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Health Information Technologists and Medical Registrars

SOC 29-9021.00Job Zone 3 · Medium Preparationv.26.05

Context coveredThis framework covers health information management practice in clinical, hospital, and integrated healthcare settings, spanning medical coding, electronic health records, regulatory compliance, billing, and data governance at Job Zone 3 preparation level.

Sources:O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.SkillsCrosswalkSkillsCrosswalk — O*NET enrichment + adjacency index. Opens in new tab.
Emerging
Entry / Apprentice
  1. Patient medical histories — collect and record under direct supervision using standardized intake forms in an outpatient health information setting.
  2. Medical coding software — navigate and enter basic diagnostic codes following established protocols with supervisor review in a clinical records department.
  3. Patient demographic and health data — input accurately into electronic health record systems under close guidance in a hospital or clinic environment.
  4. Medical terminology and classification systems — identify and apply foundational concepts when reviewing health records under direction from senior staff.
  5. Billing and invoicing software — process routine patient billing transactions following step-by-step procedures under direct oversight in a medical office.
  6. Health record completeness — review and flag missing or inconsistent documentation using a standard checklist under supervisor direction in a health information unit.
  7. Information retrieval software — perform basic database queries to locate patient records following prescribed search protocols in a clinical setting.
  8. Written health reports — read and summarize standard medical documentation under guidance, applying basic reading comprehension skills in a health information role.
  9. Office suite software — prepare routine correspondence and simple data tables under direction to support health information workflows in an administrative environment.
  10. Privacy and security protocols — follow established transaction security and data protection procedures under supervision when handling sensitive patient records.
Developing
Mid-level / Established
  1. Patient medical histories — obtain, verify, and organize with reduced oversight, ensuring accuracy and completeness in a busy outpatient or hospital records department.
  2. Diagnostic and procedural codes — assign using categorization software with routine proficiency, resolving common coding discrepancies independently in a clinical health information setting.
  3. Electronic health record systems — maintain and update patient data regularly, adapting to departmental workflow changes in a multi-provider clinical environment.
  4. Health information documentation — evaluate for compliance with regulatory standards, applying critical thinking to identify and correct errors in a medical records unit.
  5. Billing and claims submissions — prepare and transmit routine insurance claims using billing software, addressing standard rejections without supervisor escalation in a medical office.
  6. Patient data queries — conduct structured database searches to support clinical and administrative reporting needs in a health information department.
  7. Interdisciplinary communication — convey health record findings clearly to clinical and administrative staff using appropriate medical language in a team-based care setting.
  8. Voice recognition software — utilize to transcribe and edit medical documentation efficiently, maintaining accuracy standards in a high-volume transcription environment.
  9. Record release and information requests — process following applicable legal and organizational guidelines with moderate independence in a hospital health information office.
  10. Health information trends — monitor departmental data quality metrics and report irregularities to supervisors using established monitoring protocols in a clinical records setting.
Proficient
Senior / Expert IC
  1. Complex patient health records — analyze and reconcile across multiple data sources autonomously, resolving non-routine discrepancies in a large hospital or integrated health system.
  2. Advanced medical coding — apply inductive and deductive reasoning to accurately code complex, multi-diagnosis cases using current classification systems in a specialized clinical environment.
  3. Health information system audits — conduct comprehensive reviews of record accuracy, coding consistency, and regulatory compliance without oversight in a health information management department.
  4. Patient data integrity — lead investigation and remediation of data quality issues, applying problem sensitivity and judgment across the full scope of health information operations.
  5. Clinical staff consultation — advise physicians and other practitioners on documentation requirements and best practices to support accurate coding and reimbursement in a multi-specialty setting.
  6. Information retrieval strategies — design and execute sophisticated database queries to extract actionable clinical and operational insights in a health information or analytics environment.
  7. Regulatory compliance reporting — prepare detailed written submissions to accreditation and government bodies, demonstrating comprehensive knowledge of health information standards.
