Medical Records Technician Job Description Template
The Medical Records Technician is responsible for the maintenance and organization of medical records. They ensure that all patient information is up to date and accurate, and that all records are properly filed. The Medical Records Technician may also be responsible for coding medical records and ensuring that insurance companies have the correct information.
Medical Records Technician Job Responsibilities
- Maintain accurate medical records for patients
- Ensure that all medical records are up to date and compliant with regulations
- Work with healthcare providers to obtain missing or incomplete information
- Classify and code patient diagnoses and procedures
- Enter patient data into electronic health record systems
- Prepare reports and analyze data as needed
Objectives
- To maintain accurate and upto-date medical records for patients in a healthcare facility.
- To ensure that all patient information is properly coded and filed in the medical records system.
- To retrieve medical records as requested by doctors, nurses, and other healthcare professionals.
- To keep confidential all patient information in accordance with HIPAA regulations.
- To answer any questions from patients or their families regarding their medical records.
Medical Records Technician Job Skills & Qualifications Needed
- A medical records technician typically needs to have at least an associate's degree in health information management or a related field.
- Some employers may prefer candidates who have certification from the American Health Information Management Association (AHIMA).
- Medical records technicians must be detail oriented and able to work with confidential information. They should also be proficient in using computers and various types of software.