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ESCO occupation

medical records clerk

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Medical records clerks organise, keep up-to-date and archive patients` records for medical staff availability. They transfer medical information from a patient’s paper records to an electronic template.

3252.1 ISCO 3252 ESCO source
Competences
46
Groups
4
Essential
30
Optional
16

Competences and skills

46 ESCO relations
Essential knowledge 11 competences

Occupation specific

0 competences

No competences in this bucket.

Sector-specific

6 competences
administrative tasks in a medical environment

The medical administrative tasks such as registration of patients, appointment systems, record keeping of patients information and repeated precribing.

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clinical coding

The matching of clinical statements with standard codes of illnesses and treatments through use of a classification system.

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data storage

The physical and technical concepts of how digital data storage is organised in specific schemes both locally, such as hard-drives and random-access memories (RAM) and remotely, via network, internet or cloud.

digital
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document management

The methodology of tracking, managing and storing documents in a systematic and organised manner as well as keeping a record of the versions created and modified by specific users (history tracking).

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health records management

The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.

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professional documentation in health care

The written standards applied in the health care professional environments for documentation purposes of one`s activity.

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Cross-sector

5 competences
database

The classification of databases, that includes their purpose, characteristics, terminology, models and use such as XML databases, document-oriented databases and full text databases.

digital
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health care legislation

The patients` rights and responsibilities of health practitioners and the possible repercussions and prosecutions in relation to medical treatment negligence or malpractice.

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health care system

The structure and function of health care services.

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medical informatics

The processes and tools used for the analysis and dissemination of medical data through computerized systems.

digital
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medical terminology

The meaning of medical terms and abbreviations, of medical prescriptions and various medical specialties and when to use it correctly.

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Essential skills and competences 19 competences

Occupation specific

1 competence
deliver case notes

Deliver the appropriate case notes in a timely manner to those requesting them.

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Sector-specific

12 competences
archive healthcare users' records

Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.

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collect healthcare user's general data

Collect qualitative and quantitative data related to the healthcare user's anagraphic data and provide support on filling out the present and past history questionnaire and record the measures/tests performed by the practitioner.

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collect statistics on medical records

Perform statistical analysis of various medical records of the healthcare facility, referring to the number of hospital admissions, discharges or waiting lists.

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comply with quality standards related to healthcare practice

Apply quality standards related to risk management, safety procedures, patients feedback, screening and medical devices in daily practice, as they are recognized by the national professional associations and authorities.

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display medical problems

Emphasize significant medical issues in a way that the attention of any healthcare professional using the record is directed on them.

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identify patients' medical records

Locate, retrieve and present medical records, as requested by authorized medical personnel.

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maintain healthcare user data confidentiality

Comply with and maintain the confidentiality of healthcare users` illness and treatment information.

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manage digital archives

Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.

digital
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perform backups

Implement backup procedures to backup data and systems to ensure permanent and reliable system operation. Execute data backups in order to secure information by copying and archiving to ensure integrity during system integration and after data loss occurrence.

digital
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perform clinical coding procedures

Match and record correctly the specific illnesses and treatments of a patient by using a clinical codes classification system.

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use electronic health records management system

Be able to use specific software for the management of health care records, following appropriate codes of practice.

digital
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work in multidisciplinary health teams

Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.

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Cross-sector

6 competences
adhere to organisational guidelines

Adhere to organisational or department specific standards and guidelines. Understand the motives of the organisation and the common agreements and act accordingly.

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apply organisational techniques

Employ a set of organisational techniques and procedures which facilitate the achievement of the set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.

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follow clinical guidelines

Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.

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manage healthcare users' data

Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.

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process data

Enter information into a data storage and data retrieval system via processes such as scanning, manual keying or electronic data transfer in order to process large amounts of data.

digital
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type on electronic devices

Type fast and flawless on electronic devices such as computers in order to ensure a quick and accurate data entry.

digital
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Optional knowledge 3 competences

Occupation specific

0 competences

No competences in this bucket.

Sector-specific

1 competence
customer service

Processes and principles related to the customer, client, service user and to personal services; these may include procedures to evaluate customer's or service user's satisfaction.

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Cross-sector

2 competences
medical studies

The basics and terminology of medical studies.

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pharmacology

Pharmacology is a medical specialty mentioned in the EU Directive 2005/36/EC.

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Optional skills and competences 13 competences

Occupation specific

0 competences

No competences in this bucket.

Sector-specific

4 competences
answer patients' questions

Respond in a friendly and professional manner to all inquiries from current or potential patients, and their families, of a healthcare establishment.

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participate in medical records' auditing activities

Assist and help with any requests arisen during audits related to the archiving, filling and processing of medical records.

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review patient's medical data

Assess and review relevant medical data of patients such as X-rays, medical history and laboratory reports.

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transfer medical information

Extract information from a patient's notes and enter them in a computer programme.

digital
ESCO source

Cross-sector

9 competences
communicate in foreign languages with health service providers

Apply foreign languages in communicating with health service providers such as doctors and nurses.

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communicate in healthcare

Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.

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communicate with customers

Respond to and communicate with customers in the most efficient and appropriate manner to enable them to access the desired products or services, or any other help they may require.

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handle paperwork

Handle work-related paperwork ensuring that all relevant requirements are met.

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manage digital documents

Manage various data formats and files by naming, publishing, transforming and sharing files and documents and transforming file formats.

digital
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send samples to laboratory

Forward collected samples to the concerned laboratory, following strict procedures related to the labeling and tracking of the information on the samples.

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use communication techniques

Apply techniques of communication which allow interlocutors to better understand each other and communicate accurately in the transmission of messages.

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use databases

Use software tools for managing and organising data in a structured environment which consists of attributes, tables and relationships in order to query and modify the stored data.

digital
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work in a multicultural environment in health care

Interact, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.

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