Medical Records Tech
West Georgia Technical College
Augusta, GA, USA
Posted on Apr 25, 2026
- Under direct supervision, compiles, processes and maintains medical records of hospital and clinic clients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the health care system.
- Processes, maintains, compiles and reports client information for health requirements and standards.
- Compiles and maintains clients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer. Identifies, compiles, abstracts and codes client data, using standard classification systems.
- Plans, develops, maintains and operates a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information. Processes client admission and discharge documents.
- Protects the security of medical records to ensure that confidentiality is maintained. Releases information to persons and agencies according to regulations. Reviews records for completeness, accuracy and compliance with regulations. Transcribes medical reports.
- Receives additional training, as required, to gain full proficiency and experience in all areas
High School diploma/GED and eligible for certification as a medical records technician by the American Health Information Management Association; or one (1) year of experience in a medical records unit, which involved the independent coding of diagnostic data.
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