Medical Records Specialists

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$47,180 Median Wage (2022)
15,000 Projected job openings (2022-2032)
8.50% Projected growth (2022-2032)

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.

Experience Requirements Overview

  • Job Zone Three: Medium Preparation Needed
  • Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
  • Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
  • Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.

Detailed Work Activities

  • Classify materials according to standard systems.
  • Record patient medical histories.
  • Maintain medical or professional knowledge.
  • Enter patient or treatment data into computers.
  • Collect medical information from patients, family members, or other medical professionals.
  • Code data or other information.
  • Maintain medical facility records.
  • Process medical billing information.
  • Prepare official health documents or records.
  • Process healthcare paperwork.
  • Maintain security.
  • Perform clerical work in medical settings.
  • Communicate with management or other staff to resolve problems.
  • Monitor medical facility activities to ensure adherence to standards or regulations.
  • Schedule appointments.
  • Schedule patient procedures or appointments.

Tasks

  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  • Consult classification manuals to locate information about disease processes.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • 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.
  • Process and prepare business or government forms.
  • Process patient admission or discharge documents.
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Release information to persons or agencies according to regulations.
  • 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.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Scan patients' health records into electronic formats.
  • Schedule medical appointments for patients.
  • Transcribe medical reports.

Data Source: This page includes information from the O*NET 28.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. This page includes Employment Projections program, Occupational Employment and Wage Statistics program, U.S. Bureau of Labor Statistics.