  8. Medical software integration — evaluate and troubleshoot interoperability issues between EHR, billing, and classification systems to maintain seamless workflows in a complex healthcare organization.
  9. Privacy risk assessments — independently assess transaction security vulnerabilities and recommend mitigation strategies to protect patient health information in a clinical setting.
  10. Health information education — mentor junior technicians on coding, documentation, and compliance practices, applying instructional skills in a departmental training context.
Advanced
Lead / Principal / Executive
  1. Departmental health information strategy — develop and implement long-term policies and standards that align coding, documentation, and data management with organizational goals across a health system.
  2. Organizational compliance frameworks — design enterprise-wide regulatory compliance programs, setting direction for adherence to federal and state health information requirements across multiple facilities.
  3. Health information technology infrastructure — lead evaluation, selection, and deployment of medical software and EHR platforms at the organizational level, directing cross-functional implementation teams.
  4. Workforce development programs — create and oversee comprehensive training curricula for health information staff, cultivating competency and professional growth across an entire department or institution.
  5. Data governance leadership — establish and champion data integrity and security governance policies, influencing executive decision-making in a large healthcare organization.
  6. Interagency and vendor relationships — negotiate and manage contracts with technology vendors and regulatory bodies, representing the organization's health information interests at an industry level.
  7. Performance measurement systems — design and oversee department-wide quality metrics and audit frameworks, driving continuous improvement in health information accuracy and efficiency.
  8. Strategic health information reporting — produce and present executive-level analytics and trend analyses to organizational leadership, informing clinical and financial strategy across a health system.
  9. Ethical and legal standards leadership — set organizational policy on patient privacy, data stewardship, and professional integrity, modeling exemplary conduct for all health information personnel.
  10. Cross-functional innovation initiatives — lead multidisciplinary projects integrating health information technology with clinical operations, advancing the organization's capability in a rapidly evolving healthcare environment.

AI-at-Work Competency Framework

Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.
Subscriber feature

Authoritative source data identified for 998 occupations

How a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline; click a citation chip to verify the source.

Emerging
  1. AI-assisted record retrieval — uses AI tools to surface relevant coding references and terminology definitions during routine health record completion, deferring all clinical judgment to human review Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab..
Developing
  1. Structured data entry delegation — directs AI assistants to draft templated sections of patient history documentation, then verifies accuracy against source records before finalizing Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
  2. Medical terminology parsing — applies AI-generated suggestions for ICD or CPT code lookups to accelerate classification of musculoskeletal and chiropractic encounter data, retaining final coding authority Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Proficient
  1. High-volume record processing — coordinates AI tools to batch-process patient intake and medical history fields, achieving substantial throughput gains while auditing outputs for compliance and completeness Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. Cross-system data reconciliation — directs AI to flag discrepancies between patient history entries and diagnostic observations, then adjudicates conflicts using clinical knowledge and active listening skills gathered during patient encounters Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  3. Quality audit orchestration — assigns AI assistants to scan registrar records for missing or inconsistent data elements, reviewing flagged cases and applying corrective judgment that automation cannot supply Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab..
Advanced
  1. Workflow redesign leadership — evaluates which health information tasks yield the greatest accuracy and efficiency gains under AI assistance, restructures team procedures accordingly, and establishes human-oversight checkpoints for clinical and regulatory risk Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab. Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab. WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
  2. AI output validation standards — designs occupation-specific rubrics for assessing AI-generated summaries of patient medical histories, ensuring outputs meet HIPAA documentation standards before integration into the official health record WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab..
Evidence pack
AEI usage
Task observations: 26
Augment share: 2.6%
Time saved: 94.4%
AI autonomy: 2.46
SAFI positioning
Top skill: Active Listening
Score: 42.2 / 100
Quadrant: Q2_ai_augmented
precision: exact
WEF cluster
Human-Technology Interaction
human_technology_interaction
Sources:Anthropic Economic IndexAnthropic Economic Index — release_2026_03_24. Opens in new tab.Jadhav & Danve, 2026Skill Automation Feasibility Index — Jadhav & Danve, 2026 (arXiv:2604.06906). Opens in new tab.WEF Skills TaxonomyWEF Skills Taxonomy 2021 — Building a Common Language for Skills at Work. Opens in new tab.

