Resume guide · Job Zone 3

Medical Records Specialistsresume guide.

Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and A strong Medical Records Specialists resume shows reading comprehension, critical thinking and active listening, and names the tools you have worked with, such as Epic Systems, Henry Schein Dentrix and Microsoft Access.

See a sample Medical Records Specialists resumeAnnotated against this guide · 3 templates↓
Sample resume

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A Medical Records Specialists resume built in ResumeXRays, annotated against the data below. Flip the pages, try a template, then make it yours.

  1. 1Give your accuracy rate."Review records for completeness, accuracy, and compliance" is a core task in this guide. An audited accuracy rate is the first number coding managers look for.
  2. 2Show you check the software's work.More coding jobs now use computer-assisted or AI coding tools. Showing that you review the suggestions and fewer claims get denied proves your judgment still matters.
  3. 3Show the result, not just the task.Clearing a chart backlog turns routine work into faster billing, a result any health information manager understands.
  4. 4Put a number on privacy.Protecting the confidentiality of records is this guide's top task. A volume of requests with zero privacy incidents shows it clearly.
  5. 5Name each certification in full.RHIT is a title this guide lists. Write out the full name, the issuer, AHIMA, and that it is active so an employer can verify it quickly.
  6. 6Keep education to one line.Many people in this job have a high school diploma plus a certificate or two-year program. The degree and school are enough here.

Sample resume. The candidate is fictional; the layout and templates are real.

Constance Jaramillo

Medical Coder, RHIT, CCS

[email protected] / (706) 555-0113 / Augusta, GA

Summary

Medical records specialist and coder with seven years in hospital and outpatient health information management. Code inpatient and outpatient charts in ICD-10-CM, ICD-10-PCS and CPT at 97% audited accuracy, working in Epic Systems with computer-assisted coding. Careful with privacy and release of information, and quick to query physicians when the record does not support the code.

Experience

Medical Coder II
Hazelbrook Medical Center / Augusta, GA
May 2022 - Present
Code 22 to 26 inpatient charts a day in ICD-10-CM and ICD-10-PCS, holding 97% accuracy across eight quarterly external audits.
Review computer-assisted coding suggestions in Epic Systems against the physician notes, overriding about 1 in 8; the overrides cut coding-related denials by 34% in a year.
Sent 40+ physician queries a month when documentation was unclear, raising the case mix index on reviewed charts from 1.62 to 1.71.
Brought discharged-not-final-coded charts from 410 down to under 150, shortening the billing hold from nine days to four.
Built a weekly Tableau dashboard of denial reasons by service line that the revenue cycle team now uses to plan education.
Health Information Technician
Kudzu Ridge Orthopedics / Evans, GA
Aug 2019 - May 2022
Processed 300+ release-of-information requests a month under HIPAA rules, with zero privacy incidents in three years.
Reviewed records for completeness before billing and cut missing-signature holds by 60% with a daily deficiency report.
Scanned and indexed 18,000 paper charts into eClinicalWorks EHR software during a records conversion, finishing a month early.
Medical Records Clerk
Goldenbell Family Practice / Augusta, GA
Jun 2018 - Aug 2019
Entered patient demographics and visit data for a five-provider clinic, keeping registration errors under 1%.

Skills

Coding:ICD-10-CM, ICD-10-PCS, CPT and HCPCS, MS-DRG assignment, physician queries, computer-assisted coding, denial review
Records:Release of information, HIPAA privacy, record completeness review, chart scanning and indexing
Software:Epic Systems, eClinicalWorks EHR software, MEDITECH software, Tableau, Microsoft Excel, Microsoft Access

Certifications

Registered Health Information Technician (RHIT), AHIMA, active
Certified Coding Specialist (CCS), AHIMA, active

Education

Associate of Applied Science in Health Information Technology
Ivyhurst Technical College
2018

01Also called

O*NET
CoderHealth Information ClerkHealth Information SpecialistHealth Information Technician (Health Information Tech)Health Records SpecialistHIM Clerk (Health Information Management Clerk)Medical CoderMedical Records ClerkMedical Records Technician (Medical Records Tech)RHIT (Registered Health Information Technician)

02Skills employers expect

O*NET

Importance is how much the skill matters to the job; level is how much of it the job demands. Both are worth naming on the resume, in this order.

SkillImportanceLevel
Reading ComprehensionHighIntermediate
Critical ThinkingHighIntermediate
Active ListeningHighIntermediate
SpeakingHighIntermediate
Time ManagementHighIntermediate
WritingHighIntermediate
Active LearningHighIntermediate
Complex Problem SolvingHighIntermediate
Judgment and Decision MakingHighIntermediate
MonitoringHighIntermediate

03Knowledge areas

O*NET
  • Administrative
  • English Language
  • Customer and Personal Service
  • Computers and Electronics
  • Administration and Management
  • Communications and Media
  • Public Safety and Security
  • Education and Training
  • Personnel and Human Resources
  • Law and Government

04Common responsibilities

O*NET

Ordered by importance. Each one is a bullet waiting for a result and a number.

