Medical Records and Health Information Technicians
SOC: 29-2071.00

Description:

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.


National Salary Information:

Hourly Statistics:

Annual Statistics:

Source: Bureau of Labor Statistics 2015 wage data.


Employment Projections:

Employment (2014):
188,600 employed

Projected (2024):
217,600 employed

Projected growth (2014-2024)


Source: Bureau of Labor Statistics 2015 2014-2024 employment projections external site. "Projected growth" represents the estimated change in total employment over the projections period (2014-2024). "Projected job openings" represent openings due to growth and replacement.


Alternate Titles:

  • Applications Analyst
  • Business Office Representative
  • Cancer Registrar
  • Certified Coding Specialist
  • Certified Medical Coder
  • Certified Professional Coder (CPC)
  • Clinical Analyst
  • Clinical Data Specialist
  • Clinical Documentation Improvement Specialist (CDIS)
  • Clinical Office Technician
  • Coder
  • Compliance Coordinator
  • Disability Rater
  • Health Data Analyst
  • Health Informatics Specialist
  • Health Information Administrator
  • Health Information Clerk
  • Health Information Coder
  • Health Information Management Hospital Coder (HIM Hospital Coder)
  • Health Information Management Technician
  • Health Information Specialist
  • Health Information Systems Technician
  • Health Information Technician (Health Information Tech)
  • Health Record Technician
  • Health Services Information Specialist
  • Health Unit Clerk
  • Historian
  • Hospital Unit Clerk
  • ICD-9 Coder (International Classification of Diseases Coder)
  • Insurance Coder
  • Library Historian
  • Medical Administrative Specialist
  • Medical Administrative Technician
  • Medical Biller Coder
  • Medical Billing and Coding Specialist
  • Medical Billing Coder
  • Medical Billing Specialist
  • Medical Care Evaluation Specialist
  • Medical Claims Processor
  • Medical Coding Technician
  • Medical Data Analyst
  • Medical Insurance Coder
  • Medical Insurance Coding Specialist
  • Medical Office Technician
  • Medical Record Assistant
  • Medical Record Coder
  • Medical Record Consultant
  • Medical Record Specialist
  • Medical Records Analyst
  • Medical Records Clerk
  • Medical Records Coordinator
  • Medical Records Custodian
  • Medical Records Director
  • Medical Records Supervisor
  • Medical Records Technician (Medical Records Tech)
  • Medical Reimbursement Specialist
  • Public Health Registrar
  • Registered Health Information Technician (RHIT)
  • Release of Information Specialist
  • Severity of Illness Coordinator
  • Tumor Registrar


  • Job Zone Three: Medium Preparation Needed

    Experience:

    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.

    Education:

    Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.

    Job Training:

    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.


    Required Skills:

  • Reading Comprehension
  • Active Listening
  • Writing
  • Speaking
  • Mathematics
  • Critical Thinking
  • Active Learning
  • Learning Strategies
  • Monitoring
  • Social Perceptiveness
  • Coordination
  • Persuasion
  • Negotiation
  • Instructing
  • Service Orientation
  • Complex Problem Solving
  • Operations Analysis
  • Technology Design
  • Programming
  • Operation Monitoring
  • Quality Control Analysis
  • Judgment and Decision Making
  • Systems Analysis
  • Systems Evaluation
  • Time Management
  • Management of Personnel Resources

  • Knowledge Used:

  • Administration and Management
  • Clerical
  • Economics and Accounting
  • Customer and Personal Service
  • Personnel and Human Resources
  • Production and Processing
  • Computers and Electronics
  • Mathematics
  • Chemistry
  • Psychology
  • Sociology and Anthropology
  • Medicine and Dentistry
  • Therapy and Counseling
  • Education and Training
  • English Language
  • Foreign Language
  • Public Safety and Security
  • Law and Government
  • Telecommunications
  • Communications and Media


  • Tasks:

  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Process patient admission or discharge documents.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • 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.
  • Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
  • Transcribe medical reports.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • 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.
  • Train medical records staff.
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Post medical insurance billings.
  • Process and prepare business or government forms.
  • Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.
  • Consult classification manuals to locate information about disease processes.
  • Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  • Develop in-service educational materials.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.

