Have you ever wondered what the official medical transcriptionist job description is? Maybe you are thinking about going to medical transcription school or an online training program to become one but need more information on what kind of responsibilities they actually have in the workplace.
In the following article we will be providing an in depth look at the medical transcription duties to help keep the healthcare industry moving along.
Medical Transcriptionist Job Description
On the surface, the medical transcriptionist job description is taking the oral account from a doctor’s notes and transcribing it to the written word for medical records. However the responsibilities of a certified medical transcriptionist is a bit deeper.
One of the main duties of the medical transcriptionist is to listen to a dictation that has been recorded by a doctor or another type of health professional. Listening through a set of headphones, the individual is tasked with quickly and accurately relaying the information recorded in to a written report to be placed in the patients records. Which isn’t as easy as it sounds because…
Interpret and Decoding
Part of the transcription process is interpreting and decoding the language used by the doctor. In the medical field they have created their own language of abbreviations, codes, shorthand and medical terminology becomes second nature. Part of the medical transcriptionist’s job is to decode this information in something more understandable for all to read.
After the initial interpreting and decoding process, the transcriptionist will start writing a report that will eventually be included in the patient’s permanent medical file. The MT (medical transcriptionist) may go back to the tapes to make sure that they transcribed in the information correctly. This is also a chance to watch out for any inconsistencies with the report against normal procedures.
Part of the medical transcriptionist job is to double check the information with the healthcare personnel, usually the doctor. By doing this the transcriptionist can confirm or fix any misinterpretations before making the final report. The information must be accurate as possible since typo mistakes on diagnostic test results and operative reports could be problematic down the road for the patient.
Another important aspect of the medical transcriptionist’s job is to make sure that the report grammatically correct and professional looking. Typos and clerical errors should be fixed. These are legal documents so accuracy and professionalism are key.
All of the reports generated are now given to the doctor for review. The doctor will make sure that the reports are accurate and everything is included. This is done prior to placing the finished report in the patient’s file.
All Other Duties Assigned
If a medical transcriptionist is working in a doctor’s office or a healthcare clinic, they might wear more than one hat. On the down time from transcription, a MT may find themselves answering phones, scheduling appointments or helping the medical coding and billing team. In other words, helping out where needed.
While some do not consider confidentiality as part of the medical transcriptionist job description, it is actually an incredibly important responsibility. Whether you work at home or in a healthcare facility, the patient’s records and all information are to be kept private. This not only follows the federal patient privacy laws but also protects their employer from legal action.
Tools of the Trade
A medical transcriptionist will use a variety of skills and tools in order to do their job correctly. Some of these tools include:
- Audio playback equipment with foot pedal
- Good set of headphones with noise reduction
- Computer with word processing software
- Stable internet connection
- Medical reference materials
- Understanding of medical terminology
- Grasp of anatomy, physiology and diseases processes
- Medical ethics, patients’ rights and privacy
As far as the duties that are going to be listed in the medical transcriptionist job description is that they are going to need to become very familiar with medical words. Therefore, they are going to need to know a lot about anatomy and physiology, diagnostic procedures, pharmacology, and other treatment assessments. You will need to know how to understand exactly what the health professional is trying to say. The patient’s medical records should be as correct as possible.MBCC Admin