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Medical Records/Health Information Technician  What They Do

Just the Facts


Medical Records and Health Information Technicians Career Video



Compiles, processes, and maintains medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the heath care system. Processes, maintains, compiles, and reports patient information for health requirements and standards in a manner consistent with the healthcare industry’s numerical coding system.

This career is part of the Health Science cluster Health Informatics pathway.


A person in this career:

  • Protects the security of medical records to ensure that confidentiality is maintained.
  • Reviews records for completeness, accuracy, and compliance with regulations.
  • Retrieves patient medical records for physicians, technicians, or other medical personnel.
  • Assigns the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Processes patient admission or discharge documents.
  • Transcribes medical reports.
  • Resolves or clarifies 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.
  • Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Identifies, compiles, abstracts, and codes patient data, using standard classification systems.
  • Releases information to persons or agencies according to regulations.

Insider Info

Dig into the details and check out what people in this job have to say about their work.



Related Careers


Working Conditions and Physical Demands

People who do this job report that:

  • You would often handle loads up to 10 lbs., sometimes up to 20 lbs. You might do a lot of walking or standing, or you might sit but use your arms and legs to control machines, equipment or tools.
  • Work in this occupation involves using your hands to hold, control, and feel objects more than one-third of the time
  • Work in this occupation requires being inside most of the time
  • Sound and noise levels are loud and distracting
  • Work in this occupation involves making repetitive motions more than one-third of the time
  • Work in this occupation involves sitting more than one-third of the time

Working in this career involves (physical activities):

  • Seeing clearly up close
  • Identifying and understanding the speech of another person

Work Hours and Travel

  • Overtime work

Specialty and Similar Careers

Careers that are more detailed or close to this career:

  • Coder --
  • Health Information Clerk --
  • Health Information Specialist --
  • Health Information Technician (Health Information Tech) --
  • Medical Records Analyst --
  • Medical Records Clerk -- Compiles, verifies, types, and files medical records of hospital or other health care facility.
  • Medical Records Coordinator --
  • Medical Records Director --
  • Medical Records Technician (Medical Records Tech) --
  • Registered Health Information Technician (RHIT) --