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Career Details
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Career Details

29-2072.00 - 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.


Key Facts
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Bright Outlook
Career Details
Green Job
Career Details
Current Employment
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Tasks
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Tasks
The tasks listed below can be performed to prepare you for a career in this field.
Generic
  • 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.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Knowledge
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Knowledge

The items listed below are organized into sections that contain knowledge useful for pursuing a career in this field. Each section also contains a "Percentage of Importance" statistic that shows how relevant an item is to the occupation.
No specific knowledge is listed for this career
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Tools
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Tools
The tools listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
 Medical documentation products
  • Barcode attachment equipment
 Computer data input devices
  • Barcode scanners
  • Credit card processing machines
  • Flat-top scanners
  • Light pens
  • Optical readers and writers
  • Scanners
 Computers
  • Desktop computers
  • Notebook computers
  • Personal computers
  • Tablet computers
 Computer printers
  • Label printers
  • Laser printers
 Duplicating machines
  • Laser facsimile machines
 Microfilm equipment and supplies
  • Microfiche viewing machines
  • Microfilm viewing machines
 Personal communication devices
  • Multi-line telephone systems
 Computer displays
  • Touch screen monitors
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Technology
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Technology
The technologies listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
 Data management and query software
  • 3M Encoder
  • American Medical Association CodeManager
  • CA Erwin Data Modeler
  • Coding database software
  • Computerized indexing systems
  • Data entry softwareHOT
  • DRG grouping software
  • Encoded archival system EAD
  • EndoSoft
  • Entity software
  • Fox Meadows ChartingPlus
  • IBM Cognos ImpromptuHOT
  • Microsoft AccessHOT
  • Microsoft SQL ServerHOT
  • Microsoft SQL Server Reporting ServicesHOT
  • MicroStrategyHOT
  • Purkinje Dossier
  • Qlik Tech QlikViewHOT
  • SAP Crystal ReportsHOT
  • SoftMed ChartRelease
  • Structured query language SQLHOT
  • TableauHOT
  • Teradata DatabaseHOT
 Industry specific software
  • Allscripts HER
  • Amazing Charts
  • Azalea Health Azalea EHR
  • ComChart EMR
  • Digital Imaging Communications in Medicine DICOM medical imaging software
  • e-MDs topsChart
  • eClinicalWorks
  • EHS CareRevolution
  • Electronic medical record EMR software
  • Electronic medical record EMR systems
  • eMDs Practice Partner
  • Epic SystemsHOT
  • Fox Meadows EncounterManager
  • GE Healthcare Logician
  • Greenway Medical Technologies PrimeChart
  • Health Care Data HealthProbe
  • Healthcare common procedure coding system HCPCSHOT
  • Henry Schein DentrixHOT
  • HMS
  • Holt Systems eMedRec
  • IBM SPSS StatisticsHOT
  • IDX Systems IDXtend
  • LeonardoMD Renaissance
  • Mediasoft mediOFFICE
  • Medical condition coding softwareHOT
  • Medical procedure coding software
  • MedicWare EMR
  • MEDITECH softwareHOT
  • MedStar Systems DrWorks
  • MinitabHOT
  • NCG Medical Systems d-Chart
  • NextGen Healthcare Information Systems EMR
  • PCC EHR
  • PCC Pediatric Partner
  • PowerMed
  • Practice Partner Patient Records
  • SASHOT
  • SOAPware EMR
  • STAT! Systems QD Clinical
  • StataCorp Stata
  • SynaMed EMR
  • VantageMed ChartKeeper
  • Visionary Medical Systems Visionary OFFICE PM
  • Welford Chart Notes
 Finance accounting and enterprise resource planning ERP software
  • Billing software
  • Microsoft DynamicsHOT
  • NDCMedisoft
  • QMSoftware Receivables Management
  • SAP Business ObjectsHOT
  • Siemens Soarian Financials
 Business function specific software
  • Corel WordPerfect
  • Information Resource Products Clinical Coding Expert
  • Microsoft OfficeHOT
  • Microsoft ProjectHOT
 Utility and device driver software
  • Cyber Records MediChart Express
  • ScanSoft Naturally Speaking
  • Speech recognition software
  • Voice dictation software
 Network applications software
  • Eko
  • Web browser software
 Information exchange software
  • Email software
  • Microsoft ExchangeHOT
  • Microsoft OutlookHOT
 Security and protection software
  • Encoder software
  • Virtual private networking VPN softwareHOT
 Content management software
  • Fox Meadows Accent Data Manager
  • Hyland Software OnBase
  • IDX Systems Patient Chart Tracking
  • Laserfiche software
  • SoftMed ChartLocater
  • SoftMed ChartReserve
 Content authoring and editing software
  • Graphics software
  • IBM Lotus 1-2-3
  • MD Synergy Medical Appointment Scheduling
  • Microsoft ExcelHOT
  • Microsoft PowerPointHOT
  • Microsoft VisioHOT
  • Microsoft WordHOT
  • Presentation software
  • Scantron imaging software
  • Scheduling software
  • Siemens Soarian Scheduling
  • Word processing software
 Development software
  • IBM InfoSphere DataStage
  • Microsoft Visual BasicHOT
  • Microsoft Visual Basic Scripting Edition VBScriptHOT
  • RHOT
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Certifications
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Certifications
The certifications listed below are useful to pursue if you are interested in a career in this field.
No specific certifications are listed for this career
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Licensing
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Licensing
The licensing information below is organized into sections and is useful for pursuing if you are interested in a career in this field.
No specific licensing information is listed for this occupation in the area you have selected.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Related Programs
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Online Programs related to this career, offered by participating institution(s), are listed below.

Clicking on the Degree programs in the list below will take you away from the Careers page.
INSTITUTION
PROGRAMS
Blue Ridge Community College
Central Virginia Community College
Danville Community College
Eastern Shore Community College
J Sargeant Reynolds Community College
Laurel Ridge Community College
Mountain Empire Community College
New River Community College
Piedmont Virginia Community College
Southside Virginia Community College
Southwest Virginia Community College
Tidewater Community College
Virginia Highlands Community College
Wytheville Community College