Medical Records and Health Information Technicians

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 health care system. Process, maintain, compile, and report patient information for health requirements and standards.

tasks jobzones knowledge skills abilities work_activities work_context interests work_styles work_values

Tasks

• Develop in-service educational materials.

• Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.

• Consult classification manuals to locate information about disease processes.

• Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, or other users.

• Contact discharged patients, their families, and physicians to maintain registry with follow-up information, such as quality of life and length of survival of cancer patients.

• Process and prepare business and government forms.

• Post medical insurance billings.

• Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.

• Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.

• Train medical records staff.

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Job Zone

• Name: Job Zone Three: Medium Preparation Needed

• Experience: Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.

• Education: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree. Some may require a bachelor's degree.

• Job training: Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers.

• Examples: These occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include funeral directors, electricians, forest and conservation technicians, legal secretaries, interviewers, and insurance sales agents.

• Svp range: (6.0 to < 7.0)

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Knowledge

Browse Knowledge

• Clerical
  Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

• Customer and Personal Service
  Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

• English Language
  Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

• Computers and Electronics
  Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

• Administration and Management
  Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

• Personnel and Human Resources
  Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.

• Education and Training
  Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.

• Mathematics
  Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

• Medicine and Dentistry
  Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.

• Sales and Marketing
  Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.

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Skills

Browse Skills

• Reading Comprehension
  Understanding written sentences and paragraphs in work related documents.

• Active Listening
  Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

• Critical Thinking
  Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

• Instructing
  Teaching others how to do something.

• Learning Strategies
  Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

• Active Learning
  Understanding the implications of new information for both current and future problem-solving and decision-making.

• Time Management
  Managing one's own time and the time of others.

• Monitoring
  Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

• Speaking
  Talking to others to convey information effectively.

• Writing
  Communicating effectively in writing as appropriate for the needs of the audience.

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Abilities

Browse Abilities

• Near Vision
  The ability to see details at close range (within a few feet of the observer).

• Oral Comprehension
  The ability to listen to and understand information and ideas presented through spoken words and sentences.

• Written Comprehension
  The ability to read and understand information and ideas presented in writing.

• Oral Expression
  The ability to communicate information and ideas in speaking so others will understand.

• Information Ordering
  The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).

• Category Flexibility
  The ability to generate or use different sets of rules for combining or grouping things in different ways.

• Written Expression
  The ability to communicate information and ideas in writing so others will understand.

• Deductive Reasoning
  The ability to apply general rules to specific problems to produce answers that make sense.

• Problem Sensitivity
  The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

• Inductive Reasoning
  The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

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Work Activities

Browse Work Activities

• Updating and Using Relevant Knowledge
  Keeping up-to-date technically and applying new knowledge to your job.

• Getting Information
  Observing, receiving, and otherwise obtaining information from all relevant sources.

• Handling and Moving Objects
  Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.

• Communicating with Supervisors, Peers, or Subordinates
  Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

• Establishing and Maintaining Interpersonal Relationships
  Developing constructive and cooperative working relationships with others, and maintaining them over time.

• Evaluating Information to Determine Compliance with Standards
  Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

• Organizing, Planning, and Prioritizing Work
  Developing specific goals and plans to prioritize, organize, and accomplish your work.

• Communicating with Persons Outside Organization
  Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.

• Interacting With Computers
  Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.

• Processing Information
  Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

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Work Context

• Telephone
  How often do you have telephone conversations in this job?

• Face-to-Face Discussions
  How often do you have to have face-to-face discussions with individuals or teams in this job?

• Contact With Others
  How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?

• Importance of Being Exact or Accurate
  How important is being very exact or highly accurate in performing this job?

• Indoors, Environmentally Controlled
  How often does this job require working indoors in environmentally controlled conditions?

• Letters and Memos
  How often does the job require written letters and memos?

• Importance of Repeating Same Tasks
  How important is repeating the same physical activities (e.g., key entry) or mental activities (e.g., checking entries in a ledger) over and over, without stopping, to performing this job?

• Freedom to Make Decisions
  How much decision making freedom, without supervision, does the job offer?

• Structured versus Unstructured Work
  To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals?

• Physical Proximity
  To what extent does this job require the worker to perform job tasks in close physical proximity to other people?

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Interests

Browse Interests

• Conventional
  Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

• Realistic
  Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.

• Investigative
  Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

• Social
  Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

• Enterprising
  Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.

• Artistic
  Artistic occupations frequently involve working with forms, designs and patterns. They often require self-expression and the work can be done without following a clear set of rules.

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Work Styles

• Cooperation
  Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.

• Stress Tolerance
  Job requires accepting criticism and dealing calmly and effectively with high stress situations.

• Integrity
  Job requires being honest and ethical.

• Dependability
  Job requires being reliable, responsible, and dependable, and fulfilling obligations.

• Attention to Detail
  Job requires being careful about detail and thorough in completing work tasks.

• Concern for Others
  Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.

• Independence
  Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.

• Adaptability/Flexibility
  Job requires being open to change (positive or negative) and to considerable variety in the workplace.

• Initiative
  Job requires a willingness to take on responsibilities and challenges.

• Self Control
  Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.

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Work Values

Browse Work Values

• Moral Values
  Workers on this job are never pressured to do things that go against their sense of right and wrong.

• Working Conditions
  Workers on this job have good working conditions.

• Activity
  Workers on this job are busy all the time.

• Security
  Workers on this job have steady employment.

• Supervision, Human Relations
  Workers on this job have supervisors who back up their workers with management.

• Independence
  Workers on this job do their work alone.

• Company Policies and Practices
  Workers on this job are treated fairly by the company.

• Working Conditions-Mean Extent
  Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.

• Relationships-Mean Extent
  Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.

• Support-Mean Extent
  Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

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