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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- Conventional / Realistic
The classification of databases, their purpose, terminology, characteristics, models and use such as document-oriented databases, XML 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.
- Medical terminology
The meaning of medical terms and abbreviations, of medical prescriptions and various medical specialties and when to use it correctly.
The set of structural rules governing the composition of clauses, phrases, and words in any given natural language.
- 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.
- Use electronic health records management system
Be able to use specific software for the management of health care records, following appropriate codes of 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.
- Apply grammar and spelling rules
Apply the rules of spelling and grammar and ensure consistency throughout texts.
- Edit dictated medical texts
Revise and edit dictated texts used for medical records purposes.
- Maintain healthcare user data confidentiality
Comply with and maintain the confidentiality of healthcare users` illness and treatment information.
- Manage digital archives
Create and maintain computer archives and databases, incorporating latest developments in electronic information storage technology.
- Transcribe medical data
Listen to the recordings of the healthcare professional, write the information down and format it into files.
- Follow given instructions
Follow instructions to achieve goals and meet deadlines.
- 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.
Optional knowledge and skillsuse shorthand administrative tasks in a medical environment transfer medical information health care system professional documentation in health care identify patients' medical records display medical problems work in multidisciplinary health teams perform clinical coding procedures participate in medical records' auditing activities medical informatics handle paperwork perform backups review patient's medical data process data human anatomy collect healthcare user's general data
Common job titles
- Medical transcriptionist
- Experienced transcriptionist
- Part-time independent contractor radiology transcriptionist
- Transcription quality liaison
- Medical transcriber
- Triage coordinator- remote position (work from home)
- Med/surg transcriptionist job