City and County of San Francisco

Under general direction, analyzes, codes and compiles all medical records on patients treated at a City and County medical facility; assists the medical staff in the selection of cases for specific research projects; supervises assigned technical and clerical assistants; and performs related duties as required.

The class of Medical Records Technician Supervisor is characterized by responsibility for performing the most difficult medical record work and for supervising the performance of more routine tasks carried out by Medical Records Technicians.

Supervises Medical Records Clerks, Medical Records Technicians, and/or clerical personnel.

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. Processes medical records of patients by assembling, analyzing, coding and checking for compliance with established policy on nomenclature and procedures; files, charts and assists in the revision of files.
2. Assists in the training and supervision of assigned clerical and technical personnel.
3. Consults with doctors, nurses and other personnel in order to ensure complete, up-to-date and accurate medical records.
4. Abstracts information from medical records for statistical indexing and for the preparation of summary reports to official agencies requesting medical information on patients.
5. Maintains statistical records on special studies; prepares narrative, statistical and graphic reports for hospital use or for official agencies.
6. Assists medical staff in compiling data for research projects.
7. When required, takes hospital records to court, attests to their authenticity and accuracy and assumes responsibility for the return of such records.

Knowledge of: chart analysis and data abstraction; coding procedures; clerical procedures; medical and pharmaceutical terminology; legal provisions governing medical record practices; and problem-solving process.

Ability and Skill to: recognize and follow up on inconsistencies in medical records; analyze data, draw logical conclusions and submit reports; prepare clear, concise, narrative, statistical and graphic reports; supervise; communicate effectively orally and in writing; establish and maintain cooperative working relationships with the general public and departmental personnel; and operate a computer.

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification.  Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

 

Experience:

Two (2) years of experience equivalent to the level of City and County of San Francisco class 2112 Medical Records Technician, within the last five (5) years; AND

License and Certification:

Possession of a valid Registered Health Information Technician (RHIT) Certification.

Substitution:

Possession of a valid Registered Health Information Administrator (RHIA) Certification may substitute for one (1) year of the required experience and the RHIT certification.

SUPPLEMENTAL INFORMATION

 

ORIGINATION DATE: 2/18/1975

AMENDED DATE: 10/30/2015

REASON FOR AMENDMENT: To accurately reflect the current tasks, knowledge, skills and abilities defined in the most recent job analysis conducted for this job code.

BUSINESS UNIT(S): COMMN

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.