Medical Records Specialists

patient data process record medical history computer classification system demographic characteristics health information

Health Information Technician (Health Information Tech), Medical Records Clerk, Medical Records Coordinator, Registered Health Information Technician (RHIT)

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What they do:
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 healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.
On the job, you would:
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  • Consult classification manuals to locate information about disease processes.


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Abilities information for this career will be available soon.


People interested in this work like activities that include data, detail, and regular routines.


You might use software like this on the job:

Medical software

  • eClinicalWorks EHR software Hot Technology
  • Epic Systems Hot Technology In Demand

Desktop communications software

  • Eko

Data base user interface and query software

  • Microsoft SQL Server Hot Technology
  • Structured query language SQL Hot Technology


Education: (rated 3 of 5)

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