A professional who plans, develops, and administers health information system for health care facility consistent with standards of accrediting and regulatory agencies and requirements of health care system. Responsibilities include:

• Develops and implements policies and procedures for documenting, storing, and retrieving information, and for processing medical-legal documents, insurance data, and correspondence requests, in conformance with federal, state, and local statutes.
• Supervises staff, directly or through subordinates, in preparing and analyzing medical documents.
• Participates in development and design of computer software for computerized health information system.
• Coordinates medical care evaluation with medical staff and develops criteria and methods for such evaluation.
• Develops in-service educational materials and conducts instructional programs for health care personnel.
• Analyzes patient data for reimbursement, facility planning, quality of patient care, risk management, utilization management, and research.
• May manage medical records department and be known as Director, Medical Records.