MICHIGAN CIVIL SERVICE COMMISSION
JOB SPECIFICATION
MEDICAL RECORD EXAMINER
JOB DESCRIPTION
Employees in this job perform a variety of activities designed to maintain medical record systems in
state facilities. Work is performed through the application of a body of knowledge related to the
methods, practices, procedures, policies, regulations and laws governing medical record creation and
use.
There are three classifications in this job.
Position Code Title - Medical Records Examiner-E
Medical Record Examiner 8
This is the entry level. The employee, in a learning capacity and under close supervision, performs a
range of medical record examiner assignments.
Medical Record Examiner 9
This is the intermediate level. The employee works in a developing capacity with increased
responsibility for performing an expanding range of medical record examiner assignments.
Medical Record Examiner E10
This is the experienced level. The employee performs a full range of medical record examiner
assignments and uses considerable independent judgement in making decisions requiring the
interpretation and application of guidelines with considerable latitude to specific situations.
Employees generally progress through this series to the experienced level based on satisfactory performance
and possession of the required experience.
Establishes, organizes and maintains a medical record system in accordance with department, national
and accreditation body standards.
Assesses the accuracy of medical records to ensure conformance with policies, rules, and regulations
and to ensure consistency and completeness.
Develops policies and procedures relating to the development and use of medical records and data.
Prepares records for admission, transfer, discharge or placement of patients.
Codes and indexes diseases and procedures for entry into a master patient indexing system.
Responds to requests from individuals, agencies, hospitals, courts, etc., for patient information in
accordance with statutes and department regulations regarding confidential information.
Explains rules, regulations, policies, and procedures to affected staff to assist them in conforming to
record requirements.
JOB DUTIES
NOTE:
The job duties listed are typical examples of the work performed by positions in this job classification. Not all
duties assigned to every position are included, nor is it expected that all positions will be assigned every duty.
NOTE:
Attends, develops, organizes, and/or conducts education and training programs, as needed, regarding
medical record development and use.
Prepares statistical profiles as requested.
Assists staff with medical research projects.
Participates in committees as assigned.
Represents the facility in court regarding medical record development, use and authenticity.
Maintains records, prepares reports and conducts correspondence related to the work area.
Performs related work as assigned.
Knowledge of medical record keeping techniques and procedures.
Knowledge of accreditation body regulations and State and Federal statutes governing medical record
creation and use.
Knowledge of medical record indexing, coding and abstracting methods.
Knowledge of reference materials used in the field of medical science.
Knowledge of medical terminology.
Knowledge of research methods.
Ability to design and maintain a medical record system.
Ability to interpret and apply policies, regulations and laws to the work area.
Ability to establish policies and procedures.
Ability to obtain and use confidential information discreetly and objectively.
Ability to develop procedural manuals and training materials.
Ability to communicate effectively.
Working Conditions
Physical Requirements
Education
Possession of an associate's degree in health information or medical record technology.
Experience
Medical Record Examiner 8
No specific type or amount is required.
Some knowledge in the area listed is required at the entry level, developing knowledge is required at the
intermediate level, and considerable knowledge is required at the experienced level.
JOB QUALIFICATIONS
Knowledge, Skills, and Abilities
NOTE:
Medical Record Examiner 9
One year of experience equivalent to a Medical Record Examiner 8.
Medical Record Examiner E10
Two years of experience equivalent to a Medical Record Examiner, including one year equivalent to a
Medical Record Examiner 9.
Special Requirements, Licenses, and Certifications
Certification by the American Health Information Management Association as a Registered Health
Information Technician or Registered Health Information Administrator.
The Department of Corrections may screen out applicants who have been convicted of a felony in
accordance with Public Act 191 of 2017. Applicants who have been convicted of a misdemeanor or
felony are ineligible for employment with the Department of Corrections until satisfactory completion of
any sentence imposed, including parole or probation.
JOB CODE, POSITION TITLES AND CODES, AND COMPENSATION INFORMATION
Job Code Description
MEDICAL RECORD EXAMINER
NOTE:
Equivalent combinations of education and experience that provide the required knowledge, skills, and abilities
will be evaluated on an individual basis.
JZ
01/27/2019