MEDICAL RECORD ADMINISTRATOR
Medical Record Administrator is a competitive local-government title, the kind you test for: the exam result, not a hiring manager's pick, decides where you land in line.
It expects a bachelor's degree and 2 years of relevant experience.
How to apply
This title is filled by competitive examination.
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Medical Record Administrator is a local service title. It is filled by the counties, municipalities, authorities and other employers that have adopted civil service under Title 11A, not by State departments. Those employers set pay by ordinance or contract rather than from a State salary schedule, which is why most local titles carry no salary range here.
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Official job specification
The text below is the official specification published by the New Jersey Civil Service Commission. The plain-language summary and analysis above are derived from it by NJ Civil Service Navigator. Source: the official specification page at NJ CSC.
Definition
Under direction, plans, develops, and administers a medical record system for a hospital, health center, or similar facility to meet standards of accrediting and regulatory agencies supervises medical records staff processing records and reports, and who analyze medical records for completeness, consistency, and compliance with requirements; does other related duties.
Examples of work
- Plans, develops, and administers a medical record system which meets standards of accrediting and regulatory agencies.
- Collects and analyzes patient and institutional data.
- Develops and implements policies and procedures for documenting, storing, and retrieving information and for processing medical legal documents and insurance and correspondence requests in conformance with federal, state, and local statute.
- Develops in-service educational materials, and conducts instructional programs for health care personnel.
- Coordinates functions relating to medical records and patient information systems with other departments within the facility.
- Gathers information and statistics for the evaluation of patient care and utilization review.
- Plans, organizes, and supervises activities of the medical record unit.
- Provides assignments and instructions to employees.
- Prepares or supervises the preparation of periodic and special statistical reports.
- Abstracts data for case summaries and insurance reports.
- Reviews and analyzes records for internal consistency and completeness.
- Cooperates with medical staff to establish secondary records in adjunct units.
- Releases information to individuals or agencies in accordance with regulations and statutes.
- Prepares and/or supervises the preparation of vital statistics and morbidity reports.
- Cooperates with medical staff in research projects.
- Will be required to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units.
Education
Graduation from an accredited college or university with a Bachelor's degree in Medical Record Science, Medical Record Administration or health information administration.
Experience
Two (2) years of experience in a medical records center in a hospital or health care facility.
License
Appointees will be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform essential duties of the position.
Knowledge, skills and abilities
- Knowledge of medical record keeping principles and practices including standard nomenclature and classifications.
- Knowledge of uses and limitations of primary and secondary records, indexes, and classification systems.
- Knowledge of medical terminology.
- Ability to read, interpret and apply policies and regulations affecting medical care records and activities.
- Ability to supervise the review, coding and indexing of patients records and the abstracting of data for reports.
- Ability to provide instructions and assignments to staff and supervise their work performance.
- Ability to prepare correspondence.
- Ability to prepare clear, sound, accurate and informative reports containing findings, conclusions and recommendations.
- Ability to evaluate medical information.
- Ability to supervise the establishment and maintenance of essential records and files.
- Ability to provide information in accordance with established hospital policies and regulations.
- Ability to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units.
- Ability to read, write, speak, understand, and communicate in English sufficiently to perform duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication.
- Persons with mental or physical disabilities are eligible as long as they can perform essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.
Note
The examples of work for this title are for illustrative purposes only. A particular position using this title may not perform all duties listed in this job specification. Conversely, all duties performed on the job may not be listed.
Graduation from an accredited college or university supplemented by an accredited one year postgraduate certification program in medical record administration may be substituted for the above education requirement.
Certification as a Registered Health Information Administrator by the American Health Information Management Association may be substituted for the above education requirement.