Medical Transcriptionists :: Job Description

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Medical Transcriptionists

Careers / Medical Transcriptionists

Summary Description


	Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

Sample Job Titles

1.	Certified Coding Specialist

2.	Certified Medical Coder

3.	Certified Medical Transcriptionist

4.	Certified Professional Coder (CPC)

5.	Clinical Medical Transcriptionist

6.	Data Transcriber

7.	Documentation Specialist

8.	Medical Administrative Specialist

9.	Medical Coding Technician

10.	Medical Language Specialist

11.	Medical Record Transcriber

12.	Medical Secretary

13.	Medical Stenographer

14.	Medical Transcriber

15.	Medical Transcription

16.	Medical Transcription Supervisor

17.	Medical Transcription-Radiology

18.	Medical Transcriptionist

19.	Pathology Transcriptionist

20.	Provider Scribe

21.	Radiology Transcriptionist

22.	Radiology Transcriptionist/Radiology Clerk

23.	Registered Medical Transcriptionist

24.	Senior Medical Transcriptionist

25.	Transcriber

26.	Transcribing Machine Operator

27.	Transcription Coordinator

28.	Transcription Specialist

29.	Transcriptionist

Job Tasks

	Take dictation using shorthand, a stenotype machine, or headsets and transcribing machines. Perform clerical work in medical settings.

	Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records. Prepare medical reports or documents.

	Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians. Record vital statistics or other health information. Perform clerical work in medical settings.

	Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology. Prepare medical reports or documents.

	Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries. Prepare medical reports or documents.

	Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine. Prepare medical reports or documents.

	Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records. Prepare medical reports or documents.

	Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material. Prepare medical reports or documents.

	Identify mistakes in reports and check with doctors to obtain the correct information. Prepare medical reports or documents.

	Set up and maintain medical files and databases, including records such as x-ray, lab, and procedure reports, medical histories, diagnostic workups, admission and discharge summaries, and clinical resumes. Maintain medical records.

	Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, and operating office machines. Perform clerical work in medical settings. Process medical billing information.

	Receive patients, schedule appointments, and maintain patient records. Schedule patient procedures or appointments. Maintain medical records.

	Answer inquiries concerning the progress of medical cases, within the limits of confidentiality laws.

	Decide which information should be included or excluded in reports. Prepare medical reports or documents.

	Receive and screen telephone calls and visitors. Perform clerical work in medical settings.

Work Activities

Importance	Work Activity

Interacting With Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.

Documenting/Recording Information — Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.

Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.

Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.

Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job.

Identifying Objects, Actions, and Events — Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.

Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work.

Establishing and Maintaining Interpersonal Relationships — Developing constructive and cooperative working relationships with others, and maintaining them over time.

Evaluating Information to Determine Compliance with Standards — Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Analyzing Data or Information — Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.

Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems.

Monitor Processes, Materials, or Surroundings — Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Interpreting the Meaning of Information for Others — Translating or explaining what information means and how it can be used.

Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.

Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Judging the Qualities of Things, Services, or People — Assessing the value, importance, or quality of things or people.

Scheduling Work and Activities — Scheduling events, programs, and activities, as well as the work of others.

Coordinating the Work and Activities of Others — Getting members of a group to work together to accomplish tasks.

Nature of the Work


	(Abstract from Career Articles)

	Medical Transcriptionists
	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 may also 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.

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Working Conditions


	(Abstract from Career Articles)

	Medical Transcriptionists
	Most medical transcriptionists work for hospitals, physicians' offices, and third-party transcription service companies that provide transcription services to healthcare establishments. Others are self-employed.

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