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 health care system. Process, maintain, compile, and report patient information for health requirements and standards.

Protect the security of medical records to ensure that confidentiality is maintained. Process patient admission and discharge documents. Review records for completeness, accuracy and compliance with regulations. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer. Release information to persons and agencies according to regulations. Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information. Manage the department and supervise clerical workers, directing and controlling activities of personnel in the medical records department. Transcribe medical reports. Identify, compile, abstract and code patient data, using standard classification systems. Resolve/clarify codes and diagnoses with conflicting, missing, or unclear information by consulting with doctors or others to get additional information and by participating in the coding team's regular meetings. Train medical records staff. Assign the patient to one of several hundred "diagnosis-related groups", or DRGs, using appropriate computer software . Post medical insurance billings. Process and prepare business and government forms. Contact discharged patients, their families, and physicians to maintain registry with follow-up information, such as quality of life and length of survival of cancer patients. Prepare statistical reports, narrative reports and graphic presentations of information such as tumor registry data for use by hospital staff, researchers, and other users. Consult classification manuals to locate information about disease processes. Compile medical care and census data for statistical reports on diseases treated, surgery performed, and use of hospital beds. Develop in-service educational materials.

Clerical -- Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology. Customer and Personal Service -- Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. English Language -- Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Computers and Electronics -- Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

Active Listening -- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Reading Comprehension -- Understanding written sentences and paragraphs in work related documents. Time Management -- Managing one's own time and the time of others. Speaking -- Talking to others to convey information effectively. Writing -- Communicating effectively in writing as appropriate for the needs of the audience. Instructing -- Teaching others how to do something. Active Learning -- Understanding the implications of new information for both current and future problem-solving and decision-making. Critical Thinking -- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Social Perceptiveness -- Being aware of others' reactions and understanding why they react as they do. Judgment and Decision Making -- Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Oral Comprehension -- The ability to listen to and understand information and ideas presented through spoken words and sentences. Written Comprehension -- The ability to read and understand information and ideas presented in writing. Information Ordering -- The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). Oral Expression -- The ability to communicate information and ideas in speaking so others will understand. Speech Clarity -- The ability to speak clearly so others can understand you. Near Vision -- The ability to see details at close range (within a few feet of the observer). Speech Recognition -- The ability to identify and understand the speech of another person. Category Flexibility -- The ability to generate or use different sets of rules for combining or grouping things in different ways. Written Expression -- The ability to communicate information and ideas in writing so others will understand. Selective Attention -- The ability to concentrate on a task over a period of time without being distracted.

Getting Information -- Observing, receiving, and otherwise obtaining information from all relevant sources. Interacting With Computers -- Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. Communicating with Supervisors, Peers, or Subordinates -- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. Performing Administrative Activities -- Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. Updating and Using Relevant Knowledge -- Keeping up-to-date technically and applying new knowledge to your job. Evaluating Information to Determine Compliance with Standards -- Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Documenting/Recording Information -- Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. Establishing and Maintaining Interpersonal Relationships -- Developing constructive and cooperative working relationships with others, and maintaining them over time. Handling and Moving Objects -- Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things. Organizing, Planning, and Prioritizing Work -- Developing specific goals and plans to prioritize, organize, and accomplish your work.