Pathsmith Durable Skills Framework

Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Subscriber feature

Ten durable-skill domains mapped to four proficiency/role levels for each occupation. Each statement is aligned to the Pathsmith taxonomy, derived from trusted grounding data and mapped to occupation-specific O*NET tasks and skills.

1Communication16 statements
Emerging
  1. Medical record inquiry response — answers basic questions from clinical staff about coded records using standard terminology Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient intake documentation — records demographic and insurance information during registration through guided intake forms O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Written report drafting — composes basic health information summaries using approved medical vocabulary and format templates Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Verbal status update — relays routine record status to supervisors using clear, concise language in departmental meetings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Clinical staff liaison communication — explains coding rationale and documentation gaps to physicians and nurses using precise medical language Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Patient history elicitation — gathers complete medical histories through structured questioning while maintaining professional rapport during registration encounters O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Interdepartmental memo composition — drafts compliance notices and data discrepancy reports using accurate health information terminology for administrative audiences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Active listening in record review — identifies unstated documentation gaps by carefully attending to clinician verbal explanations during query resolution O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. Multi-audience health data presentation — translates coded health information findings into accessible language for clinical, administrative, and billing stakeholders simultaneously Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Registry data reporting — authors detailed cancer or trauma registry reports that communicate epidemiological trends accurately to public health agencies O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Physician query authorship — composes precise, compliant clinical documentation improvement queries that elicit specific diagnostic clarification without leading clinician responses Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Cross-functional briefing — leads departmental briefings on HIM policy updates, adapting technical content to varied audience expertise levels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Organizational health information policy communication — authors enterprise-wide data governance policies and presents them to executive leadership and external auditors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Training curriculum authorship — develops and delivers comprehensive written and verbal training materials on coding standards, registry protocols, and compliance requirements for new HIM staff Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Regulatory correspondence leadership — represents the organization in written and verbal communications with CMS, accreditation bodies, and legal counsel on health data matters O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Strategic data narrative construction — synthesizes population health data into compelling narratives that inform executive decision-making and community health planning Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
2Leadership16 statements
Emerging
  1. Workflow task ownership — takes responsibility for assigned record batches and meets daily productivity targets without requiring supervisory follow-up Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Peer information sharing — proactively shares updated coding guidance or registry protocol changes with team members during routine work sessions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Quality initiative participation — volunteers for departmental quality audits and contributes observations about process inefficiencies to team leads Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Personal accountability modeling — acknowledges and corrects own coding or registration errors promptly, setting a standard for accuracy within the team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. New staff onboarding support — guides newly hired registrars through registration workflows and EHR navigation during initial orientation periods Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Coding team coordination — organizes daily work queues and prioritizes records by payer deadline or clinical urgency to meet departmental throughput goals Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Quality improvement initiative — identifies a recurring documentation deficiency pattern and proposes a corrective action plan to the HIM supervisor Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Registry committee participation — represents HIM perspectives in multidisciplinary tumor board or trauma committee meetings, contributing data-driven insights O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. HIM project leadership — leads implementation of a new abstracting or registry software module, coordinating training, testing, and go-live activities across the department Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Audit program management — designs and executes internal coding accuracy audits, assigns review tasks, compiles findings, and presents remediation plans to department leadership Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Mentorship of developing coders — provides structured, ongoing coaching to developing health information technicians on complex coding scenarios and clinical documentation improvement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Compliance culture reinforcement — models and enforces HIPAA and data integrity standards within the team, addressing deviations directly and constructively Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Department strategic direction — leads HIM department through major regulatory transitions such as ICD revision upgrades or new registry mandates, managing change across all staffing levels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Cross-organizational HIM leadership — chairs enterprise-wide health information governance committees, aligning clinical, IT, and administrative stakeholders on data quality standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Workforce development program design — architects a competency-based development program for HIM staff that maps skill progression from entry-level to senior practitioner roles Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Industry thought leadership — presents research findings on registry data quality or coding outcomes at regional or national health information management conferences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
