Medical Transcriber

Job Responsibilities:

• Transcribe and interpret the dictation into diagnostic test results, operative reports, referral letters and other documents
• Review and edit drafts, making sure that the transcription is correct, complete and has a consistent style
• Translate medical abbreviations and jargon into the appropriate long form
• Identify inconsistencies, errors and missing information within a report that could compromise patient care
• Follow up with the healthcare provider to ensure the accuracy of the reports
• Submit health records for approval
• Follow patient confidentiality guidelines and legal documentation requirements
• To update the admitted patients summary
• To handover the Discharge summary to the respective staff nurse before the patient is discharged.
• Enter the investigations done or services given for the In-patients in the activity card, put sign and seal once it is updated in software.
• To sign and put seal on the No-due certificate only after cross checking the system entries with the activity card.
• Communicate with concerned staff nurse/Doctors/ Lab or radiology dept/ other dept. for any queries in services or investigation.
• To prepare different kinds of letters (Approval letters, Medical Certificates, Estimation letters etc).
• Death Summaries to be updated in-time and has to be cross checked and signed by the respective consultant or Assistants.
• Case summaries have to be made for the corporate patients, in case of prolonged admission.
• Maintain Discharge TAT records and monthly update to HOD

Other Skills, which includes:

• Accountability
• Professional Attitude and Appearance
• Customer Focus
• Psychosocial skills (Communication & Listening Skills/Interpersonal/Empathy/Emotional Quotient)
• Cognitive Skills (Critical Thinking/Decision Making/ Problem Solving/Planning/Organizing/Reflective Thinking/ Assertiveness/ Crisis Management/Time Management/Attentiveness)
• Preparing and managing records
• Professional Ethics (Privacy/ Confidentiality)
• Product/Service Knowledge