NORLAILAH JAHIR
APARTMENT SRI BAYU CHERAS SELANGOR
Summary
Healthcare professional with focus on managing medical records, ensuring accuracy and compliance with data protection regulations. Skilled in overseeing electronic health records systems, coordinating with clinical staff, and maintaining confidentiality in all documentation processes. Adept at streamlining record-keeping procedures to enhance operational efficiency.
Overview
2
2
Languages
1
1
Certification
15
15
years of professional experience
Work History
Medical Records Manager
Hospital Pakar Pusrawi Kuala Lumpur
11.2023 - Current
- Ensure that the requesting, storage, and transmission of records are carried out in accordance with established policies and procedures.
- Verify ICD-10 / ICD-9-CM codes for each patient based on the correct procedures on a monthly basis prior to submission to the Ministry of Health (MOH).
- Submit SMRP data on a monthly basis.
- Monitor and plan monthly and annual audits of patient medical record documentation.
- Prepare and update policies and procedures for the Medical Records Department.
- Evaluate staff performance and make recommendations for improvement to management on an annual basis.
- Prepare duty rosters, work procedures, and coordinate department-related activities.
Prepare and submit monthly E-reporting returns to the MOH. - Submit family health information to the MOH on a monthly basis.
- Review Department KPIs for submission to the Quality Unit before the 10th of each month.
- Ensure that the medical record scanning process is carried out within the stipulated timeframes.
- Systematically monitor patient confidentiality to prevent the misuse, leakage, or unauthorized access of patient data.
- Monitor and evaluate the entire medical report application management process, including adherence to report preparation timelines, monitoring of outstanding cases, coordination with medical officers, management of delay risks, performance reporting,
- Implementation of service improvement initiatives to enhance operational efficiency and customer satisfaction.
- Assisted in transitioning from paper-based to electronic records, minimising errors and improving access to patient data.
- Managed Medical Records department consistent with medical, ethical and legal requirements.
- Built relationships with clinicians on services by providing comprehensive administrative support.
Medical Record Executive
Hospital Pakar Pusrawi Kuala Lumpur
10.2020 - 03.2023
- Classify patient ICD-10/ICD-9 codes according to the precise procedures established by the Ministry of Health, Malaysia.
- Update the Patient Treatment Information System (SMRP).
- Prepare and review medical and insurance reports prior to their submission.
- Ensure that patient records are released only to authorised individuals, and are returned safely.
- Prepare documentation and statistical information.
- Coordinate third-party training for staff, and submit details to the Administration Manager.
Medical Records Supervisor
Hospital Pakar Pusrawi Kuala Lumpur
03.2016 - 09.2020
- Classify patient ICD-10 codes according to the precise procedures established by the Ministry of Health, Malaysia.
- Update the Patient Treatment Information System (SMRP).
- Record all movements of patient records (in and out) during the shift, and ensure that signatures acknowledging receipt and return are obtained from all parties involved.
- Receive and verify patient registration records for discharged patients, ensuring they have been received and signed by the relevant parties.
- Prepare and review medical and insurance reports prior to their release.
Medical Records Assistant
Hospital Pakar Pusrawi Kuala Lumpur
10.2014 - 02.2016
- File management: Organising, updating, and repairing damaged patient records.
- Medical Report Application Process: Preparing and managing medical report requests for patients, insurance companies, lawyers, or the police.
- Clinical Coding: Assigning standard diagnostic and procedural codes to records.
Intern medical record
Hospital Pakar Pusrawi Kuala Lumpur
07.2014 - 09.2014
- File Management: Organizing, updating, and repairing torn patient records.
- Medical Report Application Process: Preparing and managing applications for medical reports for patients, insurance companies, lawyers, or the police.
Intern
Hospital Daro Sarawak
04.2011 - 07.2011
- Infection Control Unit, Dietetics and Kitchen Unit, Medical Records Unit, Revenue Unit (Outpatient Department), and Administration and Management Unit.
Education
Bachelor of Science (Hons) Healthcare Management
Asia Metropolitan University
Selangor Malaysia2015
Diploma In Healthcare
Masterskill Globa College
Kota Kinabalu2011
Skills
- Policy writing
- Medical coding
- Record management
- Data submission
- Audit preparation
- Health information management
- Staff evaluation
- Problem solving
- Team leadership
- Patient confidentiality
- Training coordination
- Customer Service
- ICD-10-CM coding
- Budgetary management
- Report-writing
- Clinic management
- Basic Life Support Certification
- Electronic health record systems
- Training and Development
- Medico-Legal awareness
- Project Management
- Medical record management
- Electronic health records management
Languages
English
Intermediate
B1
Malay
Proficient
C2
Certification
May 2026
Latihan Pengukuhan Pelaksanaan Penggunaan Sistem MyHDW SMRP Modul Swasta
January 2026
Implementation of the Private Sector Diagnosis-Related Group (DRG)
June 2025
Hazard Identification Risk Assessment and Risk Control
June 2024
Disciplinary Procedures
November 2023
Internal Audit Preparation Workshop
November 2022 Strategic Planning
March 2021
Service Standard Manager HIMS
August 2020
Incident Reporting Workshop
August 2019
Quality Awareness Workshop
March 2019
Certification ICD-9CM Coder
December 2017
Effective Medical Record Management
October 2015
Certification of ICD-10 Coder
EXPECTED SALLARY
- RM5500
Timeline
Medical Records Manager
Hospital Pakar Pusrawi Kuala Lumpur
11.2023 - Current
Medical Record Executive
Hospital Pakar Pusrawi Kuala Lumpur
10.2020 - 03.2023
Medical Records Supervisor
Hospital Pakar Pusrawi Kuala Lumpur
03.2016 - 09.2020
Medical Records Assistant
Hospital Pakar Pusrawi Kuala Lumpur
10.2014 - 02.2016
Intern medical record
Hospital Pakar Pusrawi Kuala Lumpur
07.2014 - 09.2014
Intern
Hospital Daro Sarawak
04.2011 - 07.2011
Bachelor of Science (Hons) Healthcare Management
Asia Metropolitan University
Diploma In Healthcare
Masterskill Globa College