Careers and Occupations

Medical Records and Health Information Technicians

Medical Records and Health Information Technicians

Medical Records and Health Information Technicians Videos


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Medical Records and Health Information Technicians Description

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.

Medical Records and Health Information Technicians Related Job Titles

Business Office Representative, Cancer Registrar, Certified Coding Specialist, Certified Medical Coder, Certified Professional Coder (CPC), Clinical Analyst, Clinical Data Specialist, Clinical Documentation Improvement Specialist (CDIS), Clinical Office Technician, Coder, Compliance Coordinator, Disability Rater, Health Data Analyst, Health Informatics Specialist, Health Information Administrator, Health Information Clerk, Health Information Coder, Health Information Management Hospital Coder (HIM Hospital Coder), Health Information Management Technician, Health Information Specialist, Health Information Systems Technician, Health Information Technician (Health Information Tech), Health Record Technician, Health Services Information Specialist, Health Unit Clerk, Historian, Hospital Unit Clerk, ICD-9 Coder (International Classification of Diseases Coder), Insurance Coder, Library Historian, Medical Administrative Specialist, Medical Administrative Technician, Medical Biller Coder, Medical Billing and Coding Specialist, Medical Billing Coder, Medical Billing Specialist, Medical Care Evaluation Specialist, Medical Claims Processor, Medical Coding Technician, Medical Data Analyst, Medical Insurance Coder, Medical Insurance Coding Specialist, Medical Office Technician, Medical Record Assistant, Medical Record Coder, Medical Record Consultant, Medical Record Specialist, Medical Records Analyst, Medical Records Clerk, Medical Records Coordinator, Medical Records Custodian, Medical Records Director, Medical Records Supervisor, Medical Records Technician (Medical Records Tech), Medical Reimbursement Specialist, Public Health Registrar, Registered Health Information Technician (RHIT), Release of Information Specialist, Severity of Illness Coordinator, Tumor Registrar,


Medical Records and Health Information Technicians Related Careers
Medical Records and Health Information Technicians Tasks
Core Tasks
  • Review records for completeness, accuracy, and compliance with regulations.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
  • Release information to persons or agencies according to regulations.
  • Protect the security of medical records to ensure that confidentiality is maintained.
Supplemental Tasks
  • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  • Develop in-service educational materials.
  • Process and prepare business or government forms.
  • Process patient admission or discharge documents.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • Train medical records staff.
  • Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • 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.
  • 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.
  • Consult classification manuals to locate information about disease processes.
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Transcribe medical reports.
  • Post medical insurance billings.

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