U.S. Dept. of Labor code 29-2072.00Market Standard — pending BLS/OEWS enrichment

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.

What this job is about

Ensure accurate management and documentation of medical records.

What this work involves, step by step

AI can help most with the planning, drafting, and paperwork below — not the hands-on parts.

1
Compile patient medical records
Gather and maintain comprehensive medical records to document patient conditions and treatments.
2
Assign diagnosis-related groups
Utilize software to categorize patients into appropriate diagnosis-related groups.
3
Enter patient data
Input demographic and medical data into electronic health record systems.
4
Review records for compliance
Examine medical records for accuracy and adherence to regulations.
5
Protect confidentiality of records
Ensure the security of medical records to maintain patient confidentiality.

Tools used in this work

eClinicalWorks EHR softwareEpic SystemsHenry Schein DentrixIBM SPSS StatisticsMEDITECH softwareMicrosoft AccessMicrosoft ExcelMicrosoft Office softwareMicrosoft OutlookMicrosoft PowerPointMicrosoft ProjectMicrosoft SharePointMicrosoft SQL ServerMicrosoft SQL Server Reporting Services SSRSMicrosoft VisioMicrosoft Visual BasicMicrosoft WindowsMicrosoft WordRSASStructured query language SQLTableauTeradata Database

Free — no credit card required. 200 messages included.