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Medical Records Specialists - 29-2072.00

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 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.

Sample of Reported Job Titles

No information available.

SOC Occupation Groups

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.
  • 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.

Detailed Work Activities

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

Military Crosswalk Titles

  • Aerospace Medical Service (Air Force - Enlisted)
  • Aerospace Medical Service Apprentice (Air Force - Enlisted)
  • Aerospace Medical Service Apprentice, Allergy/Immunization Technician (Air Force - Enlisted)
  • Aerospace Medical Service Apprentice, Flight and Operational Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Apprentice, Independent Duty Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Apprentice, Neurodiagnostic Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Craftsman (Air Force - Enlisted)
  • Aerospace Medical Service Craftsman, Allergy/Immunization Technician (Air Force - Enlisted)
  • Aerospace Medical Service Craftsman, Flight and Operational Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Craftsman, Independent Duty Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Craftsman, Neurodiagnostic Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Helper (Air Force - Enlisted)
  • Aerospace Medical Service Helper, Allergy/Immunization Technician (Air Force - Enlisted)
  • Aerospace Medical Service Helper, Flight and Operational Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Helper, Independent Duty Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Helper, Neurodiagnostic Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Journeyman (Air Force - Enlisted)
  • Aerospace Medical Service Journeyman, Allergy/Immunization Technician (Air Force - Enlisted)
  • Aerospace Medical Service Journeyman, Flight and Operational Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Journeyman, Independent Duty Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Journeyman, Neurodiagnostic Medical Technician (Air Force - Enlisted)
  • Aerospace Medical Service Superintendent (Air Force - Enlisted)
  • Combat Medic Specialist (Army - Enlisted)
  • Conversion NEC HM Hospital Corpsman Basic (Navy - Enlisted)
  • Dental Assistant (Air Force - Enlisted)
  • Dental Assistant Apprentice (Air Force - Enlisted)
  • Dental Assistant Craftsman (Air Force - Enlisted)
  • Dental Assistant Craftsman, Dental Hygienist (Air Force - Enlisted)
  • Dental Assistant Helper (Air Force - Enlisted)
  • Dental Assistant Journeyman (Air Force - Enlisted)
  • Dental Assistant Journeyman, Dental Hygienist (Air Force - Enlisted)
  • Health Services Management (Air Force - Enlisted)
  • Health Services Management Apprentice (Air Force - Enlisted)
  • Health Services Management Craftsman (Air Force - Enlisted)
  • Health Services Management Craftsman, Health Information Technology (Air Force - Enlisted)
  • Health Services Management Helper (Air Force - Enlisted)
  • Health Services Management Journeyman (Air Force - Enlisted)
  • Health Services Management Journeyman, Health Information Technology (Air Force - Enlisted)
  • Health Services Management Manager (Air Force - Enlisted)
  • Health Services Management Superintendent (Air Force - Enlisted)
  • Health Services Technician (Coast Guard - Enlisted)
  • Hospital Corpsman (Navy - Enlisted)
  • Medical Department Administrative Assistant (Navy - Enlisted)
  • Patient Administration Specialist (Army - Enlisted)
  • Reserve Medical Administration Technician (RMAT) (Navy - Enlisted)
  • Unit Supply Specialist (Army - Enlisted)

Apprenticeship Crosswalk Titles

  • HEALTH INFORMATION MANAGEMENT HOSPITAL CODER
  • Medical Record and Health Information Technician/Medical Coders
  • Professional Fee Coder

DOT Crosswalk Titles

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