Medical Records and Health Information Technicians

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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 and Health Information Technicians spend a lot of their time Establishing and Maintaining Interpersonal Relationships. They are naturally good at Near Vision, Oral Comprehension, Oral Expression, and Written Comprehension. Medical Records and Health Information Technicians are typically characterized as being Conventional and Enterprising. They are usually very knowledgable about Clerical, Customer and Personal Service, and English Language and are skilled at Active Listening and Reading Comprehension.

Work Activities

Establishing and Maintaining Interpersonal Relationships
  
Organizing, Planning, and Prioritizing Work
  
Identifying Objects, Actions, and Events
  
Getting Information
  
Making Decisions and Solving Problems
  
Updating and Using Relevant Knowledge
  
Monitor Processes, Materials, or Surroundings
  
Evaluating Information to Determine Compliance with Standards
  
Communicating with Supervisors, Peers, or Subordinates
  
Processing Information
  
Analyzing Data or Information
  
Thinking Creatively
  
Interacting With Computers
  
Developing Objectives and Strategies
  
Assisting and Caring for Others
  
Handling and Moving Objects
  
Documenting/Recording Information
  
Performing Administrative Activities
  
Resolving Conflicts and Negotiating with Others
  
Communicating with Persons Outside Organization
  
Scheduling Work and Activities
  
Performing for or Working Directly with the Public
  
Performing General Physical Activities
  
Coaching and Developing Others
  
Coordinating the Work and Activities of Others
  
Judging the Qualities of Things, Services, or People
  
Training and Teaching Others
  
Developing and Building Teams
  
Interpreting the Meaning of Information for Others
  
Provide Consultation and Advice to Others
  
Selling or Influencing Others
  
Guiding, Directing, and Motivating Subordinates
  
Estimating the Quantifiable Characteristics of Products, Events, or Information
  
Inspecting Equipment, Structures, or Material
  
Monitoring and Controlling Resources
  
Controlling Machines and Processes
  
Repairing and Maintaining Electronic Equipment
  
Staffing Organizational Units
  

Abilities

Near Vision
  
Oral Comprehension
  
Oral Expression
  
Written Comprehension
  
Category Flexibility
  
Information Ordering
  
Written Expression
  
Problem Sensitivity
  
Speech Clarity
  
Speech Recognition
  
Inductive Reasoning
  
Deductive Reasoning
  
Selective Attention
  
Finger Dexterity
  
Arm-Hand Steadiness
  
Originality
  
Perceptual Speed
  
Fluency of Ideas
  
Flexibility of Closure
  
Time Sharing
  
Far Vision
  
Manual Dexterity
  
Memorization
  
Mathematical Reasoning
  
Visual Color Discrimination
  
Speed of Closure
  
Extent Flexibility
  
Number Facility
  
Trunk Strength
  
Static Strength
  
Stamina
  
Control Precision
  
Gross Body Coordination
  
Multilimb Coordination
  
Visualization
  
Gross Body Equilibrium
  
Auditory Attention
  
Speed of Limb Movement
  
Hearing Sensitivity
  
Dynamic Strength
  

Interests

Conventional
  
Enterprising
  
Social
  
Realistic
  
Investigative
  
Artistic
  

Knowledge

Clerical
  
Customer and Personal Service
  
English Language
  
Computers and Electronics
  
Law and Government
  
Public Safety and Security
  
Education and Training
  
Communications and Media
  
Administration and Management
  
Mathematics
  
Psychology
  
Telecommunications
  
Production and Processing
  
Sociology and Anthropology
  
Medicine and Dentistry
  
Personnel and Human Resources
  
Sales and Marketing
  
Transportation
  
Economics and Accounting
  
Foreign Language
  

Wages

New Jersey
$46,330  
 
District of Columbia
