About

Process patient’s registration  Processing data/information requests both internally and externally.  Coding and Indexing of diseases and surgical procedures according to International, submitting claims for NHIF and notification of the same claims real time.  Providing medical data analysis and statistics.  Provide timely response on medical records requests as required by users and customers.  Participate in inter-departmental meetings.  Maintain stability and reputation of the hospital by complying with legal requirements.  Maintaining, Editing and Filing of Inpatient Patients Files received daily.  Operating calls, queries concerning legibility of insurances both outpatient/inpatient benefits and facilitate seamless flow of patient within the hospital.  Organizing and managing patients and admission/discharge of patients  Billing of Doctor’s consultation, Management and organization of outpatient consultant clinic appointment, schedules and follow ups.  Maintaining and operating a variety of health record indexes, coding and storage and retrieval systems to collect, classify, store and analyze information  Electronic and manual coding and indexing using the international statistical classification of diseases and related problems 10th revision(ICD-10)

Skills

  • Effective team player. • Hardworking and results
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Experience

Robert Chesaro

Work experience
  • i) Draft quarterly and annual progress reports including outcome reporting.
  • My roles also included; coding and indexing of medical records, records
  • keeping that’s systematic filing, backing up online, sorting, private and
  • confidential maintenance of medical files and organization records,
  • retrieval and disposal of inactive files according to the law;
  • ii. Process patient’s registration, verify the insurance benefits e.g. Smart
  • card, Slade/Wellness card or a photo-card, seek Approval through
  • preauthorization, seek approval for services which requires preauths
  • before the service been attended to, get a letter of undertaking both OP/IP
  • and ensuring that insurance claim is payable by the insurance.
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  • iii. conducting Data Quality Assurance to ensure that quality, accuracy and
  • validation of data including review of source document.
  • iv. Transcribe medical reports
  • v. Updating Track positive system, an electronic medical records system to ensure
  • complete referral and linkage of all positives. rectify documentation of MOH
  • reports, referral and Linkage registers and MOH 731 registers.
  • vi. Maintain stability and reputation of the hospital by complying with legal
  • requirements.
  • vii. Operating calls, queries concerning legibility of insurances both
  • outpatient/inpatient benefits and facilitate seamless flow of patient within the
  • hospital.
  • viii. Providing Micro plan on Health Emerging Promotion basing on demographic
  • data, changes of vaccines administration & policies guidelines and calculation of
  • vaccines order sheet with liaison with the county (Meru County Government).
  • Health Promotion: HPV, Rota virus sensitization, Covid 19 awareness & real time
  • update in KHIS
  • ix. Ensuring accurate, timely compiling of weekly and Monthly Morbidity/Mortality
  • data, Input Monthly MOH reports in the system and submitting Manual to the
  • Meru
  • County(DHIS)
  • x. Regularly championing review of departments Processes and policies amongst
  • staff and providing strong leadership of the assigned department.
  • xi. Maintaining historical reference by abstracting and coding clinical data,
  • such as diseases, operations, procedures, and therapies, using standard
  • classification systems; filing documents (International Classification of
  • Diseases 10/11th Edition).
  • xii. Issuing birth notification and death permits to clients, as well as ensuring
  • that they are dispatched in a timely manner
  • xiii. Coordinating Hospital audits, Continuous Medical Education(CME) &
  • Training.
  • xiv. Reporting and making of recommendation in various department for the service
  • elements audited.
  • xv. Identifying risks, receiving risk profiles of providers and monitoring actions taken,
  • aiming to proactively identifying the warning signs of any failing services. Review of the monthly delinquent record statistics and taking action needed.

Related persons

Chrispus MwangiAgriculture, Customer service, Data Science