3Metacognition16 statements
Emerging
  1. Coding uncertainty recognition — identifies when a clinical scenario exceeds current coding knowledge and seeks clarification from official guidelines before assigning codes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Learning gap identification — reflects on audit feedback to recognize specific ICD or CPT knowledge gaps and selects targeted study resources Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Time estimation calibration — monitors personal productivity metrics against departmental benchmarks to assess efficiency and identify workflow bottlenecks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Error pattern self-assessment — reviews returned records with corrections to identify recurring personal error types and adjusts review habits accordingly Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Study strategy adjustment — modifies coding exam preparation approach based on practice test performance data, shifting focus to consistently missed clinical categories Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Workflow self-monitoring — tracks daily record volume and coding accuracy rates against personal goals, adjusting pace and review depth throughout the shift Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Knowledge boundary mapping — maintains a personal reference log of complex clinical scenarios where coding rationale required external validation, building a personal case library Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Continuing education planning — constructs a self-directed annual learning plan aligned to credential maintenance requirements and identified skill gaps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Complex case reasoning transparency — articulates step-by-step the sequencing logic used to arrive at a principal diagnosis code, enabling peer review and self-correction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Regulatory change adaptation strategy — develops a personal framework for integrating annual ICD code set updates into existing abstracting habits with minimal disruption to accuracy Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Performance reflection cycle — conducts quarterly self-evaluations against productivity and quality benchmarks, generating documented improvement actions before supervisor review Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Cognitive load management — recognizes when simultaneous registry abstraction and coding tasks degrade accuracy and restructures workload to maintain quality standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Metacognitive mentoring — teaches developing coders to monitor their own reasoning processes during complex coding scenarios, modeling think-aloud strategies for clinical logic Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Departmental learning culture design — implements structured peer case review sessions that build collective metacognitive awareness of common reasoning errors across the HIM team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Personal mastery benchmarking — compares own coding accuracy and registry data completeness rates against national benchmarks and designs targeted self-improvement projects Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Knowledge transfer system creation — documents personal expert heuristics for rare or complex coding scenarios into departmental reference guides that institutionalize individual expertise Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
4Critical Thinking16 statements
Emerging
  1. Diagnostic code selection — evaluates physician documentation to select the most accurate ICD code from multiple plausible options using coding guidelines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Record completeness assessment — identifies missing elements in patient medical histories that are required for complete and accurate registration O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Guideline application — applies Official Guidelines for Coding and Reporting to determine principal diagnosis in straightforward inpatient records Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Data entry accuracy verification — cross-checks entered demographic and insurance data against source documents to detect discrepancies before record submission O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Clinical documentation analysis — evaluates the specificity and completeness of physician documentation to determine whether it supports the assigned diagnostic codes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Conflicting information resolution — reconciles contradictory entries across multiple clinician notes to establish the most clinically supported diagnosis sequence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Registry inclusion/exclusion determination — applies case definition criteria to evaluate whether a patient encounter qualifies for cancer, trauma, or implant registry abstraction O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Audit finding interpretation — analyzes patterns in coding error data to distinguish systemic documentation problems from individual coder knowledge gaps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Complex comorbidity sequencing — evaluates multiple interacting diagnoses and procedures in medically complex inpatient records to determine compliant principal diagnosis and DRG assignment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Clinical query justification — constructs evidence-based rationale for physician queries by identifying specific documentation elements that are ambiguous, contradictory, or incomplete Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Data quality root cause analysis — investigates elevated error rates in coded data to identify underlying causes in documentation, workflow, or training and recommends targeted interventions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Fraud indicator recognition — identifies coding patterns that present potential compliance risk, applies critical scrutiny to high-risk code combinations, and escalates findings appropriately Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Exceeding