  1. Protect the security of medical records to ensure that confidentiality is maintained.
  2. Review records for completeness, accuracy, and compliance with regulations.
  3. Scan patients' health records into electronic formats.
  4. Release information to persons or agencies according to regulations.
  5. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  6. Maintain or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
  7. Process patient admission or discharge documents.
  8. Retrieve patient medical records for physicians, technicians, or other medical personnel.

05Software and tools

O*NET

109 tools across 33 categories. The six largest categories are below; Hot marks a hot technology, In demand a tool employers ask for most often.

Medical software40
  • Epic SystemsHotIn demand
  • Henry Schein DentrixHotIn demand
  • MEDITECH softwareHot
  • eClinicalWorks EHR softwareHot
  • Medical procedure coding software
  • Healthcare common procedure coding system HCPCS
  • Medical condition coding software
  • Electronic medical record EMR software
  • SOAPware EMR
  • NextGen Healthcare Information Systems EMR
  • HMS
  • SynaMed EMR
  • PCC EHR
  • PCC Pediatric Partner
  • Amazing Charts
  • Digital Imaging Communications in Medicine DICOM medical imaging software
  • Electronic medical record EMR systems
  • MedicWare EMR
  • STAT! Systems QD Clinical
  • Allscripts EHR
  • Azalea Health Azalea EHR
  • ComChart EMR
  • EHS CareRevolution
  • eMDs Practice Partner
  • e-MDs topsChart
  • Fox Meadows EncounterManager
  • GE Healthcare Logician
  • Greenway Medical Technologies PrimeChart
  • Health Care Data HealthProbe
  • Holt Systems eMedRec
  • IDX Systems IDXtend
  • LeonardoMD Renaissance
  • Mediasoft mediOFFICE
  • MedStar Systems DrWorks
  • NCG Medical Systems d-Chart
  • PowerMed
  • Practice Partner Patient Records
  • VantageMed ChartKeeper
  • Visionary Medical Systems Visionary OFFICE PM
  • Welford Chart Notes
+ 35 more
Data base user interface and query software7
+ 2 more
Document management software7
  • Microsoft SharePointHotIn demand
  • Hyland Software OnBase
  • IDX Systems Patient Chart Tracking
  • Fox Meadows Accent Data Manager
  • Laserfiche software
  • SoftMed ChartLocater
  • SoftMed ChartReserve
+ 2 more
Analytical or scientific software4
Business intelligence and data analysis software4
  • TableauHotIn demand
  • IBM Cognos Impromptu
  • Qlik Tech QlikView
  • MicroStrategy
Categorization or classification software4
  • American Medical Association CodeManager
  • 3M Encoder
  • Computerized indexing systems
  • DRG grouping software
Voice recognition software4
  • Speech recognition software
  • Cyber Records MediChart Express
  • ScanSoft Naturally Speaking
  • Voice dictation software
Accounting software3
  • NDCMedisoft
  • QMSoftware Receivables Management
  • Siemens Soarian Financials
Calendar and scheduling software3
  • Scheduling software
  • MD Synergy Medical Appointment Scheduling
  • Siemens Soarian Scheduling
Development environment software3
Electronic mail software3
Data base reporting software2
  • SAP Crystal Reports
  • SoftMed ChartRelease
Enterprise resource planning ERP software2
Object or component oriented development software2
  • RHotIn demand
  • Microsoft SQL Server Reporting Services SSRSHot
Office suite software2
Spreadsheet software2
Billing and invoicing software1
  • Billing software
Data base management system software1
  • Teradata DatabaseHot
Desktop communications software1
  • Eko
Enterprise application integration software1
  • IBM InfoSphere DataStage
Expert system software1
  • Information Resource Products Clinical Coding Expert
Graphics or photo imaging software1
  • Graphics software
Information retrieval or search software1
  • Coding database software
Internet browser software1
Metadata management software1
  • Quest Erwin Data Modeler
Network security and virtual private network VPN equipment software1
  • Virtual private networking VPN software
Operating system software1
Optical character reader OCR or scanning software1
  • Scantron imaging software
Presentation software1
Process mapping and design software1
Project management software1
Transaction security and virus protection software1
  • Encoder software
Word processing software1

06Education and preparation

O*NET
Typical education
High School Diploma or the equivalent (such as a GED)
52% of surveyed workers. Others report Post-Secondary Certificate (22%) and Some College Courses (13%).
Preparation level
Job Zone 3 · Medium preparation
Usually vocational training, an associate degree or a few years of related experience.

07Putting it on your resume

ResumeXRays guidance
BEE · How to show it

Lead with the credential and the record. Job Zone 3 roles usually ask for training, a license or a few years of related experience. Put those on the first screen, then show what you did with them.

Name the tools exactly. This occupation is heavy on named software. A skills section that says "Epic Systems, Henry Schein Dentrix, Microsoft Access, Structured query language SQL" matches more job descriptions than a general phrase. Use the spelling employers use.

Show critical thinking and active listening, not just reading comprehension. Critical thinking and active listening rank close to reading comprehension for this occupation. One bullet per role that shows a decision, a tradeoff or a result covers them.

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