Job Description:

Works as part of a health care team to compile, process, and maintain medical records of hospital and clinic clients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.

Primary Duties & Responsibilities:

Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer
Identifies, compiles, abstracts and codes client data, using standard classification systems
Plans, develops, maintains and operates a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information
Processes client admission and discharge documents
Protects the security of medical records to ensure that confidentiality is maintained