Medical Records or Health Information Technician
Job 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 or Health Information Tech Responsibilities
- Release information to persons or agencies according to regulations.
- Train medical records staff.
- 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.
- Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Post medical insurance billings.
Key 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.
- Judgment and Decision Making: Considering the relative costs and benefits of potential actions to choose the most appropriate one.
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