A medical records/health information technician works in a hybrid job that comprises both office records administration and information technology (IT) duties. They typically work in a medical office, clinic, or hospital environment. The primary duty of this position is to maintain patient records and ensure that new information is inputted into systems as required by the caregiver and in compliance with organizational procedures; coding all procedures and details of patient examinations must adhere to the standards required by insurance companies and Medicare. The other record-keeping aspect of this position is the ability to quickly provide records and documentation to professionals providing client care at the clinic or hospital.
Additionally, the health information technician is expected to ensure that computer systems needed for efficient record keeping are maintained and upgraded as necessary. They help execute any necessary software upgrades to patient records software as becomes necessary. They also assist other employees in the clinic or hospital when computer or software troubleshooting needs arise.
The education requirements for this position vary, but normally the IT aspect of the job requires at least technical school training and relevant software certifications. Many health care facilities look for individuals with some prior experience in medical records as well. Because of changing insurance company rules and health care laws, continuing education and training is also essential for this position.
The medical records/health information technician normally work in an office environment. In private practices and clinics, normally these professionals work during regular business hours; in hospitals, persons in this position may be required to work evenings and overnight.
Medical Records / Health Information Technician Tasks
Organize and file all patients' medical records including charts and reports in order to compile documentation of conditions and treatments.
Assist with departmental audits and research.
Release information to persons and agencies according to regulations.
Process and forward patient and physician record requests; utilizes paper and electronic systems.