Job Definition

  • planning, developing, maintaining and operating a variety of health record indexes and storage and retrieval systems to classify and analyze information
  • transcribing, compiling and processing patient medical records, admission and discharge documents, and other medical reports into records-keeping systems to provide data for patient monitoring and referral, epidemiological monitoring, research, billing, cost control and care improvement
  • reviewing records for completeness, accuracy and compliance with regulations
  • translating narrative descriptions and numeric information from medical records and other documents on health services delivery into codes associated with standard classification systems
  • protecting the security of medical records to ensure that confidentiality is maintained and releasing information to authorized persons and agencies in accordance with regulations
  • supervising clerical and administrative workers involved in the maintenance of medical records

    Educational level

    • Semi-skilled