Medical Records and Health Information Technicians
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Also known as:
Cancer Registrar, Health Information Coder, Health Information Specialist, Health Information Systems Technician, Health Records Technician, Medical Records Specialist
Every time nurses or physicians treat their patients, they create records of what they have seen and done, such as the results of x-rays and examinations, or diagnoses and treatment plans. Medical technicians are basically archivists who perform the important task of organizing and maintaining medic ...
Doctors and nurses depend on the work of medical records technicians, who work hard behind the scenes, actively ensuring that all records and forms are properly identified, signed, and kept on file. Anyone interested in this career should be prepared to work at a computer for prolonged periods, since computer programs are used to manage and analyze the ever-increasing amount of medical information.
The accuracy of all this information is very important, so medical record technicians must pay strict attention to details. This career offers satisfaction not only in the challenges that arise on a daily basis, but also in the knowledge that medical records technicians are helping provide high quality patient care.
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.
Critical decision making
Level of responsibilities
Job challenge and pressure to meet deadlines
Dealing and handling conflict
Competition for this position
Communication with others
Work closely with team members, clients etc.
Comfort of the work setting
Exposure to extreme environmental conditions
Exposure to job hazards
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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.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Protect the security of medical records to ensure that confidentiality is maintained.
Review records for completeness, accuracy, and compliance with regulations.
Observing, receiving, and otherwise obtaining information from all relevant sources.
Interacting With Computers
Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
Organizing, Planning, and Prioritizing Work
Developing specific goals and plans to prioritize, organize, and accomplish your work.
Establishing and Maintaining Interpersonal Relationships
Developing constructive and cooperative working relationships with others, and maintaining them over time.
Evaluating Information to Determine Compliance with Standards
Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
Communicating with Supervisors, Peers, or Subordinates
Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
Performing Administrative Activities
Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
Identifying Objects, Actions, and Events
Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
AREAS OF KNOWLEDGE
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Computers and Electronics
Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
Law and Government
Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
Public Safety and Security
Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
Education and Training
Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to communicate information and ideas in speaking so others will understand.
The ability to see details at close range (within a few feet of the observer).
The ability to identify and understand the speech of another person.
The ability to read and understand information and ideas presented in writing.
The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
The ability to generate or use different sets of rules for combining or grouping things in different ways.
The ability to speak clearly so others can understand you.
Understanding written sentences and paragraphs in work related documents.
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.
Talking to others to convey information effectively.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Managing one's own time and the time of others.
Actively looking for ways to help people.
Communicating effectively in writing as appropriate for the needs of the audience.