Medical Records and Health Information Technicians - 29-2071.00

O*NET-SOC 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.

DOT Titles Included in this O*NET-SOC Code

  • Medical Record Coder
  • Medical Record Technician
  • Medical-Record Clerk
  • Public Health Registrar
  • Tumor Registrar

Sample of Occupations in this SOC Family

29-2011.00 Medical and Clinical Laboratory Technologists
29-2012.00 Medical and Clinical Laboratory Technicians
29-2021.00 Dental Hygienists
29-2031.00 Cardiovascular Technologists and Technicians
29-2032.00 Diagnostic Medical Sonographers
29-2033.00 Nuclear Medicine Technologists
29-2034.00 Radiologic Technologists and Technicians
29-2034.01 Radiologic Technologists
29-2034.02 Radiologic Technicians
29-2041.00 Emergency Medical Technicians and Paramedics
29-2051.00 Dietetic Technicians
29-2052.00 Pharmacy Technicians
29-2053.00 Psychiatric Technicians
29-2054.00 Respiratory Therapy Technicians
29-2055.00 Surgical Technologists
29-2056.00 Veterinary Technologists and Technicians
29-2061.00 Licensed Practical and Licensed Vocational Nurses
29-2071.00 Medical Records and Health Information Technicians
29-2081.00 Opticians, Dispensing
29-2091.00 Orthotists and Prosthetists
29-2099.99 Health Technologists and Technicians, All Other

Related Occupations

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.
  • Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  • Consult classification manuals to locate information about disease processes.
  • Contact discharged patients, their families, and physicians to maintain registry with follow-up information, such as quality of life and length of survival of cancer patients.
  • Develop in-service educational materials.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
  • 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.
  • Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
  • Post medical insurance billings.
  • 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.
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Release information to persons and agencies according to regulations.
  • 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.
  • Review records for completeness, accuracy and compliance with regulations.
  • Train medical records staff.
  • Transcribe medical reports.

Detailed Work Activities

  • code data from records
  • collect statistical data
  • create mathematical or statistical diagrams or charts
  • examine documents for completeness, accuracy, or conformance to standards
  • fill out business or government forms
  • follow data storage procedures
  • maintain dental or medical records
  • obtain information from individuals
  • prepare reports
  • process medical records
  • record medical history or data
  • review records for completeness
  • transcribe spoken or written information
  • understand technical operating, service or repair manuals
  • use computers to enter, access or retrieve data
  • use interviewing procedures
  • use knowledge of dental terminology
  • use knowledge of medical terminology
  • use oral or written communication techniques
  • use relational database software
  • use secretarial procedures
  • use spreadsheet software
  • use word processing or desktop publishing software