Medical Records Technician (EHR) Training Online

Course Name

Medical Records Technician (EHR) Training Online

Contact Hours: 220

Course Description

With the advent of electronic health records (EHRs) and all of their related problems, new jobs have emerged, one of which is Health Information Technician (HIT). Health Information Technicians work in healthcare, however they do not generally work directly with patients. HITs assemble patient health information including medical history, symptoms, examination results, diagnostic tests, treatment methods, and all other healthcare provider services. They organize and manage health information data by ensuring its quality, accuracy, accessibility, and security. They may work as medical coders who specialize in coding patient information for reimbursement purposes. They communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information. They ensure its quality, accuracy, accessibility, and security in both paper and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.

Duties include: Review patient records for timeliness, completeness, accuracy, and appropriateness of data. Organize and maintain data for clinical databases and registries. Track patient outcomes for quality assessment. Use classification software to assign clinical codes for reimbursement and data analysis. Electronically record data for collection, storage, analysis, retrieval, and reporting. Protect patients’ health information for confidentiality, authorized access for treatment, and data security.

Please note: Course of study may be completed earlier than indicated and students retain access for one year from the date of enrollment.

Outcome

Upon successful completion, students will be well-equipped to work in the Medical Records field.

Assessment

Assessment Tools:

  • Quizzes
  • Practical Experience
  • Online Exercises

Outline

Chapter 1 – Medical Record Technician

Chapter 2 – Medical Records

A. Rationale and Application
B. Record Number and Forms
C. Medical Reports
        History and Physical
        Clinical and Laboratory
        Autopsy
        Operation

Chapter 3 – Departmental Responsibilities

A. The Department
B. Step by Step Process
C. Filing Systems
        Straight Numeric Filing
        Terminal Digital Filing
D. Data and Statistics

Chapter 4 – Electronic Medical Records

A. EMR
B. Differences in EMR/EHR
C. Benefits of EHR
D. Paper Medical Records
E. Computerization of Medical Records

Chapter 5 – Policies and Procedures

A. Policies and Procedures
B. Confidential Information Management
C. Public Law – HIPAA

Chapter 6 – Workplace Assets

Chapter 7 – Medical Professionals

Chapter 8 – Coding

A. Disease Classifications and Coding
B. ICD9-10 Codes
C. CPT Codes