What is a Medical Records Technician?
Every day, people make thousands of visits to doctors and hospitals, and each one of these visits involves a person’s medical record. A medical records technician is someone who is responsible for accurately transcribing and organizing patients' medical histories, symptoms and diagnoses, as well as categorizing treatments and procedures for insurance billing. Medical records technicians play a very important role in ensuring that physicians' offices, outpatient clinics and hospitals are organized and maintain detailed records of patients' visits, including symptoms, test results and medical histories.
The medical records technician position provides an excellent opportunity for detail-oriented individuals who enjoy the responsibility of ensuring top-quality care without the patient contact that most healthcare positions require.
What does a Medical Records Technician do?
A doctor reviews a patient’s history as described in the medical record before and during a patient's visit and then conveys either in written or spoken notes the nature and content of the current visit. The notes the doctor makes details the symptoms, possible diagnoses and follow-up actions, such as medications that are prescribed, or any further testing that may be required.
A medical records technician takes the data from a doctor's notes and transcribes them into a patient’s permanent medical record. The accuracy and timeliness of this data is very important for appropriate patient treatment.
By using computer programs and filing systems, a medical records technician will input and update information for doctors' and insurance companies' reference. Some technicians specialize in standard coding systems used to categorize conditions, treatments and diagnoses for insurance processing, while other medical records technicians pursue further education and training to enter the medical information management field.
Responsibilities of a medical records technician:
- Compiling patients' health information
- Communicating with doctors to explain diagnoses
- Ensuring patients' medical records are complete
- Entering information into a computer system
- Improving patient care and managing costs with computers and information technology
What is the workplace of a Medical Records Technician like?
The medical records technician is typically a full-time position in an office environment. He or she can work in medical settings such as: hospitals, medical practices, clinics, and state or local health departments.
Medical Records Technicians are also known as:
Health Information Clerk Health Information Specialist Health Information Technician Medical Records Analyst Medical Records Clerk Medical Records Coordinator Medical Records Tech Registered Health Information Technician MRT Health Information Manager