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STATE REGISTERED NURSE, MULTIDISCIPLINARY WARD (LEVEL 8)
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Full-time
high school
Posted 51d ago
~40 hrs/week
Responsibilities
Manage and process medical report requests while ensuring compliance with hospital policies and data protection laws. Maintain, track, and organize physical and electronic medical records to ensure accessibility for authorized clinical staff.
Requirements
Requires a Sijil Pelajaran Malaysia (SPM) or equivalent, preferably with 1-5 years of experience in hospital administration or medical records. Candidates should be proficient in Microsoft Office and familiar with medical terminology and confidentiality practices.
Full job description
1) GENERAL DESCRIPTION
To manage and process all requests for medical reports ina timely,accurate, and confidential manner, ensuring compliance with hospital policies, Ministry of Health (MOH), Malaysian Medical Council (MMC), MSQH /JCI standards, and the Personal Data Protection Act (PDPA) 2010.
2) JOB DESCRIPTION
Main Responsibilities
Receive, verify, and processmedical reports, medical board and copy of medical records requests from patients, next-of-kin, insurers, lawyers, and external agenciesin accordance withhospital policies and procedures.
Check and ensurethat all applications are complete with valid authorization, consent forms, identification documents, and proof of payment before processing.
Liaise and coordinatewith clinicreceptionist, doctors, and relevantservicestofacilitatethe preparation, completion, verification, and approval of medical reports.
Track, arrange, and follow upon pending medical reports to ensuretimelycompletion and delivery within timelines given.
Assistin enteringcharges or receive payments for medical reports, medical board and copy of medical records requestsin accordance withhospital policies and procedures (If applicable).
Assisttyping medical report for consultants (if applicable) and ensure that all medical reports prepared by Consultants, Medical Officers, or ad hoc personnel are processed promptly and typed accurately with minimal errors.
Submit and distributecompleted medical reports to clinicsreceptionistor authorized recipients after confirming payment and monitor collection or delivery status.
Gather, record, and updateall application details, including request type, payment status, processing timelines, and report completion dates, in both manual and electronic systems.
Ensure and enforcethat only authorized personnel arepermittedto access, view, or collect medical reports, in compliance with confidentiality policies.
Provide guidance andassistanceto patients, next-of-kin, and authorized requestorsregardingmedical report procedures, requirements, and payment processes.
Respond promptly and professionallyto inquiries from patients, legal firms, insurance companies, and government agenciesregardingmedical report requests.
Scan, upload, andoperatehospital systems to ensure completed medical reports are accurately stored and easily retrievable by authorized users.
Retrieve and providepatient medical records folder upon requests via phone call or system for clinics, wards, Accident & Emergency (A&E), audits, or other authorized purposes.
Collect, process, and returnmedical record folders from wards and clinics, ensuring all movements are accurately documented and tracked.
Receive, verify, and process inpatient medical record documents to ensure completeness and compliance with the discharge checklist.
Trace, prepare, and checkmedical record folders for walk-in patients and upcoming appointments to ensure readiness for clinical use.
Issue and releasemedical records folder only to authorized personnel andmaintainand collateaccuratetracking logs (manual or electronic) for all medical records folder movements.
File, arrange, andmaintainreturned medical record folders accurately according to the hospital’s approved filing system and numbering sequence.
Repair and processdamaged, incomplete, or soiled records, andproducenew volume folders for bulky patient files asrequired.
Identifyduplicate medical records and ensure the merging process is accurately executed and fully completedin accordance withhospital policies and data integrity standards.
Ensure and checkthat all medical records are stored securely and neatly under proper environmental conditions (clean, dry, and pest-free) and ensure maintenance of facilities in a proper condition.
Assistand liaisewith staff inlocatingor retrieving missing or misfiled medical records folder and promptlyreport and evaluatecases of loss or damage to the Head of HIMS.
Other Duties and Responsibilities
Perform any other responsibilities assigned by immediate superior or hospital management.
3) JOB REQUIREMENT
Sijil Pelajaran Malaysia (SPM) or other relevant qualifications.
Preferablyat least1 - 5 years of experience from any established medical organization.
Preferablyexperience in hospital administration or medical records.
Familiarity ofworking in HIMS / medical records.
Familiarity with medical terminology and hospital documentation processes.
Knowledge of PDPA 2010 and confidentiality practices.
Detail-oriented with a focus on accuracy.
Proficiencyin Microsoft Excel and PowerPoint.
Results-oriented mindset, with the ability to work under pressure to meet deadlines.
KPJ Selangor Specialist Hospital (KPJ Selangor) is a full-fledged private specialist hospital located in Shah Alam with comprehensive medical and healthcare services making it a ‘One Stop Health Care Centre’.
Our hospital is equipped with 184 exquisitely furnished rooms (four-bedded, two-bedded, single standard, junior suites, and VIP suites) which are fully air-conditioned and comes with a flat-screen television and direct dial telephone facilities.
We offer quality and competitive healthcare treatment services by utilizing the latest modern technological equipment while supported by more than 70 medical specialists with an extensive international qualification aided by well-trained and skilled medical and para-medical personnel.
The facilities also reflect the comprehensive range of KPJ Selangor’s specialties which includes Orthopaedics and Joint replacement, Neurosurgery, Ophthalmology, Electrophysiology and Cardiology, Ophthalmology, Nephrology, and Paediatrics. KPJ Selangor has extensive diagnostic and therapeutic resources including endoscopic suites, Haemodialysis Centre, Electrophysiology (EPS) test, Stroke Unit, Heart and Lung centre and magnetic resonance imaging (MRI) facilities.
KPJ Selangor is accessible through KL-Klang Federal Highway, Kesas Highway, Lebuhraya Damansara Puchong (LDP), Ekspressway Lingkaran Tengah (ELITE) and New Klang Valley Expressway (NKVE), 30 minutes drive from Kuala Lumpur International Airport (KLIA), 25 minutes to Kuala Lumpur and located near international hotels, shopping centres, golf courses, family waterpark, and other tourism attractions.
KPJ Selangor Specialist Hospital (KPJ Selangor) is a full-fledged private specialist hospital located in Shah Alam with comprehensive medical and healthcare services making it a ‘One Stop Health Care Centre’.
Our hospital is equipped with 184 exquisitely furnished rooms (four-bedded, two-bedded, single standard, junior suites, and VIP suites) which are fully air-conditioned and comes with a flat-screen television and direct dial telephone facilities.
We offer quality and competitive healthcare treatment services by utilizing the latest modern technological equipment while supported by more than 70 medical specialists with an extensive international qualification aided by well-trained and skilled medical and para-medical personnel.
The facilities also reflect the comprehensive range of KPJ Selangor’s specialties which includes Orthopaedics and Joint replacement, Neurosurgery, Ophthalmology, Electrophysiology and Cardiology, Ophthalmology, Nephrology, and Paediatrics. KPJ Selangor has extensive diagnostic and therapeutic resources including endoscopic suites, Haemodialysis Centre, Electrophysiology (EPS) test, Stroke Unit, Heart and Lung centre and magnetic resonance imaging (MRI) facilities.
KPJ Selangor is accessible through KL-Klang Federal Highway, Kesas Highway, Lebuhraya Damansara Puchong (LDP), Ekspressway Lingkaran Tengah (ELITE) and New Klang Valley Expressway (NKVE), 30 minutes drive from Kuala Lumpur International Airport (KLIA), 25 minutes to Kuala Lumpur and located near international hotels, shopping centres, golf courses, family waterpark, and other tourism attractions.