Medical Records and Health Information Technicians

Health Science > Health Informatics

Projected Growth: Much faster than average

16800+
Projected Job Openings

Medium Preparation Needed

Job Description

Your job is to 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.

Common job titles of Medical Records and Health Information Technicians include:
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Experience and Education

Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.

  • 48.06% said they needed a High School Diploma.

  • 20.57% said they needed a Some College Courses.

Tasks

    Protect the security of medical records to ensure that confidentiality is maintained.

    Review records for completeness, accuracy, and compliance with regulations.

    Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.

    Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.

    Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.

    Transcribe medical reports.

    Retrieve patient medical records for physicians, technicians, or other medical personnel.

    Release information to persons or agencies according to regulations.

    Process patient admission or discharge documents.

    Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

    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.

    Identify, compile, abstract, and code patient data, using standard classification systems.

    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.

    Consult classification manuals to locate information about disease processes.

    Process and prepare business or government forms.

    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.

    Develop in-service educational materials.

    Train medical records staff.

Tools

Typewriters

Touch screen monitors

Tablet computers

Switchboards

Scanners

Postal scales

Personal computers

All Tools

Paper shredders

Optical readers and writers

Notebook computers

Multi-line telephone systems

Microfilm viewing machines

Microfiche viewing machines

Light pens

Laser printers

Laser facsimile machines

Label printers

Flat-top scanners

Encoders

Dictaphones

Desktop computers

Credit card processing machines

Barcode scanners

Barcode attachment equipment

10-key calculators

Technologies

Healthcare common procedure coding system HCPCS

IBM Cognos Impromptu

IBM SPSS Statistics

MEDITECH software

Microsoft Dynamics

Microsoft SQL Server

Microsoft SQL Server Reporting Services

All Technologies

Microsoft Visual Basic Scripting Edition VBScript

Minitab

Qlik Tech QlikView

R

SAP Business Objects

SAP Crystal Reports

Tableau

Teradata Database

3M Encoder

Allscripts HER

Amazing Charts

American Medical Association CodeManager

Azalea Health Azalea EHR

Billing software

CA Erwin Data Modeler

Coding database software

ComChart EMR

Computerized indexing systems

Corel WordPerfect

Cyber Records MediChart Express

Digital Imaging Communications in Medicine DICOM medical imaging software

DRG grouping software

e-MDs topsChart

eClinicalWorks

EHS CareRevolution

Electronic medical record EMR software

Electronic medical record EMR systems

eMDs Practice Partner

Encoded Archival System EAD

Encoder software

EndoSoft

Entity software

Fox Meadows Accent Data Manager

Fox Meadows ChartingPlus

Fox Meadows EncounterManager

GE Healthcare Logician

Greenway Medical Technologies PrimeChart

Health Care Data HealthProbe

HMS

Holt Systems eMedRec

Hyland Software OnBase

IBM InfoSphere DataStage

IBM Lotus 1-2-3

IDX Systems IDXtend

IDX Systems Patient Chart Tracking

Information Resource Products Clinical Coding Expert

Laserfiche software

LeonardoMD Renaissance

MD Synergy Medical Appointment Scheduling

Mediasoft mediOFFICE

Medical procedure coding software

MedicWare EMR

MedStar Systems DrWorks

NCG Medical Systems d-Chart

NDCMedisoft

NextGen Healthcare Information Systems EMR

PCC EHR

PCC Pediatric Partner

PowerMed

Practice Partner Patient Records

Presentation software

Purkinje Dossier

QMSoftware Receivables Management

ScanSoft Naturally Speaking

Scantron imaging software

Scheduling software

Siemens Soarian Financials

Siemens Soarian Scheduling

SOAPware EMR

SoftMed ChartLocater

SoftMed ChartRelease

SoftMed ChartReserve

Speech recognition software

STAT! Systems QD Clinical

StataCorp Stata

SynaMed EMR

VantageMed ChartKeeper

Visionary Medical Systems Visionary OFFICE PM

Voice dictation software

Welford Chart Notes

Skills

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.

Writing

Communicating effectively in writing as appropriate for the needs of the audience.

Speaking

Talking to others to convey information effectively.

Critical Thinking

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Abilities

No abilities found
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Occupation Sections

Knowledge

No areas of knowledge found

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