Job Duties (in order of importance)
These duties are illustrative only. Incumbents may perform some or all of these duties, or other job-related duties as assigned.
- Compiles health information (e.g., reviews, catalogs, and checks medical reports for completeness; organizes medical reports for placement in files; reviews charts to ensure all reports and signatures are present)
- Types health information forms (e.g., prepares charts for new admissions; fills out forms; prepares requests for specific reports or certificates)
- Compiles and types statistical reports such as daily and monthly census, Medicaid days, admissions, discharges, or length of stay
- Files reports into health information records; records information in logs and files; retrieves health information records from filing system
- Provides information from health information records after determining appropriateness of the request
- Coordinates with other departments concerning health information records procedures
Major Worker Characteristics
Knowledge of health information technology; JCAHO and Medicare/Medicaid regulations governing medical record keeping; requirements governing confidentiality of patient information; medical terminology. Skill in use of typewriter and/or word processor and calculator. Ability to deal with problems involving few variables within a familiar context; write routine business letters, evaluations, or records following standard procedures; proofread medical reports and recognize errors; recognize when medical records information is missing; gather, collate, and classify information about data, people, or things.
Minimum Qualifications for Employment
- 3 courses or 9 months of experience in records management
- 1 course or 3 months of experience in medical terminology
- 1 course or 3 months of experience in typing
- Or an equivalent combination of the above