application via the Mediclinic Careers Portal (select “Technical Clerk – Medical Records & Information Management”) or follow the instructions provided in the vacancy listing.
- Shortlisted candidates will be contacted for assessments and interviews (which may include data accuracy tests and scenario-based compliance questions).