Medical Records Technician

Published 05 Aug 2017

Nature of the Job:

Medical Records Technicians are addressed with the responsibility of keeping medical health records of different individuals who are assisted by medical institutions today. However, the recording does not actually involve simple clerical procedures. The specialized system of recording actually insists that the job be performed through considerable rules that are actually set as guidelines to the personnel involved in the said job.

Responsibilities and Description of the Tasks:

using standard indexing systems, completes source documents relating to the diseases and operations of patients:
This responsibility involves the capability of the personnel to use a systematic approach in keeping medical records of individuals who are having certain cases that are either considered serious or special.

2. Analyzes the coding of documents for errors or omissions:
This particular task involves the ability of the personnel to make use of strategies in immediately detecting errors and records thus immediately fixing them for more accurate record keeping purposes.
distributes analyses of charts and medical records to staff members requiring such information
As the records are kept, the charts and tables are made available anytime for further future assessments of the doctors in case the said health cases recur in the individuals.
maintains indexes according to established plans and procedures
this specifically points out the capability of the personnel to keep track of the record with all the necessary informations needed that are likely needed for future assessments of the case.
prepares materials for cross references of records
Everything must be available, and that should be checked well by the technicians.
tabulates simple data from medical records
through the process of rightful recording, the technicians are supposed to be able to make certain points of consideration in making technical terms be more understandable for other people not familiar with the said words.
prepares statistical reports
statistical data are used to at least make the records more accurate an are thus made more practical for evaluation in future medical appointments.
secures information for special projects, such as Cancer Registry or reports for accreditation agencies
Through the records that were kept, it could be expected that some researches could be completed through the informations found on the records.

Qualifications of the Job Personnel:

Because of the need for creating a more systematic approach in keeping medical records that would likely be of great use to the individuals concerned in the future, medical records technician are required to have different skills in terms of clerical tasks as well as mathematical works that would help them evaluate statistical data.
Aside from the said skills, medical records technicians are also required to have a systematic approach in making all the necessary informations appear in the records. Having this particular thought in performing the job shall give an instant expectation that the personnel working on the said job should have skills in multitasking while keeping an enthusiastic view of the job.

Evaluation of the Job Process:

Medical records technicians face the different pressures of making medical procedures work for the clients that they are particularly serving. Undeniably, through the assessment of their performances, they are assisted in making better results for the clients of their field.

The assessments are usually done through annual examination of the regular results of the work of the individuals in the field. The reflection of their work shall be based upon the evaluations that they would receive from their authorities and their clients as well. The results would be averaged to be able to reach practical solutions for explanation to the individuals concerned in the said process of work assessment.

Medical records technicians are particularly assessed through the contributions that they are able to make in the healthcare system of society today. True, through this process of assessment, the individuals involved in the performance empowerment procedures would naturally realize the importance of their job not only for themselves but also for the society that they are serving.

Generally, each healthcare institution has independently established their own reporting procedures as part of their service management and system administration. These mandated reporting procedures are developed to be strictly followed and adhered with by healthcare personnel as their reporting guide. However, in the course of implementing this system, mandated reporting procedures often come in contrast with the ethical aspect of some cases.

As an example consider the healthcare setting of a case reporting with legal implications such as a sexual abuse scenario. In these kinds of scenario, the ethical aspect often comes in a considerably critical influence to the case as personal identity and relationship could be permanently tarnished. However, the mandated reporting procedures duly established the exact and accurate details and informations must be incorporated in the report in a professional approach without any biases and secrecy. In this aspect, the mandated reporting procedure is indeed necessary but in case of treating and handling the reported informations, the personal rights of the patient involved can be invoked as his or her claim for the said report is indeed legally substantial. The patient’s rights for privacy and discreet nature must be honor unless the case critically requires its disposition. However, until the need for the disclosure of the reports is not yet critically recognize, the patient has the right to mandate the nature of the report and the access to it as granted by the legal system of the society they belonged with.In the aspect of complying with the mandated reporting regulations in the healthcare administration, healthcare society always view the benefit of the patient through quality healthcare service to be the most important among all. However though, the healthcare society must also consider the patient’s rights when complying with the administration regulations as what the civil law duly established in the legal system. Thus, an equal balance and justification must be implemented in duly resolving the said two aspects in their tasks of following mandated reporting regulations.

References

  • Scott Louis Diering. (1999). Love Your Patients! Improving Patient Satisfaction with Essential Behaviors That Enrich the Lives of Patients and Professionals. Routledge Publishing.
  • “The Health Care Remedies and Human Acceptance” (2004). World Health Journal.
  • “ Health Alertness”. (2004). Synergy. Ontario, Canada.
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