Profession medical transcriptionist

Medical transcriptionists interpret dictated information from the doctor or other healthcare professionals and convert it into documents. They create, format and edit medical records for patients based on the provided data and take care to apply punctuation and grammar rules.

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Personality Type

Knowledge

  • Grammar

    The set of structural rules governing the composition of clauses, phrases, and words in any given natural language.

  • Medical terminology

    The meaning of medical terms and abbreviations, of medical prescriptions and various medical specialties and when to use it correctly.

  • Database

    The classification of databases, that includes their purpose, characteristics, terminology, models and use such as XML databases, document-oriented databases and full text databases.

  • Health records management

    The procedures and importance of record keeping in a healthcare system such as hospitals or clinics, the information systems used to keep and process records and how to achieve maximum accuracy of records.

Skills

  • Apply grammar and spelling rules

    Apply the rules of spelling and grammar and ensure consistency throughout texts.

  • Use electronic health records management system

    Use specific software for the management of health care records, following appropriate codes of practice.

  • Manage digital archives

    Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.

  • Follow given instructions

    Follow instructions to achieve goals and meet deadlines.

  • Transcribe medical data

    Listen to the recordings of the healthcare professional, write the information down and format it into files.

  • Comply with legislation related to health care

    Comply with the regional and national legislation that is relevant to one`s work and apply it in practice.

  • Apply organisational techniques

    Employ a set of organisational techniques and procedures which facilitate the achievement of the goals set. Use these resources efficiently and sustainably, and show flexibility when required.

  • Archive healthcare users' records

    Properly store the health records of healthcare users, including test results and case notes so that they are easily retrieved when required.

  • Maintain healthcare user data confidentiality

    Comply with and maintain the confidentiality of healthcare users` illness and treatment information.

  • Edit dictated medical texts

    Revise and edit dictated texts used for medical records purposes.

Optional knowledge and skills

process data medical informatics use shorthand transfer medical information human anatomy handle paperwork perform backups identify patients' medical records display medical problems professional documentation in health care collect healthcare user's general data health care system work in multidisciplinary health teams perform clinical coding procedures review patient's medical data administrative tasks in a medical environment participate in medical records' auditing activities