$42,550  
 
Maryland
$39,210  
 
Hawaii
$38,890  
 
Alaska
$37,860  
 
Minnesota
$37,790  
 
Massachusetts
$37,340  
 
New York
$37,250  
 
California
$36,640  
 
Colorado
$36,410  
 
Rhode Island
$36,220  
 
Connecticut
$36,140  
 
Washington
$35,360  
 
Oregon
$34,370  
 
Wisconsin
$33,690  
 
Nevada
$33,640  
 
Michigan
$33,560  
 
Vermont
$32,850  
 
Virginia
$32,390  
 
Nebraska
$31,980  
 
Wyoming
$31,780  
 
Illinois
$31,680  
 
Arizona
$31,580  
 
Delaware
$31,150  
 
New Mexico
$30,670  
 
Texas
$30,660  
 
Florida
$30,530  
 
New Hampshire
$30,430  
 
Missouri
$30,390  
 
Pennsylvania
$30,340  
 
Idaho
$30,240  
 
South Dakota
$30,120  
 
North Dakota
$29,990  
 
Ohio
$29,980  
 
Maine
$29,740  
 
Iowa
$29,660  
 
Georgia
$29,600  
 
North Carolina
$29,560  
 
Indiana
$29,440  
 
Kansas
$29,190  
 
Montana
$29,130  
 
Arkansas
$29,090  
 
Kentucky
$28,850  
 
South Carolina
$28,770  
 
Tennessee
$28,760  
 
Utah
$28,520  
 
Oklahoma
$27,550  
 
Louisiana
$26,990  
 
Alabama
$26,600  
 
Mississippi
$24,760  
 
West Virginia
$24,250  
 
Guam
$23,740  
 
Puerto Rico
$18,820  
 

Skills

Active Listening
  
Reading Comprehension
  
Critical Thinking
  
Writing
  
Speaking
  
Time Management
  
Judgment and Decision Making
  
Service Orientation
  
Monitoring
  
Instructing
  
Social Perceptiveness
  
Active Learning
  
Coordination
  
Complex Problem Solving
  
Learning Strategies
  
Negotiation
  
Systems Analysis
  
Management of Personnel Resources
  
Persuasion
  
Mathematics
  
Systems Evaluation
  
Operations Analysis
  
Operation Monitoring
  
Technology Design
  
Programming
  

Work Values

Relationships
  
Support
  
Independence
  
Working Conditions
  
Achievement
  
Recognition
  

Work Styles

Attention to Detail
  
Integrity
  
Dependability
  
Independence
  
Cooperation
  
Adaptability/Flexibility
  
Self Control
  
Concern for Others
  
Stress Tolerance
  
Initiative
  
Social Orientation
  
Persistence
  
Achievement/Effort
  
Analytical Thinking
  
Innovation
  
Leadership
  

Related University Degree Programs

Work Context

Telephone
  
Importance of Being Exact or Accurate
  
Contact With Others
  
Indoors, Environmentally Controlled
  
Face-to-Face Discussions
  
Structured versus Unstructured Work
  
Importance of Repeating Same Tasks
  
Work With Work Group or Team
  
Time Pressure
  
Freedom to Make Decisions
  
Impact of Decisions on Co-workers or Company Results
  
Spend Time Sitting
  
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Deal With External Customers
  
Coordinate or Lead Others
  
Frequency of Decision Making
  
Letters and Memos
  
Spend Time Making Repetitive Motions
  
Electronic Mail
  
Exposed to Disease or Infections
  
Responsibility for Outcomes and Results
  
Deal With Unpleasant or Angry People
  
Physical Proximity
  
Spend Time Standing
  
Responsible for Others' Health and Safety
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Frequency of Conflict Situations
  
Spend Time Walking and Running
  
Spend Time Bending or Twisting the Body
  
Degree of Automation
  
Exposed to Contaminants
  
Consequence of Error
  
Level of Competition
  
Cramped Work Space, Awkward Positions
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Pace Determined by Speed of Equipment
  
Duration of Typical Work Week
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  
Public Speaking
  
Spend Time Keeping or Regaining Balance
  
In an Enclosed Vehicle or Equipment
  
Indoors, Not Environmentally Controlled
  
Deal With Physically Aggressive People
  
Exposed to Hazardous Conditions
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
Very Hot or Cold Temperatures
  
Extremely Bright or Inadequate Lighting
  
Exposed to Radiation
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Outdoors, Under Cover
  
