clinical coding
The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.
Medical records managers are responsible for managing activities of medical records units which maintain and secure patient data. They supervise, oversee and train employees while implementing medical department policies.
Competences and skills
58 ESCO relationsEssential knowledge 10 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
6 competencesdata storage
The physical and technical concepts of how digital data storage is organised in specific schemes both locally, such as hard-drives and random-access memories (RAM) and remotely, via network, internet or cloud.
digital
document management
The methodology of tracking, managing and storing documents in a systematic and organised manner as well as keeping a record of the versions created and modified by specific users (history tracking).
health records management
The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.
healthcare administration
The administration procedures of a healthcare facility to keep it operational. It involves leadership roles, regulatory compliance and the efficiency in the processes of the facility.
professional documentation in health care
The written standards applied in the health care professional environments for documentation purposes of one`s activity.
Cross-sector
4 competencesdatabase
The classification of databases, that includes their purpose, characteristics, terminology, models and use such as XML databases, document-oriented databases and full text databases.
digital
health care legislation
The patients` rights and responsibilities of health practitioners and the possible repercussions and prosecutions in relation to medical treatment negligence or malpractice.
manage healthcare staff
The managerial tasks and responsibilities required in a health care setting.
medical informatics
The processes and tools used for the analysis and dissemination of medical data through computerized systems.
digital
Essential skills and competences 20 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
10 competencesarchive healthcare users' records
Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.
collect statistics on medical records
Perform statistical analysis of various medical records of the healthcare facility, referring to the number of hospital admissions, discharges or waiting lists.
identify patients' medical records
Locate, retrieve and present medical records, as requested by authorized medical personnel.
manage digital archives
Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.
digital
participate in medical records' auditing activities
Assist and help with any requests arisen during audits related to the archiving, filling and processing of medical records.
perform clinical coding procedures
Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.
undertake clinical audit
Undertake internal clinical audit through the collection of statistical, financial and other data related to service delivery.
use e-health and mobile health technologies
Use mobile health technologies and e-health (online applications and services) in order to enhance the provided healthcare.
digital
use electronic health records management system
Be able to use specific software for the management of health care records, following appropriate codes of practice.
digital
work in multidisciplinary health teams
Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.
Cross-sector
10 competencesapply organisational techniques
Employ a set of organisational techniques and procedures which facilitate the achievement of the set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.
communicate in healthcare
Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.
comply with legislation related to health care
Comply with the regional and national health legislation which regulates relations between suppliers, payers, vendors of the healthcare industry and patients, and the delivery of healthcare services.
follow clinical guidelines
Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.
manage healthcare users' data
Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.
manage information in health care
Retrieve, apply and share information among patients and healthcare professionals and across healthcare facilities and community.
oversee record management
Control and oversee electronic records of an organisation throughout the records life-cycle.
- Scope note
- This includes storing, classifying, securing, archiving, preserving and retrieving of electronic records.
recruit employees
Hire new employees by scoping the job role, advertising, performing interviews and selecting staff in line with company policy and legislation.
- Scope note
- It may include recruiting volunteers.
supervise staff
Oversee the selection, training, performance and motivation of staff.
work in a multicultural environment in health care
Interact, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.
Optional knowledge 8 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
2 competencescustomer service
Processes and principles related to the customer, client, service user and to personal services; these may include procedures to evaluate customer's or service user's satisfaction.
patient record storage
Field of information which monitors regulatory and legal changes regarding patient record compilation and storage.
Cross-sector
6 competencesbookkeeping regulations
The methods and regulations involved in the process of accurate bookkeeping.
health care system
The structure and function of health care services.
human anatomy
The dynamic relationship of human structure and function and the muscosceletal, cardiovascular, respiratory, digestive, endocrine, urinary, reproductive, integumentary and nervous systems; normal and altered anatomy and physiology throughout the human lifespan.
human physiology
The science that studies the human organs and its interactions and mechanisms.
medical terminology
The meaning of medical terms and abbreviations, of medical prescriptions and various medical specialties and when to use it correctly.
risk management
The process of identifying, assessing, and prioritising of all types of risks and where they could come from, such as natural causes, legal changes, or uncertainty in any given context, and the methods for dealing with risks effectively.
Optional skills and competences 20 competences
Occupation specific
0 competencesNo competences in this bucket.
Sector-specific
12 competencesadvise on medical records
Act as a consultant to medical staff by providing advice on medical records policies.
answer patients' questions
Respond in a friendly and professional manner to all inquiries from current or potential patients, and their families, of a healthcare establishment.
collect healthcare user's general data
Collect qualitative and quantitative data related to the healthcare user's anagraphic data and provide support on filling out the present and past history questionnaire and record the measures/tests performed by the practitioner.
formulate a treatment plan
Formulate a treatment plan and evaluation (analysis) based on collected data following assessment using a clinical reasoning process.
interview people
Interview people in a range of different circumstances.
maintain healthcare user data confidentiality
Comply with and maintain the confidentiality of healthcare users` illness and treatment information.
maintain treatment records
Keep accurate records and file reports related to the prescribed treatment or medication.
meet the requirements of social security reimbursement bodies
Ensure that the sessions are compliant with the requirements of the national social security bodies and that reimbursements are acceptable.
perform backups
Implement backup procedures to backup data and systems to ensure permanent and reliable system operation. Execute data backups in order to secure information by copying and archiving to ensure integrity during system integration and after data loss occurrence.
digital
perform records management
Manage the life-cycle of records of institutions, indivduals, corporate bodies, collections, oral history.
review patient's medical data
Assess and review relevant medical data of patients such as X-rays, medical history and laboratory reports.
transfer medical information
Extract information from a patient's notes and enter them in a computer programme.
digital
Cross-sector
8 competencesevaluate employees
Analyse employees' individual performances over a certain time span and communicate your conclusions to the employee in question or higher management. Evaluate achievements of staff members.
manage budgets
Plan, monitor, report on the budget and prepare set production budgets.
manage workflow processes
Develop, document and implement traffic and workflow processes across the company for different functions. Liaise with several departments and services such as account management and the creative director to plan and resource work.
monitor regulations in social services
Monitor and analyse regulations, policies and changes in these regulations in order to assess how they impact social work and services.
process data
Enter information into a data storage and data retrieval system via processes such as scanning, manual keying or electronic data transfer in order to process large amounts of data.
digital
record healthcare users' billing information
Record the healthcare user`s information for the billing of provided medical services.
record treated patient's information
Record information accurately relating to the progress of the patient during therapy sessions.
supervise daily information operations
Direct daily operations of different units. Coordinate program/project activities to assure the respect of costs and time.