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Medical Records and Health Information Technicians

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 health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.   (O'Net 29-2071.00)

 
Reported job titles:   Applications Analyst, Business Office Representative, Cancer Registrar, Certified Coding Specialist, Certified Medical Coder, Certified Professional Coder (CPC), Clinical Analyst, Clinical Data Specialist, Clinical Documentation Improvement Specialist (CDIS), Clinical Office Technician, Coder, Compliance Coordinator, Disability Rater, Health Data Analyst, Health Informatics Specialist, Health Information Administrator, Health Information Clerk, Health Information Coder, Health Information Management Hospital Coder (HIM Hospital Coder), Health Information Management Technician, Health Information Specialist, Health Information Systems Technician, Health Information Technician (Health Information Tech), Health Record Technician, Health Services Information Specialist, Health Unit Clerk, Historian, Hospital Unit Clerk, ICD-9 Coder (International Classification of Diseases Coder), Insurance Coder, Library Historian, Medical Administrative Specialist, Medical Administrative Technician, Medical Biller Coder, Medical Billing and Coding Specialist, Medical Billing Coder, Medical Billing Specialist, Medical Care Evaluation Specialist, Medical Claims Processor, Medical Coding Technician, Medical Data Analyst, Medical Insurance Coder, Medical Insurance Coding Specialist, Medical Office Technician, Medical Record Assistant, Medical Record Coder, Medical Record Consultant, Medical Record Specialist, Medical Records Analyst, Medical Records Clerk, Medical Records Coordinator, Medical Records Custodian, Medical Records Director, Medical Records Supervisor, Medical Records Technician (Medical Records Tech), Medical Reimbursement Specialist, Public Health Registrar, Registered Health Information Technician (RHIT), Release of Information Specialist, Severity of Illness Coordinator, Tumor Registrar
 
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    Wages
    for Medical Records and Health Information Technicians
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     Location Pay
    Period
    2016
    Percentile Wages Average
    Wage
    10% 25% 50%
    Median
    75% 90%
     Vermont Hourly $ 13.31   $ 15.17   $ 18.40   $ 24.54   $ 29.09   $ 20.05  
    Yearly $27,690   $31,560   $38,280   $51,050   $60,510   $41,690  
     
     Burlington-South Burlington, VT Metropolitan NECTA Hourly $ 13.57   $ 15.45   $ 18.77   $ 26.15   $ 29.55   $ 20.78  
    Yearly $28,220   $32,140   $39,040   $54,380   $61,450   $43,210  
     
     Southern Vermont Balance of State Hourly $ 13.11   $ 15.11   $ 18.40   $ 23.54   $ 28.75   $ 19.80  
    Yearly $27,270   $31,430   $38,280   $48,970   $59,790   $41,180  
     
     Northern Vermont Balance of State Hourly $ 13.05   $ 14.53   $ 17.41   $ 21.46   $ 24.50   $ 18.37  
    Yearly $27,140   $30,220   $36,200   $44,630   $50,960   $38,200  
     
    What are Percentile Wages?
    source: Occupational Employment Statistics, Vermont Labor Market Information, U.S. Bureau of Labor Statistics, released April 2017.
     


    Employment Trends
    for Medical Records and Health Information Technicians
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    Location Employment Annual % change
    (compounded)
    Annual job openings
    (due to growth and
    net replacements)
    2014 2024
    Vermont 376 406 0.8% 11
    source: Employment Projections, Vermont Economic & Labor Market Information, in cooperation with U.S. Bureau of Labor Statistics, statewide estimates released July 2016.
     


    Industries of Employment
    for Medical Records and Health Information Technicians
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    Industry Percent of Total
    2014
    Hospitals; state, local, and private 38.3%
    Ambulatory healthcare services 30.0%
    Nursing and residential care facilities 8.3%
    Administrative and support services 5.9%
    Federal government, all industries 3.0%
    source: Employment Projections, U.S. Bureau of Labor Statistics, National Employment Matrix, released July 2016.
     


    Tasks
    for Medical Records and Health Information Technicians
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  • Protect the security of medical records to ensure that confidentiality is maintained.
     
  • Review records for completeness, accuracy, and compliance with regulations.
     
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
     
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
     
  • Process patient admission or discharge documents.
     