Work Schedules
  
Exposed to High Places
  
Outdoors, Exposed to Weather
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  
In an Open Vehicle or Equipment
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  

-40 hours-

Duration of Typical Work Week
  

-A lot of freedom-

Structured versus Unstructured Work
  
Freedom to Make Decisions
  

-About half the time-

Spend Time Sitting
  
Spend Time Standing
  
Spend Time Bending or Twisting the Body
  
Spend Time Making Repetitive Motions
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Spend Time Walking and Running
  
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Spend Time Keeping or Regaining Balance
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  

-Completely automated-

Degree of Automation
  

-Constant contact with others-

Contact With Others
  

-Contact with others about half the time-

Contact With Others
  

-Contact with others most of the time-

Contact With Others
  

-Continually or almost continually-

Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Spend Time Making Repetitive Motions
  
Spend Time Sitting
  
Spend Time Walking and Running
  
Spend Time Standing
  
Spend Time Bending or Twisting the Body
  
Spend Time Keeping or Regaining Balance
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  

-Every day-

Indoors, Environmentally Controlled
  
Telephone
  
Face-to-Face Discussions
  
Time Pressure
  
Electronic Mail
  
Frequency of Decision Making
  
Exposed to Disease or Infections
  
Letters and Memos
  
Exposed to Contaminants
  
Cramped Work Space, Awkward Positions
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Deal With Unpleasant or Angry People
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  
Frequency of Conflict Situations
  
Exposed to Hazardous Conditions
  
Extremely Bright or Inadequate Lighting
  
Very Hot or Cold Temperatures
  
Exposed to High Places
  
In an Open Vehicle or Equipment
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Outdoors, Exposed to Weather
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  
In an Enclosed Vehicle or Equipment
  
Outdoors, Under Cover
  
Exposed to Radiation
  
Public Speaking
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
Indoors, Not Environmentally Controlled
  
Deal With Physically Aggressive People
  

-Extremely competitive-

Level of Competition
  

-Extremely important-

Importance of Being Exact or Accurate
  
Importance of Repeating Same Tasks
  
Work With Work Group or Team
  
Deal With External Customers
  
Coordinate or Lead Others
  
Pace Determined by Speed of Equipment
  

-Extremely serious-

Consequence of Error
  

-Fairly important-

Coordinate or Lead Others
  
Pace Determined by Speed of Equipment
  
Work With Work Group or Team
  
Deal With External Customers
  
Importance of Being Exact or Accurate
  
Importance of Repeating Same Tasks
  

-Fairly serious-

Consequence of Error
  

-High responsibility-

Responsibility for Outcomes and Results
  
Responsible for Others' Health and Safety
  

-Highly automated-

Degree of Automation
  

-Highly competitive-

Level of Competition
  

-I don't work near other people (beyond 100 ft.)-

Physical Proximity
  

-I work with others but not closely (e.g., private office)-

Physical Proximity
  

-Important-

Coordinate or Lead Others
  
Deal With External Customers
  
Work With Work Group or Team
  
Importance of Repeating Same Tasks
  
Importance of Being Exact or Accurate
  
Pace Determined by Speed of Equipment
  

-Important results-

Impact of Decisions on Co-workers or Company Results
  

-Irregular (changes with weather conditions, production demands, or contract duration)-

Work Schedules
  

-Less than 40 hours-

Duration of Typical Work Week
  

-Less than half the time-

Spend Time Walking and Running
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Spend Time Standing
  
Spend Time Bending or Twisting the Body
  
Spend Time Making Repetitive Motions
  
Spend Time Keeping or Regaining Balance
  
Spend Time Sitting
  
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  

-Limited freedom-

Freedom to Make Decisions
  
Structured versus Unstructured Work
  

-Limited responsibility-

Responsible for Others' Health and Safety
  
Responsibility for Outcomes and Results
  

-Minor results-

Impact of Decisions on Co-workers or Company Results
  

-Moderate responsibility-

Responsibility for Outcomes and Results
  
Responsible for Others' Health and Safety
  

-Moderate results-

Impact of Decisions on Co-workers or Company Results
  

-Moderately automated-

Degree of Automation
  

-Moderately close (at arm's length)-

Physical Proximity
  

-Moderately competitive-

Level of Competition
  

-More than 40 hours-

Duration of Typical Work Week
  

-More than half the time-

Spend Time Sitting
  
Spend Time Bending or Twisting the Body
  
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Spend Time Walking and Running
  
