Job ID: 296331

Lead - Medical Record Department

Dr. Shroff Charity Eye Hospital

Location: Vrindavan, Mohammadi, Saharanpur, Uttar Pradesh

Apply by: 26 Jun 2026

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Profile Summary
Trainer/Lead – Medical Record Assistant (MRA) will oversee the medical records, team and support Allied Ophthalmic Paramedics (AOPs) in ensuring accurate, timely, and standardized documentation of patient data in both paper and electronic formats. The role includes mentoring AOP trainees, supporting competency-based learning, coordinating with clinical and training teams, and ensuring data quality for reporting, audit, and patient care continuity.

About AOP: AOP (Allied Ophthalmic Paramedics) program or Certified Ophthalmic Paramedics (COP) program is specifically designed to train young women from underprivileged backgrounds, with the aim of improving the quality of ophthalmic services. We focus on training the AOPs to develop the necessary skills and empower them to effectively identify, screen, support, supplement, and streamline clinical workloads. By doing so, they contribute in boosting productivity, assisting ophthalmologists and other healthcare professionals, and ultimately enhancing patient care in a cost-effective manner and thereby contribute towards reduction of avoidable blindness in their area.

Key Responsibilities:
Training Delivery:
• Conduct classroom and practical training sessions on:
• Basics of medical records and health information management
• Medical terminology, abbreviations, and ophthalmology-specific documentation
• Patient registration, outpatient and inpatient record maintenance
• Discharge summary processing and follow-up documentation
• Use of EMR/MIS systems for data entry and retrieval
• Filing, indexing, and record storage protocols
• Legal and ethical aspects of medical record-keeping and confidentiality

Hands-on Training and Demonstration:
• Provide practical exposure in registration counters, OPDs, IPDs, and MRD
• Guide trainees on how to handle patient files, digital records, and data management systems
• Demonstrate document scanning, coding (if applicable), and record audits

Team Supervision & Capacity Building
• Manage the schedule and workload of MRAs and AOP trainees assigned to medical records tasks
• Mentor AOP trainees in data entry, record handling, EMR usage, and health information standards
• Provide refresher training on documentation protocols, quality checks, and report formats

Evaluation and Mentorship:
• Monitor student attendance, performance, and participation
• Conduct written tests, viva, and practical skill assessments
• Identify and support trainees who need additional coaching

4. Curriculum and Quality Assurance:
• Follow the prescribed AOP training curriculum; suggest updates based on real-world needs
• Maintain training documentation, checklists, and trainee records
• Participate in curriculum review and internal quality assessments of the training program

Medical Record Management
• Supervise the collection, documentation, and archiving of patient medical records
• Ensure accuracy, completeness, and confidentiality of records (manual and digital)
• Monitor daily record-keeping by AOP trainees in clinics, outreach, and vision centres
• Ensure proper coding, indexing, and storage per institutional or legal norms

LMS Management & Competency-Based Assessment
• Track learning progress of AOPs through the Learning Management System (LMS)
• Ensure completion of record-related modules and assessments on the LMS
• Conduct periodic evaluations of documentation skills through practical tests and audits
• Offer constructive feedback and support improvement plans

Coordination & Reporting
• Liaise with clinical, quality, and training departments to ensure aligned documentation practices
• Support data compilation for reports, audits, and programmatic reviews
• Maintain logs of patient records, training progress, and data quality checks

Quality Assurance & Compliance
• Conduct regular audits of patient records for accuracy and compliance
• Monitor adherence to data protection regulations and institutional guidelines
• Support implementation of NABH documentation standards where applicable
• Submit progress reports, feedback forms, and trainee evaluation summaries to the Training Head
• Support external assessments and audits when needed

Leadership & Communication
• Promote best practices in medical records and patient confidentiality among AOPs
• Lead by example, fostering teamwork, responsibility, and professional ethics
• Resolve workflow issues and escalate operational challenges when needed

Working Conditions:
• Classroom and hospital-based training setup
• Regular interaction with departments like OPD, IPD, MRD, IT, and administration
• May include periodic visits to satellite centres or outreach locations for exposure

Any other responsibility as assigned by the Manager.

Qualifications and Experience:
• Diploma/Degree in Medical Record Technology, Health Information Management, or equivalent
• Minimum 5 years of experience in hospital medical records or health information system management
• Prior training or teaching experience is an advantage

Skills and Attributes:
• Strong understanding of ophthalmology-related patient documentation
• Knowledge of MIS/EMR software systems and hospital workflows
• Excellent organizational and communication skills
• High integrity and commitment to patient confidentiality
• Proficient in MS Office, data handling, and report generation

Job Email ID:

usha.mishra(at)sceh.net