What does a Medical Records Technician do?

A medical records technician is responsible for keeping track of files, records, and other health-related documents. The medical records administrator is usually his or her boss. His or her place of employment could be a rehabilitation center, a medical clinic, a hospital, or a multi-doctor medical practice.

The majority of what a medical records technician is expected to maintain is usually computerized records. However, she has a large number of important documents that are handwritten. Medical charts, liability release forms, and patient or family communications with physicians or medical facilities are common examples.

A medical records technician is typically required to ensure the accuracy of all patient information, whether on a computer or in a hard copy file. On a daily basis, he or she is expected to update medical information on patients. Medical procedures, medications, complications, and referrals to other physicians or facilities are usually included in this information. His or her work must be accurate in order to process medical insurance claims and to treat the patient correctly if he or she returns to the medical establishment.

A medical records technician is frequently required to keep files on topics that may affect funding or be important in medical research, in addition to maintaining patient records. This data is generally about the types and frequency of diseases that are treated at the facility. Recidivism rates for injuries and certain illnesses are also statistics that a person in this position frequently collects.

A medical records technician is required in some health-care settings to convert patient records into codes. The process of cross-indexing information on physicians, disease names, and treatments is generally simplified with this system. The goal of this coding system is to provide physicians with similar information without them having to sift through numerous files.

For someone in this position, discretion is a valuable asset. Medical records are extremely private and are generally expected to be kept safe from prying eyes. The files must usually be kept in a secure location that is either locked or equipped with an alarm. A medical records technician is usually expected to keep discussions about patient files to a minimum with the treating physician.

A high school diploma or equivalent is usually required for this position. The majority of employers prefer vocational or technical training. Medical records technology associate degree programs are frequently offered at community colleges. This position may require a license or certificate in some areas. A significant number of potential employers value work experience in a medical setting.