Spend Time Standing
  
Spend Time Making Repetitive Motions
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  
Spend Time Keeping or Regaining Balance
  

-Never-

In an Open Vehicle or Equipment
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  
Exposed to High Places
  
Spend Time Climbing Ladders, Scaffolds, or Poles
  
Outdoors, Exposed to Weather
  
Outdoors, Under Cover
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Exposed to Radiation
  
Extremely Bright or Inadequate Lighting
  
Very Hot or Cold Temperatures
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
Exposed to Hazardous Conditions
  
Indoors, Not Environmentally Controlled
  
Deal With Physically Aggressive People
  
In an Enclosed Vehicle or Equipment
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  
Spend Time Keeping or Regaining Balance
  
Public Speaking
  
Cramped Work Space, Awkward Positions
  
Exposed to Contaminants
  
Electronic Mail
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Frequency of Conflict Situations
  
Exposed to Disease or Infections
  
Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls
  
Spend Time Kneeling, Crouching, Stooping, or Crawling
  
Spend Time Bending or Twisting the Body
  
Frequency of Decision Making
  
Indoors, Environmentally Controlled
  
Spend Time Making Repetitive Motions
  
Deal With Unpleasant or Angry People
  
Letters and Memos
  
Time Pressure
  
Spend Time Walking and Running
  
Face-to-Face Discussions
  
Spend Time Standing
  
Telephone
  
Spend Time Sitting
  

-No contact with others-

Contact With Others
  

-No freedom-

Freedom to Make Decisions
  
Structured versus Unstructured Work
  

-No responsibility-

Responsibility for Outcomes and Results
  
Responsible for Others' Health and Safety
  

-No results-

Impact of Decisions on Co-workers or Company Results
  

-Not at all automated-

Degree of Automation
  

-Not at all competitive-

Level of Competition
  

-Not important at all-

Pace Determined by Speed of Equipment
  
Deal With External Customers
  
Coordinate or Lead Others
  
Importance of Repeating Same Tasks
  
Work With Work Group or Team
  
Importance of Being Exact or Accurate
  

-Not serious at all-

Consequence of Error
  

-Occasional contact with others-

Contact With Others
  

-Once a month or more but not every week-

Deal With Unpleasant or Angry People
  
Frequency of Decision Making
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Time Pressure
  
Frequency of Conflict Situations
  
Letters and Memos
  
Deal With Physically Aggressive People
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
Exposed to Disease or Infections
  
Face-to-Face Discussions
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  
Electronic Mail
  
Very Hot or Cold Temperatures
  
Public Speaking
  
Cramped Work Space, Awkward Positions
  
In an Enclosed Vehicle or Equipment
  
Outdoors, Under Cover
  
Indoors, Not Environmentally Controlled
  
Exposed to Contaminants
  
Exposed to High Places
  
Exposed to Radiation
  
Exposed to Hazardous Conditions
  
In an Open Vehicle or Equipment
  
Extremely Bright or Inadequate Lighting
  
Telephone
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Outdoors, Exposed to Weather
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  
Indoors, Environmentally Controlled
  

-Once a week or more but not every day-

Face-to-Face Discussions
  
Time Pressure
  
Telephone
  
Frequency of Conflict Situations
  
Deal With Unpleasant or Angry People
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Exposed to Disease or Infections
  
Letters and Memos
  
Cramped Work Space, Awkward Positions
  
Exposed to Contaminants
  
Indoors, Not Environmentally Controlled
  
Electronic Mail
  
Exposed to Radiation
  
Frequency of Decision Making
  
In an Enclosed Vehicle or Equipment
  
Extremely Bright or Inadequate Lighting
  
Indoors, Environmentally Controlled
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
Exposed to Hazardous Conditions
  
Deal With Physically Aggressive People
  
In an Open Vehicle or Equipment
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Outdoors, Exposed to Weather
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  
Exposed to High Places
  
