Release information to persons and agencies according to regulations.
Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department.
Transcribe medical reports.
Identify, compile, abstract and code patient data, using standard classification systems.
Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others to get additional information and by participating in the coding teams regular meetings.
Process and prepare business and government forms.
Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, and 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, and use of hospital beds.
Protect the security of medical records to ensure that confidentiality is maintained.
Process patient admission and 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.
