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.

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

• 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.

• 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