Outdoors, Under Cover
  
Very Hot or Cold Temperatures
  
Public Speaking
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  

-Once a year or more but not every month-

Letters and Memos
  
Public Speaking
  
Frequency of Conflict Situations
  
In an Enclosed Vehicle or Equipment
  
Deal With Unpleasant or Angry People
  
Sounds, Noise Levels Are Distracting or Uncomfortable
  
Frequency of Decision Making
  
Exposed to Disease or Infections
  
Exposed to Contaminants
  
Face-to-Face Discussions
  
Deal With Physically Aggressive People
  
Indoors, Environmentally Controlled
  
Time Pressure
  
Exposed to Minor Burns, Cuts, Bites, or Stings
  
Exposed to Hazardous Conditions
  
Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection
  
Cramped Work Space, Awkward Positions
  
Electronic Mail
  
Very Hot or Cold Temperatures
  
Outdoors, Exposed to Weather
  
Outdoors, Under Cover
  
Extremely Bright or Inadequate Lighting
  
Indoors, Not Environmentally Controlled
  
Exposed to Whole Body Vibration
  
Exposed to Hazardous Equipment
  
Exposed to High Places
  
Exposed to Radiation
  
Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets
  
In an Open Vehicle or Equipment
  
Telephone
  

-Regular (established routine, set schedule)-

Work Schedules
  

-Seasonal (only during certain times of the year)-

Work Schedules
  

-Serious-

Consequence of Error
  

-Slightly automated-

Degree of Automation
  

-Slightly close (e.g., shared office)-

Physical Proximity
  

-Slightly competitive-

Level of Competition
  

-Some freedom-

Freedom to Make Decisions
  
Structured versus Unstructured Work
  

-Very close (near touching)-

Physical Proximity
  

-Very high responsibility-

Responsibility for Outcomes and Results
  
Responsible for Others' Health and Safety
  

-Very important-

Work With Work Group or Team
  
Importance of Being Exact or Accurate
  
Importance of Repeating Same Tasks
  
Coordinate or Lead Others
  
Deal With External Customers
  
Pace Determined by Speed of Equipment
  

-Very important results-

Impact of Decisions on Co-workers or Company Results
  

-Very little freedom-

Freedom to Make Decisions
  
Structured versus Unstructured Work
  

-Very serious-

Consequence of Error
  

Task Ratings

- Importance Core-

Protect the security of medical records to ensure that confidentiality is maintained.
  
Review records for completeness, accuracy and compliance with regulations.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Release information to persons and agencies according to regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  

- Importance Supplemental-

Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Process and prepare business and government forms.
  
Process patient admission and discharge documents.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Transcribe medical reports.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Post medical insurance billings.
  
Train medical records staff.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Develop in-service educational materials.
  
Consult classification manuals to locate information about disease processes.
  

- Relevance of Task Core-

Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  
Release information to persons and agencies according to regulations.
  
Review records for completeness, accuracy and compliance with regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  

- Relevance of Task Supplemental-

Train medical records staff.
  
Process patient admission and discharge documents.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Transcribe medical reports.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Process and prepare business and government forms.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Consult classification manuals to locate information about disease processes.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Develop in-service educational materials.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Post medical insurance billings.
  

-Daily Frequency of Task (Categories 1-7) Core-

Release information to persons and agencies according to regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  
Review records for completeness, accuracy and compliance with regulations.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  

-Daily Frequency of Task (Categories 1-7) Supplemental-

Identify, compile, abstract and code patient data, using standard classification systems.
  
Post medical insurance billings.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Process and prepare business and government forms.
  
Process patient admission and discharge documents.
  
Transcribe medical reports.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Consult classification manuals to locate information about disease processes.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Train medical records staff.
  
Develop in-service educational materials.
  

-Hourly or more Frequency of Task (Categories 1-7) Core-

Protect the security of medical records to ensure that confidentiality is maintained.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Review records for completeness, accuracy and compliance with regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Release information to persons and agencies according to regulations.
  

-Hourly or more Frequency of Task (Categories 1-7) Supplemental-

Post medical insurance billings.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Transcribe medical reports.
  