  1. Enterprise data integrity evaluation — designs systematic critical review processes for health information data pipelines, identifying points of potential inaccuracy from documentation through registry submission Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Policy assumption challenge — evaluates existing departmental coding and registry policies against current regulatory evidence, identifying outdated assumptions and recommending evidence-based revisions Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Cross-system data validation — critically examines discrepancies between EHR-coded data, billing claims, and registry abstracts to identify systemic integrity failures across platforms Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Research data quality adjudication — applies rigorous critical analysis to registry data quality for research or public health reporting purposes, making complex inclusion judgments on ambiguous cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
5Collaboration16 statements
Emerging
  1. Clinical team record request response — fulfills physician and nursing requests for health records and coded data accurately and within established turnaround standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Billing department coordination — communicates coded record questions to billing staff to resolve claim edits using shared understanding of coding and revenue cycle workflows O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Peer knowledge exchange — participates in team coding discussions and shares relevant guideline updates with colleagues during departmental huddles Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Multidisciplinary meeting participation — attends tumor board or case management meetings as the HIM representative, contributing registry and coding data as requested O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Developing
  1. Clinical documentation improvement partnership — collaborates with physicians and CDI specialists to resolve documentation gaps, balancing coding compliance with clinical workflow sensitivities Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. IT system collaboration — partners with health IT staff to test EHR coding templates and registry interfaces, providing subject matter expertise on data element requirements O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Quality team joint audit — conducts concurrent coding audits alongside quality management staff, integrating HIM and clinical quality perspectives into unified findings Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Cross-departmental workflow mapping — works with billing, compliance, and clinical departments to trace the health information lifecycle and identify handoff gaps Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Registry committee co-leadership — co-chairs multidisciplinary registry quality committee, facilitating consensus on case definitions and data submission standards among clinical and administrative members Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. HIM-IT project team integration — serves as embedded HIM subject matter expert in EHR implementation teams, ensuring coded data requirements are built into system design Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Compliance task force collaboration — works alongside compliance officers, legal counsel, and clinical leadership in responding to external audits, contributing HIM expertise to unified organizational response Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Educational partnership — collaborates with academic health information management programs to provide practicum supervision, integrating student supervision into departmental workflows Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Health system data governance collaboration — leads cross-functional health information governance bodies that span clinical, financial, operational, and IT domains to align data standards Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Public health agency data partnership — establishes collaborative data-sharing agreements with state health departments and cancer registries, managing multi-institutional data quality and submission protocols O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Vendor partnership management — leads collaborative evaluation and implementation of new coding, registry, or CDI vendor solutions, coordinating input from clinical, IT, and administrative stakeholders Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Research collaboration leadership — partners with clinical researchers and biostatisticians to design registry data extraction methodologies that meet both research validity and data privacy requirements Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
6Character16 statements
Emerging
  1. HIPAA confidentiality adherence — handles all patient health information in strict accordance with HIPAA privacy and security regulations in every work interaction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Coding accuracy commitment — submits only codes that are fully supported by clinical documentation, refusing to assign codes under productivity pressure when documentation is insufficient Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Deadline accountability — meets assigned record coding and registration turnaround time commitments consistently without requiring supervisory reminders Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Professional conduct maintenance — interacts with clinical staff, patients, and colleagues with respect and discretion regardless of workplace stressors Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Data integrity ownership — self-reports discovered coding errors promptly and initiates correction processes, prioritizing accuracy over personal productivity metrics Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Ethical query practice — constructs physician queries that seek clinical clarification without suggesting a preferred diagnosis or financially motivated code assignment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Confidential information stewardship — identifies and reports potential HIPAA breaches or unauthorized record access attempts through appropriate organizational channels Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Consistent professional standards — maintains identical coding and documentation standards whether records are subject to audit scrutiny or routine processing Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Compliance culture contribution — actively challenges team