Medical Records Specialist

What is a Medical Records Specialist?

A Medical Records Specialist is a healthcare professional responsible for managing and maintaining patients' health information and records. They ensure the accuracy, accessibility, and security of these records in both paper and electronic systems.

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How much does a Medical Records Specialist earn

According to the U.S. Bureau of Labor Statistics, typical income (in USD) is...

Bottom 10%Bottom 25%Median (average)Top 25%Top 10%
$36K
per year
$42K
per year
$50K
per year
$64K
per year
$81K
per year

Compared to other careers: Median is $750 above the national average.

What does a Medical Records Specialist do?

Work environment

Medical Records Specialists typically work in hospitals, clinics, physicians' offices, nursing homes, and other healthcare facilities. They may also find employment in government agencies, insurance companies, and legal offices. The work is generally office-based with standard working hours, although some facilities may require evening or weekend shifts.

Quick task list

  • Organizes and manages patients' health information data.
  • Ensures all records are accurate, complete, and in compliance with relevant laws and standards.
  • Uses various classification systems to code and categorize patient information.
  • Assists in audits and quality assurance processes.
  • Protects patients' confidentiality and secures record access.

Areas of specialization

  • Health Information Technician: Specializing in managing electronic health records and ensuring their accuracy and security.
  • Medical Coding Specialist: Focusing on coding patient diagnoses and procedures for billing and insurance purposes.
  • Cancer Registrar: Collecting and maintaining data on cancer patients for research and treatment analysis.
  • Compliance Specialist: Ensuring that records and practices adhere to legal and ethical standards.
  • Electronic Health Record (EHR) Implementation Specialist: Specializing in setting up and maintaining EHR systems in healthcare facilities.

Description

Medical Records Specialists play a critical role in the healthcare industry by ensuring that patient records are accurately and securely maintained. Their work supports patient care, billing, compliance, and quality assurance efforts. Specialists must be proficient in various classification and coding systems, electronic health record (EHR) software, and understand healthcare regulations, particularly those related to patient privacy and data security.

Attention to detail is crucial in this field, as is a strong understanding of medical terminology and healthcare practices. Medical Records Specialists must be able to adapt to evolving technologies and regulations in healthcare information management. They often work collaboratively with healthcare providers, billing and insurance personnel, and IT staff.

This career is ideal for individuals who are organized, detail-oriented, and have an interest in healthcare but prefer a more administrative role. It offers the opportunity to contribute to patient care and the healthcare system without being involved in direct patient interactions.

Job Satisfaction

Sources of satisfaction

You might make a good Medical Records Specialist if you are...

Pros:

  • Stable and growing field with increasing demand for health information specialists.
  • Opportunities to work in various healthcare settings.
  • Potential for specialization and career advancement.

Cons:

  • The work can be repetitive and requires long periods of time spent at a computer.
  • Keeping up with changing regulations and technologies can be challenging.
  • Handling sensitive information requires strict adherence to privacy laws and ethical standards.

How to become a Medical Records Specialist

Typical education

Most positions require at least a postsecondary certificate or an associate's degree in health information technology, which can take 1-2 years to complete. Some roles may require a bachelor's degree, particularly for advancement into management positions.

High school preparation

Courses:

  • Biology and Health Sciences to understand medical terminology.
  • Computer Science and Information Technology for skills in managing electronic records.
  • Mathematics for developing analytical skills.

Extra-Curricular Activities:

  • Volunteering in healthcare settings to gain exposure to the medical field.
  • Joining clubs or courses related to coding, data management, or healthcare.
  • Participating in workshops or online courses in medical coding or health information technology.

Preparation after high school

  • Pursue a certificate or associate's degree in health information technology or a related field.
  • Consider certification through organizations like the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).
  • Gain experience through internships or entry-level positions in medical records departments.

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