Process patient admission and discharge documents.
  
Process and prepare business and government forms.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Train medical records staff.
  
Consult classification manuals to locate information about disease processes.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Develop in-service educational materials.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  

-More than monthly Frequency of Task (Categories 1-7) Core-

Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Release information to persons and agencies according to regulations.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Review records for completeness, accuracy and compliance with regulations.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  

-More than monthly Frequency of Task (Categories 1-7) Supplemental-

Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Develop in-service educational materials.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Transcribe medical reports.
  
Train medical records staff.
  
Consult classification manuals to locate information about disease processes.
  
Process patient admission and discharge documents.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Process and prepare business and government forms.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  

-More than weekly Frequency of Task (Categories 1-7) Core-

Release information to persons and agencies according to regulations.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Review records for completeness, accuracy and compliance with regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  

-More than weekly Frequency of Task (Categories 1-7) Supplemental-

Consult classification manuals to locate information about disease processes.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Process patient admission and discharge documents.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Transcribe medical reports.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Process and prepare business and government forms.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Post medical insurance billings.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Develop in-service educational materials.
  
Train medical records staff.
  

-More than yearly Frequency of Task (Categories 1-7) Core-

Release information to persons and agencies according to regulations.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Review records for completeness, accuracy and compliance with regulations.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  

-More than yearly Frequency of Task (Categories 1-7) Supplemental-

Develop in-service educational materials.
  
Train medical records staff.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Consult classification manuals to locate information about disease processes.
  
Process and prepare business and government forms.
  
Post medical insurance billings.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Transcribe medical reports.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Process patient admission and discharge documents.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  

-Several times daily Frequency of Task (Categories 1-7) Core-

Review records for completeness, accuracy and compliance with regulations.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Release information to persons and agencies according to regulations.
  

-Several times daily Frequency of Task (Categories 1-7) Supplemental-

Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Process patient admission and discharge documents.
  
Process and prepare business and government forms.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Transcribe medical reports.
  
Consult classification manuals to locate information about disease processes.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Train medical records staff.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Develop in-service educational materials.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  

-Yearly or less Frequency of Task (Categories 1-7) Core-

Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  
Release information to persons and agencies according to regulations.
  
Protect the security of medical records to ensure that confidentiality is maintained.
  
Retrieve patient medical records for physicians, technicians, or other medical personnel.
  
Review records for completeness, accuracy and compliance with regulations.
  

-Yearly or less Frequency of Task (Categories 1-7) Supplemental-

Train medical records staff.
  
Develop in-service educational materials.
  
Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
  
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  
Identify, compile, abstract and code patient data, using standard classification systems.
  
Consult classification manuals to locate information about disease processes.
  
Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.
  
Process and prepare business and government forms.
  
Process patient admission and discharge documents.
  
Resolve or clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
  
Transcribe medical reports.
  

Education Training Experience

-On-Site or In-Plant Training-

None
  
Up to and including 1 month
  
Over 1 month, up to and including 3 months
  
Over 3 months, up to and including 6 months
  
Over 6 months, up to and including 1 year
  
Over 1 year, up to and including 2 years
  

-On-the-Job Training-

None or short demonstration
  
Anything beyond short demonstration, up to and including 1 month
  
Over 1 month, up to and including 3 months
  
Over 3 months, up to and including 6 months
  
Over 6 months, up to and including 1 year
  
Over 1 year, up to and including 2 years
  
Over 4 years, up to and including 10 years
  

-Related Work Experience-

None
  
Over 1 month, up to and including 3 months
  
Over 3 months, up to and including 6 months
  
Over 6 months, up to and including 1 year
  
Over 1 year, up to and including 2 years
  
Over 2 years, up to and including 4 years
  
Over 4 years, up to and including 6 years
  

-Required Level of Education-

Less than a High School Diploma
  
High School Diploma (or GED or High School Equivalence Certificate)
  
Post-Secondary Certificate - awarded for training completed after high school (for example, in Personnel Services, Engineering-related Technologies, Vocational Home Economics, Construction Trades, Mechanics and Repairers, Precision Production Trades)
  
Some College Courses
  
Associate's Degree (or other 2-year degree)