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Medical Records Technician

Salary: $15.33-$18.71 hourly / $2,666-$3,255 monthly / Range: 4806

DEFINITION: Under direction, maintains medical records by checking and verifying that information is complete; codes and indexes diagnoses, operations, and special therapies recorded in clinical histories; and to do related work as required.

DISTINGUISHING CHARACTERISTICS: This class is distinguished from Medical Records Technician II in that the latter is responsible for the overall administration and supervision of the medical records unit of Health Care Services.


1. Checks current patient charts and records for completeness and accuracy; may complete source documents;
2. Classifies and verifies codings of diseases and operations in accordance with the coding of standard nomenclature and classifications systems;
3. Files and retrieves patient records accurately; purges and/or microfilms records as per department policy; may create new patient charts; maintains files in useable condition;
4. May perform data entry of patient and related information; accesses information on automated database;
5. Receives requests and subpoenas for medical records; reviews file to determine records to be released;
6. Reviews medical records and identifies inconsistencies in diagnosis and treatment criteria per government and insurance company reimbursement policies;
7. Maintains master patient index;
8. Orders and receives office supplies and medical forms, journals, books, and pamphlets;
9. May transcribe medical reports from audiotaped dictation;
10. May fill out forms and post data;
11. May compose and process letters, memoranda, tabular reports, and other documents.


1. Three years of increasingly responsible experience in medical records work or closely related field; or,
2. two years of increasingly responsible experience performing duties equivalent to the class of Clerk II with Santa Barbara County in medical records work; or,
3. possession of an associate in science degree in medical records and one year of experience in medical records work; or,
4. equivalent combination of training, education, and experience that would provide the required knowledge and abilities.

Possession of a valid California Class C Driver's License is required.

Knowledge of: medical terminology; principles and practices of health information record systems; uses and limitations of medical records, indexes, and classification systems; office procedures; basic math including addition and subtraction.

Ability to: alphabetize and compare names and numbers accurately and rapidly; review work for completeness and accuracy; make decisions in procedural matters; write correspondence using correct grammar, spelling, and punctuation; read and understand procedures regarding release of medical records; use a computer keyboard to enter data and access information; maintain confidentiality of patient records; set priorities of work load to meet deadlines; establish and maintain effective working relationships with insurance companies, other government agencies, and coworkers.

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