Medical Records Technician (EHR) Training Online
Contact Hours: 220 (an estimated time frame devoted to a course of study from start to finish that can vary from student to student)
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.
Upon successful completion, students will be well-equipped to work in the Medical Records field.
Assessment Tools:
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
D. HCPCS
E. APC Codes
F. Coding Software
G. Coding Practice
All required materials are included; no additional purchase is necessary. If you have any questions, please reach out to courseinfo@jeronline.com.