Medical Records Tech (PART TIME)

Tasks

• 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.

• Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.

• Process patient admission or discharge documents.

• Transcribe medical reports.

• 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.

• 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.

• Release information to persons or agencies according to regulations.

• Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

• Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.

• 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.

• Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.

• Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.

• Train medical records staff.

• Process and prepare business or government forms.

• Consult classification manuals to locate information about disease processes.

• Develop in-service educational materials.

Skills

• Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Knowledge

• Clerical - 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.

• Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

• English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.