Medical Records Technician Syllabus

The Final Exam – This test is necessary to receive a Certificate of Completion. Depending on your final score, certificate and/or letters are provided. The final will provide you the look and feel of a real employer exam. If you pass our final exam, you will pass almost any employer exam.

Final Exam for CD Version of the Courses The Final Exam is included in the cost of the online courses. If you choose to do a course via the CD option, it is $89.00 to take the final exam.

*** All coding courses, or courses that include coding require the purchase of two reference books from an outside source. You may also purchase a used inexpensive edition anywhere online instead of the new edition. *** – SELECT THE 89.95 EDITION and



Chapter 1 – Medical Record Technician

Chapter 2 – Medical Records

A. Rationale and Application

B. Record Number and Forms

C. Medical Reports

(1) History and Physical

(2) Clinical and Laboratory

(3) Autopsy

(4) Operation

(5) Discharge Summaries

Chapter 3 – Departmental Responsibilities

A. The Department

B. Step by Step Process

C. Filing Systems

(1) Straight Numeric Filing

(2) Terminal Digital Filing

D. Data and Statistics

Chapter 4 – Electronic Medical Records


B. Differences in EMR/EHR

C. Benefits of EHR

D. Paper Medical Records

E. Computerization of Medical Records

Chapter 5 – Policies and Procedures

A. Policies and Procedures

B. Confidential Information Management

C. Public Law – HIPAA

Chapter 6 – Workplace Assets

Chapter 7 – Medical Professionals

Chapter 9 – Coding

A. Disease Classifications and Coding

B. ICD9-10 Codes

C. CPT Codes


E. APC Codes

F. Coding Software

G. Coding Practice