Introduction: The recent advances in medical sciences and information technology (IT), health care organizations turned to the competitive environments and consumer-driven ones. So for successful at expand and continue their activities they increasingly need to HIM professionals. In this environment exist many opportunities for HIM professionals, but this opportunities are only useable for people who have multi-skills and readiness to dealing with new changes. This research was aimed to examine medical record staffs in Tabriz Medical University Hospitals.

Methods: This is a cross-sectional study on 60 managers (12), and staffs (48) of MRD of 12 Tabriz University Hospitals. They completed questionnaires in four categories. To analyze the data, we used SPSS software. 

Results: The majority of respondents (73%) were female mean of years of years of practice was 8/6 years. The most important skills of MRP needed sorting at 3 categories: General skills: ability to use computer - speed activity with high accurate - responsibility - "self- learning" - change management Communication skills: ability to communicate with managements, patients, and physicians Professional skills: reporting - analysis data - documentation - familiar with HIS - retrieval information -correct coding. 

Conclusions: In responding to changes occurred at HIM workplace and need to new skills these strategies are needed: The new and suitable definition from the structure of MRD in hospitals revising and updating of academic education taking course for training and changing management works from paper medical record to HER.