Health Records Technician Duties
SUMMARY
This is responsible clerical and supervisory work reviewing medical
records.
Work involves reviewing medical records for accuracy and for
omission of documents. Work also involves responsibility for
contacting physicians for the necessary information or signatures on
documents. Employees in this class must exercise considerable
initiative, independent judgment, and discretion in performing their
duties. Communication must be maintained between both the
responsible medical record administrator and the medical staff. Work
is assigned by statements of objectives; the employee receives
minimal supervision. The quality of work is evaluated by observation
of results and through feedback from the medical staff and hospital
administrator.
DUTIES AND RESPONSIBILITIES
Supervises a functional section of a medical record department, or a
small satellite department.
Ensures compliance with requirements of government agencies and
accrediting bodies.
Plans, organizes, and supervises the work of subordinates.
Develops methods, procedures, and filing systems to accomplish work.
Designs and executes special studies as requested by the medical
staff, hospital administration, or the medical record administrator.
Participates in activities of the standing hospital committees
involved in the unit.
Assists in the preparation of special reports or questionnaires
required by various accreditation agencies.
Performs related work as required.
EDUCATION AND EXPERIENCE
Graduation from a standard high school, completion of an approved
course for Medical Record Technicians, certification as an
Accredited Record Technician, and some experience as a medical
record technician; or graduation from a standard high school,
completion of an approved course for Medical Record Technicians, and
experience as a Medical Record Technician; or any equivalent
combination of training and experience.
KNOWLEDGE, SKILLS AND ABILITIES
Through knowledge of the principles of medical record science.
Through knowledge of medical terminology and coding systems.
Considerable knowledge of legal aspects of medical records.
Considerable knowledge of the principles of record analysis and
concepts of medical record administration.
Considerable knowledge of the fundamentals and ramifications of
health data collection and statistical analysis.
Some knowledge of disease processes.
Some knowledge of anatomy and physiology.
Some knowledge of modern office practices, procedures, systems, and
equipment.
Ability to plan, organize, train, and supervise the work of
subordinates.
Ability to work independently and make sound judgments involving
technical and confidential material.
Ability to understand and apply hospital and department policies.
Ability to use tact and discretion in dealing with physicians and
employees.
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