Medical Records Specialists (29-2072.00)
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.
16 tasks, 16 offered as a checkbox. Back to the catalog.
This site includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET(R) is a trademark of USDOL/ETA. Task text is unmodified; Zeta-Reticuli AI added the classification fields, and the information is not endorsed by USDOL/ETA.
| Task | Class | Offered as checkbox | Human approval |
|---|---|---|---|
| Protect the security of medical records to ensure that confidentiality is maintained. | digital | yes | required |
| Review records for completeness, accuracy, and compliance with regulations. | licensed-advisory-only | yes | required |
| Scan patients' health records into electronic formats. | physical-low-risk | yes | required |
| Release information to persons or agencies according to regulations. | licensed-advisory-only | yes | required |
| Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer. | digital | yes | no |
| Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information. | digital | yes | no |
| Process patient admission or discharge documents. | digital | yes | no |
| Retrieve patient medical records for physicians, technicians, or other medical personnel. | digital | yes | required |
| 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. | licensed-advisory-only | yes | required |
| Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. | digital | yes | no |
| Identify, compile, abstract, and code patient data, using standard classification systems. | licensed-advisory-only | yes | required |
| Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software. | licensed-advisory-only | yes | required |
| Process and prepare business or government forms. | digital | yes | required |
| Consult classification manuals to locate information about disease processes. | digital | yes | no |
| Transcribe medical reports. | digital | yes | no |
| Schedule medical appointments for patients. | digital | yes | no |
This catalog contains information from O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET(R) is a trademark of USDOL/ETA. Task text is unmodified; classification, approval and signing fields are added by this project and have not been reviewed or endorsed by USDOL/ETA.