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Health Records Technician Job Description: Top Duties and Requirements

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A Health Records Technician, or Medical Records Clerk, is responsible for obtaining patient information and converting it into a permanent medical record. Their main duties include transcribing medical data, categorizing medical information, and updating patient records.

Health Records Technician duties and responsibilities

Health Records Technicians have a wide range of duties and responsibilities to ensure they can keep patient records organized and up-to-date. Some of their primary duties and responsibilities include:

  • Transcribe medical data from patients notes into detailed records
  • File records using a standardized system
  • Update medical records as required
  • Keep patient data and medical records confidential
  • Retrieve medical records for insurance companies or physicians
  • Ensure patient records are accurate by collaborating with healthcare providers
  • Classify and code conditions, treatments, and diagnoses
  • Utilize specialized technology, such as recordkeeping software specific to the hospital or medical office

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Health Records Technician Job Description Examples:

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What does a Health Records Technician do?

A Health Records Technician transcribes patient notes into organized records. They ensure these records are as detailed as possible by including everything mentioned in patients notes, such as symptoms, diagnoses, prescribed medications, and test results. Health Records Technicians then file these records using the company’s standardized coding system to ensure they can easily access them per physician, patient, and insurance company requests.

Health Records Technician skills and qualifications

Health Records Technicians must have strong analytical skills to ensure they create patient records accurately and efficiently. They must hold a variety of other prerequisite skills and qualifications, including:

  • Able to use medical record management software
  • Knowledge of medical terminology
  • Great interpersonal skills
  • Strong written and verbal communication skills
  • Ability to work in a timely manner under pressure
  • Superb attention to detail
  • Ability to follow standardized protocols and medical record regulations
  • Able to work independently or as part of a team when necessary

Health Records Technician experience requirements

Entry-level Health Records Technician candidates are not required to have prior experience in the role as they should have the necessary education and certification beforehand. However, experience in a similar role can be beneficial. Candidates who were previously in an administrative position where they were responsible for filing or creating records are ideal. Similarly, experience in a medical environment, such as a hospital or doctor’s office can be beneficial. Volunteer experience in a medical or office setting can also be an asset.

Health Records Technician education and training requirements

Health Records Technician candidates should have a college diploma in health record technology or health information management. These programs typically take candidates one to two years to complete, depending on whether the program is part-time or full-time. Ideal Health Records Technician candidates will also have a certificate from the Canadian Health Information Management Association. They may also have completed additional certifications such as the Electronic Medical Record (EMR) certification provided by the Canadian Academy for Health Professionals (CAHP).

Job salary expectations

According to Indeed Salaries, the average salary for a Health Records Technician or Medical Records Clerk in Canada is $48,886 per year. This salary is just an average and may be dependent on experience, location and company.

Job description samples for similar positions

Other job description samples available if this is not quite what you’re looking for include:

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Health Records Technician job description FAQs

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