Medical Records Clerk Canada

The medical records clerk Canada is very important to healthcare.  Every time a patient receives health care, a record is maintained of the observations, medical or surgical interventions, and treatment outcomes.

This record includes information that the patient provides concerning his or her symptoms and medical history, the results of examinations, reports of x rays and laboratory tests, diagnoses, and treatment plans. Medical records and health information technicians organize and evaluate these records for completeness and accuracy.

Technicians assemble patients’ health information and make sure those patients’ initial medical charts are complete; that all forms are completed and properly identified and signed and that all necessary information is in the computer. They regularly communicate with physicians and other health care professionals to clarify diagnoses or to obtain additional information.

Medical records clerks Canada and health information technicians’ duties vary with the size of the facility where they work. In small facilities, a credentialed medical records and health information technician sometimes manages the department.  In larger facilities the two functions may be separate jobs. 

Medical record keeping is becoming increasingly computer based.  Electronic Health Records have become mandatory in the U.S. and Canada is also moving towards electronic systems.

Working Conditions
As part of the medical records clerk Canada duties medical records and health information technicians usually work a 35-hour week. Some overtime may be required. In hospitals—where health information departments often are open 24 hours a day, 7 days a week—technicians may work day, evening and night shifts.

Medical records and health information technicians work in pleasant and comfortable offices. This is one of the few health occupations in which there is little or no direct contact with patients. Because accuracy is essential in their jobs, technicians must pay close attention to detail. Technicians who work at computer monitors for prolonged periods must guard against eyestrain and muscle pain.  Repetition injuries such as carpal tunnel are common. 

Medical Records Clerk Canada Training and Qualifications
Medical records and health information technicians entering the field usually have an associate degree from a community or junior college. In addition to general education, coursework includes medical terminology, anatomy and physiology, legal aspects of health information, coding and abstraction of data, statistics, database management, quality improvement methods, and computer science. Applicants can improve their chances of admission into a program by taking biology, chemistry, health, and computer science courses in high school.

Licensing and Regulation
Licensing is usually not required to be a Medical Records Clerk Canada but some form of certification or registration is.  In Canada a national certification is obtained by taking a 2-3 year program in health records management and taking a standardized exam for certification.  Once a medical records clerk or health information technician is certified they may work in any province or region in Canada.

Socialized Medicine
In Canada, Socialized Medicine makes sure that all Canadian citizens are assured medical care for themselves and their family under the Canadian health care system.  This health care program provides Canadians preventative, as well as daily medical care from doctors. This ensures all Canadian citizens access to good medical and health care. Nearly all Canadian citizens, regardless of income or medical history qualify for this unique medical care.

Significant Points
Employment is expected to grow much faster than average. Job prospects should be very good. 

Technicians with a strong background in medical coding will be in particularly high demand.

Entrants usually have an associate degree; courses include anatomy, physiology, medical terminology, statistics and computer science.

Reliance on Electronic Health Records will require this profession to be competent with computers, databases and Electronic Health Record software.

This is one of the few health occupations in which there is little or no direct contact with patients.