How do they match: Medical Records Specialists

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.

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.
Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
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.

Record patient medical histories.
Code data or other information.
Collect medical information from patients, family members, or other medical professionals.
Maintain medical facility records.
Prepare official health documents or records.
Process medical billing information.

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Site updated April 30, 2024

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