  • Tools & Technology:

  • 10-key calculators
  • Barcode attachment equipment
  • Barcode scanners
  • Credit card processing machines
  • Desktop computers
  • Dictaphones
  • Encoders
  • Flat-top scanners
  • Label printers
  • Laser facsimile machines
  • Laser printers
  • Light pens
  • Microfiche viewing machines
  • Microfilm viewing machines
  • Multi-line telephone systems
  • Notebook computers
  • Optical readers and writers
  • Paper shredders
  • Personal computers
  • Postal scales
  • Scanners
  • Switchboards
  • Tablet computers
  • Touch screen monitors
  • Typewriters
  • 3M Encoder
  • Allscripts HealthMatics software
  • Amazing Charts
  • American Medical Association CodeManager
  • Azalea Health Azalea EHR
  • Billing software
  • Coding database software
  • ComChart EMR
  • Computerized indexing systems
  • Corel WordPerfect software
  • Cyber Records MediChart Express
  • Data entry software
  • Digital Imaging Communications in Medicine DICOM medical imaging software
  • DRG Grouper software
  • e-MDs topsChart
  • EAD Systems software
  • eClinicalWorks software
  • EHS CareRevolution
  • Electronic medical record EMR software
  • Electronic medical record EMR systems
  • Email software
  • Encoder software
  • EndoSoft software
  • Entity software
  • Epic Systems software
  • Fox Meadows Accent Data Manager
  • Fox Meadows ChartingPlus
  • Fox Meadows EncounterManager
  • Graphics software
  • Greenway Medical Technologies PrimeChart
  • Healthcare common procedure coding system HCPCS software
  • HealthProbe software
  • HMS software
  • Holt Systems eMedRec
  • Hyland Software OnBase
  • IBM Lotus 1-2-3
  • IDX Systems IDXtend
  • IDX Systems Patient Chart Tracking
  • Information Resource Products Clinical Coding Expert
  • Laserfiche software
  • LeonardoMD Renaissance software
  • Logician software
  • MD Synergy Medical Appointment Scheduling
  • Mediasoft mediOFFICE
  • Medical condition coding software
  • Medical procedure coding software
  • MedicWare software
  • MEDITECH software
  • MedStar Systems DrWorks
  • Microsoft Access
  • Microsoft Excel
  • Microsoft Office software
  • Microsoft PowerPoint
  • Microsoft Visio
  • Microsoft Word
  • Minitab software
  • NCG Medical Systems d-Chart
  • NDCMedisoft software
  • NextGen Healthcare Information Systems EMR
  • O-HEAP software
  • PCC EHR
  • PCC Pediatric Partner
  • PowerMed software
  • Practice Partner Patient Records
  • Practice Partner software
  • Presentation software
  • Purkinje Dossier
  • QMSoftware Receivables Management
  • SAP Business Objects software
  • SAP Crystal Reports
  • SAS software
  • ScanSoft Naturally Speaking
  • Scantron imaging software
  • Scheduling software
  • Siemens Soarian Financials
  • Siemens Soarian Scheduling
  • SOAPware software
  • SoftMed ChartLocater
  • SoftMed ChartRelease
  • SoftMed ChartReserve
  • Speech recognition software
  • SPSS software
  • STAT! Systems QD Clinical
  • StataCorp Stata
  • SynaMed EMR
  • VantageMed ChartKeeper
  • VersaForm software
  • Visionary Medical Systems Visionary OFFICE PM
  • Voice dictation software
  • Web browser software
  • Welford Chart Notes
  • Word processing software


  • healthcare practitioners and technical


    industry stats

    SOC: 29-0000

    Total Employed: 8,021,800

    Average Annual Salary: $77,800