This occupation is part of the Healthcare Practitioner and Technical cluster
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About the Job
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 in a manner consistent with the healthcare industry's numerical coding system.
It is also Called
- Administrative Support Assistant
- Bill Pay Clerk
- Cancer Registrar
- Certified Coding Specialist
- Certified Medical Coder
- Certified Professional Coder (CPC)
- Clerk
- Clinical Analyst
- Clinical Data Specialist
- Clinical Office Technician
What They Do
- Protect the security of medical records to ensure that confidentiality is maintained.
- Review records for completeness, accuracy, and compliance with regulations.
- Retrieve patient medical records for physicians, technicians, or other medical personnel.
- Release information to persons or agencies according to regulations.
- Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Interests
People who work in this occupation generally have the interest code: CE.
This means people who work in this occupation generally have Conventional interests, but also prefer Enterprising environments.
Work Values
People who work in this occupation generally prize Relationships, but also value Support and Independence in their jobs.
Things They Need to Know
- 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.
- English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
- 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.
- Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
- Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
Things They Need to Be Able to Do
- 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.
- Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
- Speaking - Talking to others to convey information effectively.
- Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
- Time Management - Managing one's own time and the time of others.
- Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
Additional Resources
- California Occupational Guide - A detailed guide to this occupation provided by the California Employment Development Department (EDD)
Education Required
These occupations usually require a high school diploma.
Wages
In 2012, the average annual wage in California was $42,270.00 with most people making between $25,200.00 and $65,590.00
Outlook
During 2010, this occupation employed approximately 17,400 people in California. It is projected that there will be 20,700 employed in 2020.
This occupation will have about 330 openings due to growth and about 350 replacement openings for approximately 680 total annual openings.
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