Occupation

Medical Records Specialists

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 healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.

Also Known As: Certified Coding Specialist, Certified Medical Coder, Certified Professional Coder (CPC), Clinical Documentation Specialist, Clinical Office Technician (Clinical Office Tech), Coder, Coding Specialist, Disability Rater +45 more

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Education & Training

Job Zone 3 Job Zone Three: Medium Preparation Needed
Education: Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
Experience: Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
On-the-Job Training: Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers. A recognized apprenticeship program may be associated with these occupations.

Technology & Tools

Hot Technologies

  • Epic Systems
  • Henry Schein Dentrix
  • IBM SPSS Statistics
  • MEDITECH software
  • Microsoft Access
  • Microsoft Dynamics
  • Microsoft Excel
  • Microsoft Office software
  • Microsoft Outlook
  • Microsoft PowerPoint
  • Microsoft Project
  • Microsoft SQL Server
  • Microsoft SQL Server Reporting Services SSRS
  • Microsoft SharePoint
  • Microsoft Visio
  • Microsoft Visual Basic
  • Microsoft Windows
  • Microsoft Word
  • R
  • SAS
  • Structured query language SQL
  • Tableau
  • Teradata Database
  • eClinicalWorks EHR software

Software (111)

  • 3M Encoder
  • Allscripts EHR
  • Amazing Charts
  • American Medical Association CodeManager
  • Azalea Health Azalea EHR
  • Billing software
  • Coding database software
  • ComChart EMR
  • Computerized indexing systems
  • Corel WordPerfect Office Suite
  • Cyber Records MediChart Express
  • DRG grouping software
  • Digital Imaging Communications in Medicine DICOM medical imaging software
  • EHS CareRevolution
  • Eko
  • Electronic medical record EMR software
  • Electronic medical record EMR systems
  • Email software
  • Encoded archival system EAD
  • Encoder software
  • EndoSoft
  • Entity Management Software
  • Fox Meadows Accent Data Manager
  • Fox Meadows ChartingPlus
  • Fox Meadows EncounterManager
  • GE Healthcare Logician
  • Graphics software
  • Greenway Medical Technologies PrimeChart
  • HMS
  • Health Care Data HealthProbe
  • Healthcare common procedure coding system HCPCS
  • Holt Systems eMedRec
  • Hyland Software OnBase
  • IBM Cognos Impromptu
  • IBM InfoSphere DataStage
  • IBM Lotus 1-2-3
  • IDX Systems IDXtend
  • IDX Systems Patient Chart Tracking
  • Information Resource Products Clinical Coding Expert
  • Laserfiche software
  • LeonardoMD Renaissance
  • MD Synergy Medical Appointment Scheduling
  • MedStar Systems DrWorks
  • Mediasoft mediOFFICE
  • MedicWare EMR
  • Medical condition coding software
  • Medical procedure coding software
  • MicroStrategy
  • Microsoft Exchange
  • Microsoft Visual Basic Scripting Edition VBScript
  • Minitab
  • NCG Medical Systems d-Chart
  • NDCMedisoft
  • NextGen Healthcare Information Systems EMR
  • PCC EHR
  • PCC Pediatric Partner
  • PowerMed
  • Practice Partner Patient Records
  • Presentation software
  • Purkinje Dossier
  • QMSoftware Receivables Management
  • Qlik Tech QlikView
  • Quest Erwin Data Modeler
  • SAP Business Objects
  • SAP Crystal Reports
  • SOAPware EMR
  • STAT! Systems QD Clinical
  • ScanSoft Naturally Speaking
  • Scantron imaging software
  • Scheduling software
  • Siemens Soarian Financials
  • Siemens Soarian Scheduling
  • SoftMed ChartLocater
  • SoftMed ChartRelease
  • SoftMed ChartReserve
  • Speech recognition software
  • StataCorp Stata
  • SynaMed EMR
  • VantageMed ChartKeeper
  • Virtual private networking VPN software
  • Visionary Medical Systems Visionary OFFICE PM
  • Voice dictation software
  • Web browser software
  • Welford Chart Notes
  • Word processing software
  • e-MDs topsChart
  • eMDs Practice Partner

Tools & Equipment (24)

  • 10-key calculators
  • Barcode attachment equipment
  • Barcode scanners
  • Credit card processing machines
  • Desktop computers
  • Dictaphones
  • Encoders
  • Flat-top scanners
  • Label printers
  • Laser facsimile machines
  • Laser printers
  • Light pens
  • Microfiche viewing machines
  • Microfilm viewing machines
  • Multi-line telephone systems
  • Notebook computers
  • Optical readers and writers
  • Paper shredders
  • Personal computers
  • Postal scales
  • Scanners
  • Switchboards
  • Tablet computers
  • Touch screen monitors

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Real Talk

Hear from real Medical Records Specialistss about their work: