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Also known as:
Certified Medical Transcriptionist, Medical Record Transcriber, Medical Stenographer, Medical Transcriber, Medical Transcriptionist, Pathology Transcriptionist, Radiology Transcriptionist, Registered Medical Transcriptionist
Every time a patient is examined or diagnostic tests are reviewed, a record must be made of the health care professional's analysis. That report becomes part of a patient's medical record, a vital chapter in an ongoing story.
To save the experts' time and to capture the immediacy of the obser ...
vation, the analysis is dictated. The tape is then given to a medical transcriptionist to distill into a report. The transcriptionist, working with headsets and transcribing equipment, transcribes and edits recorded dictation regarding patient assessment and treatment, emergency procedures, diagnostic imaging studies, operations, chart reviews, and final summaries.
Often, the process involves translating abbreviations and jargon, so this work requires training in medical terminology. A degree from a vocational school or community college program is preferred, and in many cases required.
One in four medical transcriptionists works part-time, usually for hospitals and physicians offices. Many are self-employed. To provide this service, you must be able to sit in the same position for long periods, be accurate and efficient, and because the voices to be transcribed might be difficult to understand, good listening skills are essential.
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.
Critical decision making
Level of responsibilities
Job challenge and pressure to meet deadlines
Dealing and handling conflict
Competition for this position
Communication with others
Work closely with team members, clients etc.
Comfort of the work setting
Exposure to extreme environmental conditions
Exposure to job hazards
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Identify mistakes in reports and check with doctors to obtain the correct information.
Take dictation using either shorthand or a stenotype machine, or using headsets and transcribing machines; then convert dictated materials or rough notes to written form.
Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine.
Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
Interacting With Computers
Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
Updating and Using Relevant Knowledge
Keeping up-to-date technically and applying new knowledge to your job.
Observing, receiving, and otherwise obtaining information from all relevant sources.
Communicating with Supervisors, Peers, or Subordinates
Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
Identifying Objects, Actions, and Events
Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
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.
AREAS OF KNOWLEDGE
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
Computers and Electronics
Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
Medicine and Dentistry
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
Administration and Management
Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
Customer and Personal Service
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
Personnel and Human Resources
Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to read and understand information and ideas presented in writing.
The ability to communicate information and ideas in writing so others will understand.
The ability to communicate information and ideas in speaking so others will understand.
The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
The ability to see details at close range (within a few feet of the observer).
The ability to identify and understand the speech of another person.
The ability to apply general rules to specific problems to produce answers that make sense.
Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Understanding written sentences and paragraphs in work related documents.
Communicating effectively in writing as appropriate for the needs of the audience.
Talking to others to convey information effectively.
Managing one's own time and the time of others.
Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Understanding the implications of new information for both current and future problem-solving and decision-making.