  • Transcribe medical reports.
     
  • 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.
     
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
     
  • Identify, compile, abstract, and code patient data, using standard classification systems.
     
  • Release information to persons or agencies according to regulations.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Knowledge
    for Medical Records and Health Information Technicians
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  • Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
     
  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
     
  • Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
     
  • Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
     
  • Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
     
  • Public Safety and Security - Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Skills
    for Medical Records and Health Information Technicians
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  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
     
  • Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
     
  • Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
     
  • Speaking - Talking to others to convey information effectively.
     
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Abilities
    for Medical Records and Health Information Technicians
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  • Near Vision - The ability to see details at close range (within a few feet of the observer).
     
  • Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
     
  • Written Comprehension - The ability to read and understand information and ideas presented in writing.
     
  • Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
     
  • Category Flexibility - The ability to generate or use different sets of rules for combining or grouping things in different ways.
     
  • Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
     
  • Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
     
  • Speech Recognition - The ability to identify and understand the speech of another person.
     
  • Written Expression - The ability to communicate information and ideas in writing so others will understand.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Work Activities
    for Medical Records and Health Information Technicians
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  • Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.
     
  • Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
     
  • Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
     
  • Interacting With Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
     
  • Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.
     
  • Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
     
  • Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.
     
  • Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.
     
  • Evaluating Information to Determine Compliance with Standards - Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
     
  • Performing Administrative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Interests
    for Medical Records and Health Information Technicians
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  • Conventional - Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated June 2008
     


    Work Styles
    for Medical Records and Health Information Technicians
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  • Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
     
  • Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
     
  • Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
     
  • Integrity - Job requires being honest and ethical.
     
  • Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
     
  • Initiative - Job requires a willingness to take on responsibilities and challenges.
     
  • Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
     
  • Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
     
  • Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
     
  • Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
     
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    State of Vermont License Information
    that may be required for Medical Records and Health Information Technicians
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    No state licenses listed for this occupation.
     


    Education and Training Requirements
    for Medical Records and Health Information Technicians
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  • 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.
  •  
  • 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.
  •  
  • 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.
  •  
    source: Occupational Information Network: Medical Records and Health Information Technicians  updated July 2013
     


    Schools
    offering instructional programs related to Medical Records and Health Information Technicians
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      Related Instructional Programs
     
    • Health Information/Medical Records Technology/Technician.
     
    • Medical Insurance Coding Specialist/Coder.
     
     Search for schools offering these programs at
     
     
     
    source: National Center for Education Statistics 2000 Classification of Instructional Programs .
     


    Other Resources
    for Medical Records and Health Information Technicians
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  • Health Care Careers
  • A resource of the University of Vermont, the Area Health Education Centers Program (AHEC) has four regional centers where you can learn about careers in healthcare and the college programs, finanical aide and other resoures needed to pursue that career.
     
  • Labor Exchange Information
  • A source for occupational characteristics, such as age, gender, race, and years of education and an alternative source for occupational wage rates. Limited to people looking for jobs and the jobs advertised through VDOL Vermont Job Link.
  • Look for statewide information over the latest 12 months for Medical Records and Health Information Technicians.
  •  
  • Occupational Outlook Handbook
  • The Occupational Outlook Handbook is a nationally recognized source of career information, designed to provide valuable assistance to individuals making decisions about their future work lives. Revised every two years, the Handbook describes what workers do on the job, working conditions, the training and education needed, earnings, and expected job prospects in a wide range of occupations.
    Go to Occupational Outlook Handbook
    Handbook occupations related to Medical Records and Health Information Technicians :
  • Medical Records and Health Information Technicians
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    Related Occupations
    Occupations with skill requirements similar to Medical Records and Health Information Technicians
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  • Billing, Cost, and Rate Clerks
  •  
  • Human Resources Assistants, Except Payroll and Timekeeping
  •  
  • Interviewers, Except Eligibility and Loan
  •  
  • Legal Secretaries
  •  
  • License Clerks
  •  
  • Medical Secretaries
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  • Office Clerks, General
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  • Payroll and Timekeeping Clerks
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  • Receptionists and Information Clerks
  •  
    source: Occupational Information Network: Medical Records and Health Information Technicians 
     

     
     
     
    Vermont.gov State of Vermont Department of Labor