practices that compromise data integrity or create compliance risk, doing so through appropriate channels and constructive dialogue Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Ethical audit leadership — conducts internal coding audits with objectivity and impartiality, reporting findings accurately even when results reflect negatively on peer or departmental performance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Patient advocate behavior — escalates identified discrepancies between coded records and clinical reality that could adversely affect patient care continuity or insurance coverage Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Transparent error disclosure — presents audit findings and error rates to leadership with full transparency, including systemic root causes rather than minimizing negative outcomes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Organizational ethics modeling — establishes the behavioral standard for data integrity and compliance across the HIM department through consistent, visible ethical leadership Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Compliance program stewardship — designs and champions a departmental compliance program that institutionalizes ethical coding and registry practices beyond individual accountability Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Whistleblower support advocacy — creates a psychologically safe environment in which HIM staff feel empowered to report suspected fraud, upcoding, or data manipulation without fear of retaliation Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Professional association ethics contribution — participates in AHIMA or AAPC ethics committee work, contributing expertise to the development of professional standards for health information practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
7Creativity16 statements
Emerging
  1. Work queue prioritization innovation — devises personal organizational strategies for managing competing record deadlines that improve throughput beyond standard departmental method Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Reference tool development — creates personal quick-reference coding crosswalks or decision trees for frequently encountered complex diagnoses to improve accuracy and efficiency Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Problem identification reframing — approaches recurring data discrepancies from alternative angles to identify non-obvious sources of error in the coding or registration workflow Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Documentation template feedback — suggests specific improvements to physician documentation templates based on patterns of coding ambiguity encountered in daily abstracting work Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Registry data visualization design — creates novel graphical representations of registry data trends that make complex epidemiological patterns accessible to non-technical clinical audiences Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. CDI query template innovation — develops new physician query templates for emerging or complex clinical scenarios not addressed by existing organizational query libraries Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Training scenario construction — designs realistic, occupation-specific case studies for HIM staff training that simulate complex coding challenges drawn from actual de-identified records Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Process gap solution design — proposes creative workflow redesigns to address chronic backlogs or recurring data quality failures without requiring additional staffing resources Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Registry program expansion — designs and pilots a new registry program or data collection initiative by adapting existing organizational infrastructure creatively to meet emerging reporting mandates Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Coding compliance tool authorship — develops original internal coding decision support tools, audit instruments, or clinical documentation scorecards tailored to the organization's specific service lines and payer mix Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Interdisciplinary education innovation — creates novel cross-departmental training experiences that build clinical staff understanding of documentation impact on coding and reimbursement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Data quality improvement methodology — designs a creative prospective monitoring system that catches coding errors or registry abstraction gaps before submission rather than through retrospective audit Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Health information program design innovation — architects entirely new departmental programs, such as hybrid remote coding models or AI-assisted abstracting workflows, that redefine how health information services are delivered Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Research methodology contribution — develops original data abstraction methodologies or registry study designs that advance the evidence base for health information management practice Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. National coding guidance contribution — contributes creative solutions to ambiguous coding scenarios by submitting formal coding clinic queries that shape national coding guidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Technology integration visioning — envisions and leads the creative integration of natural language processing or machine learning tools into the coding and registry workflow, designing validation frameworks that preserve data integrity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
8Growth Mindset16 statements
Emerging
