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