Medical Records Specialist resume example
A resume for a Medical Records Specialist needs to show the work itself: compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Day to day that means work like this: assign the patient to diagnosis-related groups (DRGs), using appropriate computer software; compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Recruiters and applicant tracking systems both read for the tasks and tools this role actually involves, so the strongest resume names them in your own experience rather than describing the job in the abstract. Below are the tasks O*NET records for this occupation, the software and tools it uses, the titles it is advertised under, and the skills worth naming if they are genuinely yours.
Also advertised as
The same job is posted under many titles. Searching only your own job title hides most of the openings you could apply to.
- Health Information Technician
- Health Information Tech
- Medical Records Clerk
- Medical Records Coordinator
- Registered Health Information Technician
- RHIT
- Coder
- Health Information Clerk
- Health Information Specialist
- Medical Records Technician
- Medical Records Tech
- CPC
- Clinical Office Tech
- EHR Specialist
- HIM Hospital Coder
- HIM Inpatient Coding Auditor
- HIM Tech
- Health Information Systems Tech
O*NET records 40 titles for this occupation in total.
What people in this job call themselves
Titles reported by people actually doing this work, which is often not the title on the job posting.
- Health Information Technician (Health Information Tech)
- Medical Records Technician (Medical Records Tech)
- Registered Health Information Technician (RHIT)
What this work actually involves
Tasks recorded for this occupation, in O*NET's words. If your experience covers one of these, it belongs on your resume in your own words.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- Consult classification manuals to locate information about disease processes.
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
- Identify, compile, abstract, and code patient data, using standard classification systems.
- Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
- Post medical insurance billings.
- Process and prepare business or government forms.
- Process patient admission or discharge documents.
- Protect the security of medical records to ensure that confidentiality is maintained.
- Release information to persons or agencies according to regulations.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
17 tasks are recorded in total; these are the most central.
Example bullets for this role
Built from this occupation's own tasks. The brackets stay empty on purpose: we will not invent a number for you, and a fabricated metric is the fastest way to lose an interview you had already won.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software, for [who or what it served], at [what volume].
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts, for [who or what it served], at [what volume].
- Consult classification manuals to locate information about disease processes, for [who or what it served], at [what volume].
- Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer, for [who or what it served], at [what volume].
Software used in this role
Recorded for this occupation by O*NET. An applicant tracking system matches the exact product name, so write the tool the way the posting writes it.
- 3M Encoder
- Allscripts EHR
- Amazing Charts
- American Medical Association CodeManager
- Azalea Health Azalea EHR
- Billing software
- Coding database software
- ComChart EMR
- Computerized indexing systems
- Corel WordPerfect Office Suite
- Cyber Records MediChart Express
- Digital Imaging Communications in Medicine DICOM medical imaging software
- DRG grouping software
- e-MDs topsChart
111 software entries are recorded in total.
Tools and equipment
The physical equipment this occupation is recorded as using. Worth naming when a posting asks for it by name.
- 10-key calculators
- Barcode attachment equipment
- Barcode scanners
- Credit card processing machines
- Desktop computers
- Dictaphones
- Encoders
- Flat-top scanners
- Label printers
- Laser facsimile machines
- Laser printers
- Light pens
Skills an ATS reads for
Worth naming only if they are genuinely yours. Keyword overlap is one input to a resume's score, not a verdict.
- Epic
- maintain security
What level this role is pitched at
O*NET places this occupation in “Medium Preparation Needed”. Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree.
Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
Common questions
- What does a Medical Records Specialist do?
- Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Day to day that includes work like assign the patient to diagnosis-related groups (DRGs), using appropriate computer software and Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
- What software should a Medical Records Specialist list?
- Software recorded for this occupation includes 3M Encoder, Allscripts EHR, Amazing Charts, American Medical Association CodeManager, and Azalea Health Azalea EHR. Applicant tracking systems match on the exact product name, so write the tool as the posting writes it rather than describing it in general terms.
- What other job titles cover Medical Records Specialist work?
- O*NET records 40 titles for this occupation, including Health Information Technician, Health Information Tech, Medical Records Clerk, and Medical Records Coordinator. Searching only your own job title hides most of the openings you could apply to.
- Will this resume pass an ATS for a Medical Records Specialist role?
- No tool outside an employer can tell you how that employer's system is configured, including ours. What you can control is that the resume parses cleanly, names the work in the words the posting uses, and does not claim anything you cannot back up.
Related roles
Occupations O*NET records as closest to this one, and worth looking at if this search is not moving.
What this page cannot tell you
- No tool outside an employer can tell you how that employer’s ATS is configured, including ours.
- This page makes no claim about pay, demand or how many people hold this job. O*NET does not publish that here and we will not estimate it.
- Keyword overlap is one input to a resume’s score, not a verdict on you. A resume that names skills you do not have is worse than one that names fewer.
If this is the job you are aiming at, the guide to tailoring a resume covers how to aim one posting properly, and building and exporting a resume here is free.
Occupation data from the O*NET 29.1 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under CC BY 4.0. O*NET is a trademark of USDOL/ETA. SpartanResume is not endorsed by USDOL/ETA.