Medical Records Specialists

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

Health Information Clerk, Medical Coder, Medical Records Clerk, Medical Records Technician (Medical Records Tech)

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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:
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Scan patients' health records into electronic formats.

Knowledge

Business

  • administrative services
  • customer service

Arts and Humanities

  • English language

Engineering and Technology

  • computers and electronics

Skills

Basic Skills

  • reading work related information
  • thinking about the pros and cons of different ways to solve a problem

Problem Solving

  • noticing a problem and figuring out the best way to solve it

Abilities

Verbal

  • read and understand what is written
  • listen and understand what people say

Ideas and Logic

  • group things in different ways
  • order or arrange things

Personality

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

They do well at jobs that need:

  • Cautiousness
  • Integrity
  • Attention to Detail
  • Dependability
  • Cooperation

Technology

You might use software like this on the job:

Medical software

  • eClinicalWorks EHR software Hot Technology
  • Henry Schein Dentrix Hot Technology

Desktop communications software

  • Eko

Data base user interface and query software

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

Education

Education: (rated 2 of 4)
high school diploma/GED or
certificate after high school
usually needed

Get started on your career:

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Job Outlook

Bright
New job opportunities are very likely in the future.
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