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9050
MEDICAL RECORDS ASSISTANT

Nature of Work
Under general supervision, performs paraprofessional work at the full-performance level in the maintenance of medical records in a state health care facility. Responsible for the upkeep and condition of patient files, including typing, indexing, coding, and filing. Compiles medical care census data. May supervise the medical records unit in a small facility. May work nights, evenings, weekends and/or holiday. Performs related work as required.

Examples of Work
Codes and indexes patient files.
Analyzes patients' records to assure all information is included and in proper format.
Files information related to patient charts and files, in compliance with federal, state and professional standards.
Compiles statistical reports: Outpatient, patient and facility activity, deaths, long-term care, substance abuse, medicaid, medicare and other related reports.
Types labels, file folders, forms, and related correspondence; writes correspondence concerning information contained in medical records.
Bills appropriately for medicare, medicaid and other accounts.
Purges files when necessary.
Decides if all files are complete and accurate and returns file to appropriate person for changes when necessary.
Uses patients' charts to complete questionnaires and various reports.

Knowledge, Skills and Abilities
Knowledge of principles and practices of medical records management.
Knowledge of medical, psychiatric and anatomical terminology.
Knowledge of codes and indices used in filing medical and materials.
Knowledge of applicable state and federal requirements and certifications.
Ability to abstract, analyze and interpret medical records.
Ability to compile and write statistical, medical and related reports and summaries.

Minimum Qualifications       [Top]
Training:
Graduation from a standard high school.
Experience:
Two years of clerical experience working with medical records, including coding, filing, and/or indexing medical records in a hospital or health-related setting.
Substitution:
An Associate Degree in Medical Records Technology from a recognized college or university may substitute for the required experience on a year-for-year basis.

Note: State hospitals accredited by national or regional accreditation boards require certification as a Medical Records Technician (ART) by the American Medical Records Association.

Established: 8/20/92
Revised:      3/20/93
Effective:     3/20/93

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