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

  • Conventional / Realistic

Knowledge

  • 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.

  • 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, their purpose, terminology, characteristics, models and use such as document-oriented databases, XML databases and full text databases.

Skills

  • 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 set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.

  • Edit dictated medical texts

    Revise and edit dictated texts used for medical records purposes.

  • Follow given instructions

    Follow instructions to achieve goals and meet deadlines.

  • Maintain healthcare user data confidentiality

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

  • Apply grammar and spelling rules

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

  • 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.

  • Manage digital archives

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

  • Use electronic health records management system

    Be able to use specific software for the management of health care records, following appropriate codes of practice.

  • Transcribe medical data

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

Optional knowledge and skills

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