Health Information Technician I

Basic Purpose

Positions in this job family are assigned responsibilities related to preparing, classifying and abstracting medical reports in the medical records unit.

Typical Functions

• Reviews medical records for completeness and accuracy and refers incomplete or inaccurate reports to appropriate staff for correction.
• Prepares statistical, case and other types of reports.
• Prepares materials and forms and gathers all pertinent information and data for admissions and discharges.
• Ensures all data is properly coded.
• Abstracts charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released.
• Affords assistance in the development of medical records policies and procedures.
• Reviews existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies.
• Insures the security and confidentiality of patient medical records.
• Supplies requested information to courts and other judicial inquires.

Knowledge, Skills and Abilities

• Knowledge of methods and techniques of medical records maintenance.
• Knowledge of applicable federal and state laws and agency and facility policies and procedures.
• Knowledge of current classification systems.
• Knowledge of report writing techniques.
• Knowledge of medical terminology.

Ability

• To maintain medical records.
• To code data to records.
• To review medical records for completeness and accuracy.
• To prepare reports.
• To abstract information from records and other patient data.
• To present information effectively.
• To establish and maintain effective working relationships with others.
• To utilize personal computers.

Education and Experience

• Eligibility for accreditation with the American Health Information Management Association as a Registered Health Information Technician (RHIT).
• Two years of experience working with patient records in a medical setting such as a hospital, state institution, medical clinic or a physician’s office.

Special Requirements

Based upon the duties and responsibilities assigned to the position being filled, a user agency may require accreditation with the American Health Information Management Association as a Registered Health Technician (RHIT); or eligibility for registration as a Registered Health Information Administrator (RHIA).

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.