PURPOSE OF JOB CLASS (NATURE OF WORK)
In a state medical institution or facility medical records department this class is accountable for independently performing a full range of tasks associated with maintaining medical records and medical records coding activities.
SUPERVISION RECEIVED
Works under the general supervision of a Medical Records Supervisor or other employee of higher grade.
SUPERVISION EXERCISED
May lead lower level clerical employees as assigned.
EXAMPLES OF DUTIES
- Assists in maintaining a file of medical records such as daily admissions and discharges, daily census, case histories, results of diagnostic tests, signed releases of information, medical summaries and abstracts;
- Inspects reports and records for omissions and errors;
- Codes and files a full range of diagnoses according to anatomical systems and in conformance with accepted international classification systems (i.e. ICD, WHO, DSM3, DRG, etc.);
- Prepares statistical reports on such matters as classification of disease, laboratory, dental, X-ray and physiotherapy activities;
- Prepares death certificates, burial permits and other related records;
- Prepares reports to state and federal agencies as required;
- May attend probate court hearings and give testimony;
- Performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
- Knowledge of
- basic medical terminology and human anatomy;
- medical coding principles and techniques with particular emphasis on International Classification of Disease Adopted procedures;
- principles of statistical data tabulation;
- office systems and procedures;
- Skills
- interpersonal skills;
- oral and written communication skills.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Four (4) years of experience in the maintenance of medical records and preparation of statistical reports.
SPECIAL REQUIREMENTS
Incumbents may be required to possess a high school diploma or General Educational Development (GED) certification by the time of permanent appointment.
JOB CLASS DESIGNATION
Classified/Non-Competitive
OCCUPATIONAL GROUP
(05)-Clerical/Secretarial
BARGAINING UNIT
(07)-ADMN CLERICAL (NP-3)
EEO
(6)-Administrative Support
SALARY INFORMATION
CL 14
ACKNOWLEDGEMENT
As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.
CANCELLATION CLAUSE
This replaces the existing specification for the class of Medical Records Specialist 1 in Salary Group CL 14 approved effective July 21, 2023. (Reviewed in accordance with Connecticut General Statutes. Revised to modify Special Requirements.) Item No. 26-009
EFFECTIVE DATE
09/04/2026
CLASS: 5620CL;
EST: 6/21/1940;
REV: 9/24/2026;