  1. Coding feedback acceptance — receives supervisor corrections on coded records without defensiveness and immediately applies corrections to subsequent similar cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Annual code set adaptation — engages proactively with each annual ICD and CPT code set update, treating expanded terminology as an opportunity to deepen clinical knowledge Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Credentialing pursuit — enrolls in and actively progresses toward RHIT, CCS, or CTR credentials as a voluntary investment in professional growth beyond minimum job requirements Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Error reframing — treats discovered coding or abstraction errors as diagnostic information about knowledge gaps rather than as personal failures Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Complex case persistence — continues working through ambiguous or clinically complex records by consulting multiple coding references and clinical resources rather than defaulting to a simpler code Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. Regulatory change embrace — approaches major regulatory transitions such as ICD revision cycles or new registry standards as learning opportunities and volunteers for transition teams Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Peer feedback integration — actively solicits colleague perspectives on complex coding decisions and incorporates alternate reasoning into personal practice when evidence supports it Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Skill stretch pursuit — volunteers for assignments in unfamiliar clinical service lines or registry types to deliberately expand coding breadth beyond established comfort zone Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. Audit-driven growth — uses internal and external audit findings as a structured curriculum for self-directed learning, converting each identified weakness into a documented improvement project Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Cross-credential expansion — pursues additional specialty coding credentials or registry certifications beyond initial credentialing to expand occupational versatility and depth Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Setback recovery modeling — demonstrates constructive response to failed audits, claim denials, or compliance findings by leading a transparent lessons-learned process for the team Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Technology adaptation leadership — embraces new EHR systems, coding software, or registry platforms as growth opportunities and proactively develops proficiency ahead of organizational go-live dates Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Continuous learning culture creation — establishes departmental structures such as journal clubs, coding case competitions, or monthly guideline reviews that sustain growth mindset as a team norm Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Post-failure organizational learning — responds to significant compliance findings or registry restatements by designing systemic learning interventions rather than assigning individual blame Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Mentorship as personal development — treats the act of mentoring developing HIM staff as a reciprocal learning process, actively seeking new perspectives from those being mentored Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Professional field advancement commitment — contributes original articles, research, or presentations to health information management professional publications, demonstrating sustained commitment to field-wide growth Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
9Mindfulness16 statements
Emerging
  1. Attention management during data entry — maintains focused concentration during high-volume registration or coding tasks to prevent transcription errors caused by distraction Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Emotional regulation during clinical contact — manages discomfort when reviewing graphic or emotionally heavy medical records, maintaining professional processing without avoidance Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Deadline stress awareness — recognizes early signs of productivity-related stress and applies brief self-regulation strategies to maintain accuracy under turnaround time pressure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Present-moment record review — applies deliberate attention to each patient record rather than relying on pattern assumptions, catching atypical presentations that diverge from routine cases Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Intentional pacing under volume pressure — regulates work pace mindfully during high-volume periods, recognizing that rushed abstracting produces compounding errors that consume more time in rework Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Clinical content desensitization management — develops and applies personal strategies for maintaining professional equanimity when routinely reviewing records containing traumatic, terminal, or distressing clinical content Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Attention restoration practice — incorporates deliberate attention breaks during extended coding or abstracting sessions to maintain accuracy across full work shifts Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Interpersonal awareness in queries — attends carefully to physician tone and receptivity cues when delivering clinical documentation improvement queries, adjusting communication approach in real time Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
Applying
  1. High-stakes task intentionality — approaches cancer registry abstraction, trauma registry certification, or compliance audit preparation with deliberate, unhurried attention, sequencing tasks to minimize cognitive interference Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Workplace conflict de-escalation — responds to tense interactions with clinical staff over documentation queries or record disputes with composed, present-moment awareness rather than reactive defensiveness Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Decision-making under uncertainty — pauses intentionally when coding ambiguity is high, resists the impulse to default to a familiar code, and applies systematic analysis before final code assignment Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Sustained attention system design — builds personal workflow structures, such as distraction-minimizing environment and structured review checklists, that support mindful accuracy during complex abstraction tasks Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Team mindfulness culture cultivation — introduces structured attention and stress-regulation practices into HIM team culture, such as pre-shift briefings or reflection protocols after high-stress audit periods Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Organizational stress response leadership — models and teaches composed, intentional decision-making during high-pressure periods such as external audits, system downtimes, or regulatory deadlines Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Mentor presence in coaching — brings full, non-judgmental attention to coaching sessions with developing HIM staff, creating space for honest reflection on errors and uncertainties Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Strategic intentionality in change leadership — guides the HIM department through major transitions with deliberate, present-focused leadership that resists reactive decision-making and sustains team stability Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
