Medical Records and Health Information Technicians
29-2071.00
Median wages
$31,940
Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.
Protect the security of medical records to ensure that confidentiality is maintained.
Review records for completeness, accuracy, and compliance with regulations.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Process patient admission or discharge documents.
Transcribe medical reports.
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
Identify, compile, abstract, and code patient data, using standard classification systems.
Release information to persons or agencies according to regulations.
Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.
Post medical insurance billings.
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
Train medical records staff.
Process and prepare business or government forms.
Consult classification manuals to locate information about disease processes.
Reading Comprehension — Understanding written sentences and paragraphs in work related documents.
Active Listening — Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Critical Thinking — Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Speaking — Talking to others to convey information effectively.
Writing — Communicating effectively in writing as appropriate for the needs of the audience.