Medical Records Specialists
Also known as: Certified Coding Specialist, Certified Medical Coder, Certified Professional Coder (CPC) (+50 more)
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 healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.
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What You'll Do
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Consult classification manuals to locate information about disease processes.
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
- Identify, compile, abstract, and code patient data, using standard classification systems.
- Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Post medical insurance billings.
- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Protect the security of medical records to ensure that confidentiality is maintained.
Career Fit Overview
Use this summary to sense whether the day to day rhythm and focus of this path line up with what energizes you.
Top passions
- Organizer: Bringing order to data and processes satisfies you.
- Analyst: Investigating problems and finding patterns keeps you engaged.
- Helper: Supporting people and making a difference matters to you.
Common styles
Attention to Detail, Dependability, Integrity, Cautiousness, Cooperation
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Technologies & Tools
Work Environment & Strengths
Common Strengths for This Career
- Attention to Detail (High importance: 5.0/5)
- Dependability (High importance: 4.77/5)
- Integrity (High importance: 4.55/5)
- Cautiousness (High importance: 4.45/5)
- Cooperation (High importance: 4.09/5)
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This career typically requires vocational school, related on-the-job experience, or an associate's degree. Some specialized training or certification may also be required.
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Also Known As
This career is known by many different job titles across industries. Here are all the variations:
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