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You are here: The Job Explorer > Job Description > Medical Records Technician

Medical Records Technician Duties and Responsibilities

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< Analyzes, abstracts, codes and retrieves medical information from medical records in the student health center.

Distinguishing Characteristics:

This is first in a series of three classifications and is distinguished from other medical records positions in that the majority of time spent is on determining coding numbers for treatment and diagnosis and analyzing medical records for compliance with federal and state regulations and standards. Typically reports to Medical Records Technician Senior.

Examples of Duties:

  • Analyzes client medical records for compliance with applicable federal and state regulations and standards.
     
  • Identifies documentation deficiencies such as missing signatures and routes incomplete record to appropriate person for completion.
     
  • Determines ICD-9-CM code numbers for client diagnosis and treatment.
     
  • Compiles daily and monthly reports; tabulates data from medical records for research purposes.
     
  • Codes and enters into the computer medical information on students treated at other facilities.
     
  • Reports specified diseases to health department, using appropriate forms.
     
  • Documents client referrals to outside clinicians and follows-up to ensure a response is received from outside clinician.
     
  • Pulls and re-files records as needed.
     
  • Assists with client registration and answering telephone calls.

Knowledge, Skills and Abilities:

  • Knowledge of medical records analyzing and processing techniques and standards.
     
  • Knowledge of medical terminology.
     
  • Skill in both verbal and written communication.

Minimum Qualifications:

Associate's degree in Medical Record Technology; OR, Two years of medical records or related experience; OR, Any equivalent combination of experience and/or education from which comparable knowledge, skills and abilities have been achieved.

 

Next: Medical Records Technician Senior Job Description

 

 


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