10Fortitude16 statements
Emerging
  1. Audit correction resilience — continues coding work productively after receiving critical audit feedback without prolonged discouragement or decline in subsequent submission quality Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Regulatory complexity persistence — sustains effort when working through particularly complex or voluminous inpatient records that require extended research across multiple coding references Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Repetitive task endurance — maintains accuracy and professional standards during extended periods of high-volume, repetitive registration or coding work without productivity deterioration Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Ambiguity tolerance — proceeds with systematic coding analysis when clinical documentation is poor or incomplete rather than waiting for ideal conditions before engaging the record Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Developing
  1. Workload surge endurance — maintains coding accuracy and professional conduct during census peaks, audit preparation periods, or staff shortages that significantly increase individual workload Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Compliance pressure resistance — sustains commitment to accurate, compliant coding when facing productivity pressure or implicit pressure from revenue cycle stakeholders to assign higher-weighted codes Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  3. Difficult physician interaction persistence — continues constructive clinical documentation improvement engagement with resistant or dismissive physicians over multiple query cycles without withdrawing from the process Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Credential examination perseverance — sustains rigorous preparation for RHIT, CCS, or CTR certification examinations through repeated study cycles, including recovery from initial examination failure Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Applying
  1. External audit endurance — maintains professional composure, accuracy, and diligence throughout extended external audit processes involving RAC, OIG, or accreditation reviewers, which may span weeks or months Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  2. System transition resilience — sustains departmental performance through major EHR migrations or registry platform transitions that disrupt established workflows and require simultaneous learning and production Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Chronic documentation quality adversity — persists in clinical documentation improvement efforts within organizations where physician engagement is consistently low, maintaining advocacy through sustained, evidence-based influence Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab. O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
  4. Ethical resistance fortitude — holds firm to compliant coding standards when facing direct pressure from administrators or revenue cycle leadership to assign unsupported codes, accepting personal professional risk in defense of data integrity Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Exceeding
  1. Organizational crisis leadership — guides the HIM department through major operational crises such as ransomware attacks on EHR systems, CMS investigations, or mass record breach events with sustained composure and decisive action Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  2. Long-cycle compliance remediation — leads multi-year organizational compliance remediation programs following significant external audit findings, sustaining team morale and accuracy standards throughout prolonged uncertainty Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  3. Field-level advocacy courage — publicly advocates for health information management workforce issues, ethical coding standards, or registry resource equity at national professional forums, accepting reputational risk in service of professional advancement Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
  4. Transformational change endurance — shepherds the HIM department through multi-year technological or regulatory transformation initiatives, maintaining team cohesion and performance standards across the full duration of sustained organizational disruption Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.
Sources:Pathsmith Durable SkillsPathsmith Durable Skills Framework — America Succeeds + CompTIA. Opens in new tab.O*NET v30.2O*NET Resource Center — Occupational Information Network, v30.2 (Sept 2025). Opens in new tab.
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Source anchors that ground each statement

Related titles
Applications Analyst · Cancer Registrar · Cancer Tumor Registrar · Certified Cancer Registrar · Certified Tumor Registrar (CTR) · Clinical Analyst · Clinical Data Specialist · Clinical Documentation Improvement Specialist (CDIS) · Compliance Coordinator · Data Integrity Specialist · Digital Health Technologist · Health Data Analyst
RAPIDS apprenticeships
—
O*NET skills
Active ListeningCritical ThinkingReading ComprehensionSpeakingSocial PerceptivenessMonitoringJudgment and Decision MakingWriting
Knowledge domains
Medicine and DentistryCustomer and Personal ServiceEnglish LanguageBiologyPsychologyEducation and TrainingTherapy and CounselingComputers and Electronics
Abilities
Oral ComprehensionProblem SensitivityOral ExpressionWritten ComprehensionDeductive ReasoningInductive Reasoning
Work styles
Attention to DetailDependabilityCautiousnessIntegrityCooperationSelf-Control
Technology
Categorization or classification softwareMedical softwareBilling and invoicing softwareInformation retrieval or search softwareOffice suite softwareVoice recognition softwareDesktop communications softwareData base user interface and query softwareElectronic mail softwareTransaction security and virus protection software
Tasks · seed anchors for statements
  1. Evaluate the functioning of the neuromuscularskeletal system and the spine using systems of chiropractic diagn
  2. Diagnose health problems by reviewing patients' health and medical histories, questioning, observing, and exam
  3. Perform a series of manual adjustments to the spine or other articulations of the body to correct the musculos
  4. Obtain and record patients' medical histories.
CIP education codes
51.070651.070751.071351.072151.072351.2706

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.