Transcribe recordings to type-written format using keyboard, computer, and audio control equipment.
Transcribe and interpret dictation to provide a permanent record of patient care, i.e., Operative Reports, Consultation Reports, and Discharge Summaries.
Identify inconsistencies, errors, and missing information within a report that could compromise patient care.
Follow up with the healthcare provider to ensure the accuracy of the reports.
Submit health records for physicians to approve.
Complete the health records within the turnaround time while maintaining utmost confidentiality.
Submit transcribed documents for inclusion in official hospital records.
Carry out technical analysis and evaluation of medical records in accordance with accreditation standards.
Evaluate medical record documentation for deficiencies in the outpatient medical records and arrange for completion of records with the cooperation of medical and nursing staff.
Demonstrate an understanding of the medico-legal implications and responsibilities related to the transcription of patient records to protect the patient and the hospital.
Operate the designated word processing, dictation, and transcription equipment as directed to complete assignments.
Expand job-related knowledge and skills to improve performance and adjust to change.
Perform other duties and tasks within the realm of knowledge and ability as required.
Desired Candidate Profile:
Bachelor’s Degree Successful completion of a recognized medical transcription training program preferred.