Medical transcriptionists, sometimes referred to as healthcare documentation specialists, listen to voice recordings that physicians and other healthcare workers make and convert them into written reports. They also may review and edit medical documents created using speech recognition technology. Transcriptionists interpret medical terminology and abbreviations in preparing patients' medical histories, discharge summaries, and other documents.
Duties
Listen to the recorded dictation of a doctor or other healthcare worker
Interpret and transcribe the dictation into patient history, exam notes, operative reports, referral letters, discharge summaries, and other documents
Review and edit drafts prepared by speech recognition software, making sure that the transcription is correct, complete, and consistent in style
Translate medical abbreviations and jargon into the appropriate long form
Identify inconsistencies, errors, and missing information within a report that could compromise patient care
Follow up with the healthcare provider to ensure that reports are accurate
Submit health records for physicians to approve
Follow patient confidentiality guidelines and legal documentation requirements
Enter medical reports into electronic health records (EHR) systems
Perform quality improvement audits
Relevant degree to practice as a medical transcriber
Must be able to type seventy (70) words or more per minute
Secretarial training (added advantage)
Good spelling and grammar.
Background in any medical facility would be a great advantage
No older than 45years
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