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Identify, compile, abstract, and code patient data, using standard classification systems.
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Monitor changes in legislation and accreditation standards that affect information security or privacy in the computerized healthcare system.
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Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
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Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
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Protect the security of medical records to ensure that confidentiality is maintained.
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Write or maintain archived procedures, procedural codes, or queries for applications.
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Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
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Train medical records staff.
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Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
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Design databases to support healthcare applications, ensuring security, performance and reliability.
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Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
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Evaluate and recommend upgrades or improvements to existing computerized healthcare systems.
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Retrieve patient medical records for physicians, technicians, or other medical personnel.
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Develop in-service educational materials.
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Facilitate and promote activities, such as lunches, seminars, or tours, to foster healthcare information privacy or security awareness within the organization.
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Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.