Performs administrative duties in support of the maintenance of records. Assists in the collection of information for reports and statistical research. Enters data into recordkeeping systems.

• Interview members of the medical staff to record the optimum measures and standards accepted in providing quality patient care.
• Organize medical data into a structural set of criteria and enter data into the computer.
• Using criteria approved by the medical or other hospital professional staff, retrieve information from a group of medical records to determine what areas met their criteria and what areas did not.
• Interview members of the medical staff to record the optimum measures and standards accepted in providing quality patient care.
• Organize medical data into a structural set of criteria and enter data into the computer.
• Using criteria approved by the medical or other hospital professional staff, retrieve information from a group of medical records to determine what areas met their criteria and what areas did not.
• Maintain a file of remedial actions which need to be taken for improved patient care and review the file for adherence to scheduled actions.
• Prepare routine tabulations required by the hospital administrative staff.
• Maintain files of statistical reports and indexes.
• Prepare routine statistical reports for various administrative and medical staffs.

Education

• Associate's Degree in a Medical Records Department preferred.

• Enrollment in an accredited Medical Records program for HIM/Coding preferred.

Required Skills, Knowledge & Abilities

• Knowledge of Medical Records processes and procedures preferred.

• Knowledge of Health Information Management (HIM) principles preferred.

• Knowledge of medical coding practices preferred.

• Ability to maintain confidentiality of patient information.

• Ability to organize and maintain medical records accurately.

• Strong attention to detail and documentation skills.

• Ability to work effectively with physicians, clinical staff, and Health Information Management personnel.