Health Records Technician Duties
This is responsible clerical and supervisory work reviewing
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
Plans, organizes, and supervises the work of subordinates.
Develops methods, procedures, and filing systems to accomplish
Designs and executes special studies as requested by the medical
staff, hospital administration, or the medical record
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,
Ability to plan, organize, train, and supervise the work of
Ability to work independently and make sound judgments involving
technical and confidential material.
Ability to understand and apply hospital and department
Ability to use tact and discretion in dealing with physicians