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.
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Full Occupation Profile
Job Zone
Job Zone Three: Medium Preparation Needed
Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
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.
Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.
These occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include hydroelectric production managers, desktop publishers, electricians, agricultural technicians, barbers, court reporters and simultaneous captioners, and medical assistants.
Technology Skills
Medical software
- eClinicalWorks EHR software
- Epic Systems
- Henry Schein Dentrix
- MEDITECH software
Desktop communications software
- Eko
Data base user interface and query software
- Encoded archival system EAD
- Microsoft Access
- Microsoft SQL Server
- Structured query language SQL
Document management software
- Hyland Software OnBase
- IDX Systems Patient Chart Tracking
- Microsoft SharePoint
- SoftMed ChartReserve
Categorization or classification software
- 3M Encoder
- American Medical Association CodeManager
- Computerized indexing systems
- DRG grouping software
Voice recognition software
- Cyber Records MediChart Express
- ScanSoft Naturally Speaking
- Speech recognition software
- Voice dictation software
Business intelligence and data analysis software
- IBM Cognos Impromptu
- MicroStrategy
- Qlik Tech QlikView
- Tableau
Analytical or scientific software
- IBM SPSS Statistics
- Minitab
- SAS
- StataCorp Stata
Electronic mail software
- Email software
- Microsoft Exchange
- Microsoft Outlook
Accounting software
- NDCMedisoft
- QMSoftware Receivables Management
- Siemens Soarian Financials
Data base reporting software
- Microsoft SQL Server Reporting Services SSRS
- SAP Crystal Reports
- SoftMed ChartRelease
Calendar and scheduling software
- MD Synergy Medical Appointment Scheduling
- Scheduling software
- Siemens Soarian Scheduling
Spreadsheet software
- IBM Lotus 1-2-3
- Microsoft Excel
Development environment software
- Microsoft Visual Basic
- Microsoft Visual Basic Scripting Edition VBScript
Enterprise resource planning ERP software
- Microsoft Dynamics
- SAP Business Objects
Office suite software
- Corel WordPerfect Office Suite
- Microsoft Office software
Metadata management software
- Quest Erwin Data Modeler
Optical character reader OCR or scanning software
- Scantron imaging software
Expert system software
- Information Resource Products Clinical Coding Expert
Graphics or photo imaging software
- Graphics software
Enterprise application integration software
- IBM InfoSphere DataStage
Operating system software
- Microsoft Windows
Word processing software
- Microsoft Word
Network security and virtual private network VPN equipment software
- Virtual private networking VPN software
Data base management system software
- Teradata Database
Transaction security and virus protection software
- Encoder software
Object or component oriented development software
- R
Internet browser software
- Web browser software
Presentation software
- Microsoft PowerPoint
Project management software
- Microsoft Project
Billing and invoicing software
- Billing software
Process mapping and design software
- Microsoft Visio
Information retrieval or search software
- Coding database software
Detailed Work Activities
- Perform clerical work in medical settings.
- Process healthcare paperwork.
- Classify materials according to standard systems.
- Code data or other information.
- Collect medical information from patients, family members, or other medical professionals.
- Communicate with management or other staff to resolve problems.
- Enter patient or treatment data into computers.
- Maintain medical facility records.
- Maintain medical or professional knowledge.
- Maintain security.
- Monitor medical facility activities to ensure adherence to standards or regulations.
- Prepare official health documents or records.
- Process medical billing information.
- Record patient medical histories.
- Schedule appointments.
- Schedule patient procedures or appointments.
Work Styles
A tendency to be detail-oriented, organized, and thorough in completing work.
A tendency to be reliable, responsible, and consistent in meeting work-related obligations.
A tendency to be honest and ethical at work.
A tendency to be careful, deliberate, and risk-avoidant when making work-related decisions or doing work.
A tendency to be pleasant, helpful, and willing to assist others at work.
A tendency to cope and function effectively in stressful situations at work.
A tendency to establish and maintain personally challenging work-related goals, set high work-related standards, and exert high effort toward meeting those goals and standards.
A tendency to remain calm and composed and to manage emotions effectively in response to criticism or difficult situations at work.
A tendency to be open to and comfortable with change, new experiences, or ideas at work.
A tendency to exhibit determination and resolve to perform or complete tasks in the face of difficult circumstances or obstacles at work.
A tendency to be genuine and sincere in interactions with others at work, without concern for personal gain or self-interest.
A tendency to seek out and acquire new work-related knowledge and obtain a deep understanding of work-related subjects.
A tendency to be modest and humble when interacting with others at work.
A tendency to be proactive and take on extra responsibilities and tasks that may fall outside of one's required work role.
A tendency to show concern for others and be sensitive to others' needs and feelings at work.
A tendency to believe in one's work-related capabilities and ability to control one's work-related outcomes.
A tendency to exhibit a positive attitude and positive emotions at work, even under difficult circumstances.
A tendency to seek out, enjoy, and be energized by social interaction at work.
A tendency to be comfortable with ambiguity and uncertainty at work.
Reference
This page includes information from the O*NET Career Exploration Tools by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the O*NET Tools Developer License. O*NET® is a trademark of USDOL/ETA. Beesla has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.