Medical Transcriptionist

SEHA - Abu Dhabi Health Services Co.; Abu Dhabi; On-site; AED 100,000 - 145,000; Full time

Job summary

SEHA - Abu Dhabi Health Services Co. is seeking an experienced Medical Transcriptionist to transcribe dictated material and produce clear, accurate patient care documents.

You will use extensive medical terminology knowledge to ensure precise reports across multiple formats and specialties. Responsibilities include proofreading, resolving unclear dictations, and submitting finalized reports to physicians for review.

Qualifications

• 2–4 years of medical transcription experience in an acute care hospital setting or comparable setting.
• Experience in a large healthcare facility.

Responsibilities

• Transcribe dictated medical reports, including discharge summaries, operative reports, cardiology reports, EEG reports, pathology reports, medical evaluations, history and physical notes, and progress notes with accuracy and timeliness.
• Apply medical terminology, pharmacology, anatomy and physiology knowledge and English language rules to transcription and proofreading from varied accents.
• Clarify unclear or incomplete dictated information using EMR to confirm results, diagnoses and dosages; consult physicians as needed.
• Submit transcribed reports to the responsible physician for review, signature, correction and insertion into the patient record.

Skills

Medical transcription

Proofreading

English language rules

Attention to detail

Communication skills

Customer service

Tools

Word processing

Dictation equipment

Transcription equipment

Job description

Job Description

Responsible for transcribing dictated material into clear and understandable text for the purpose of documenting patient care.

Responsibilities

• Ensuring transcription of all relevant material


• Ensuring transcription of all medical reports e.g. discharge summaries, operative reports, cardiology reports, electroencephalogram (EEG) reports, pathology reports, medical evaluations, history and physical reports, consultation notes and progress notes and other medicolegal documents as necessary in an accurate and timely manner to document patient care.


• Applying extensive knowledge of medical terminology, pharmacology, anatomy and physiology, disease processes, signs and symptoms, laboratory values related to a specialty or specialties and English language rules to the transcription and proofreading of medical dictation from originators with various accents, dialects and dictation styles utilizing in-depth knowledge of medical transcription guidelines and practices. Translating of dictated medical slang and abbreviations into their expanded form to ensure the accuracy of the patient and health care facility records.


• Clarifying dictated information that is unclear or incomplete, utilizing the electronic medical record to confirm laboratory and radiology results, diagnoses and medication/dosages and seeking assistance from physicians, nursing units, offices and/or ancillary departments as necessary. Utilization of professional reference materials.


• Submitting all transcribed reports to the responsible physician for review, signature, correction, approval and insertion into the patient medical record.


• Operating word processing equipment, dictation and transcription equipment and other equipment as specified and troubleshooting as necessary.


• Ensuring accuracy of reports


• Ensuring accuracy of the header and footer, and the correctness of the body of the transcribed material


• Ensuring correct spelling of medical terms, correct punctuation, and grammar


• Ensuring proper identification of patient name and medical record number


• Identifying, interpreting and evaluating inconsistencies, discrepancies and inaccuracies in medical dictation; appropriately editing, revising and clarifying them without altering the meaning of the dictation or changing the originator's style.


• Recognizing and reporting unusual circumstances and/or information with possible risk factors to appropriate Senior Medical Transcription Officer.


• Recognizing and reporting problems, errors and discrepancies in dictation and patient records to appropriate Senior Medical Transcription Officer.


• Verifying patient information for accuracy and completeness utilizing the electronic medical record.


• Deficiency Tracking Ensure deficiency tracking module is updated when the deficiency status changes, i.e. a operative report or discharge summary status changes from “dictation required” to “signature required.


• Data Management Identifying and eliminating duplicate records both paper and electronic in the dictation system


• Maintaining performance standards Staying current with the clinical terminologies through publications, seminars, continuing education programs and other changes in the medical industry


• Ensuring that transcribed document is consistent with all recognized standards


• Performing daily, weekly, and monthly productivity report for statistical purposes


• Recording productivity and ensuring quality monitoring on a daily basis. Keeping accurate work logs and edit sheets and ensuring the electronic record of dictations is kept accurate.


• Providing customer service and support


• Responding to verbal and written inquiries in a timely manner


• Providing technical expertise in identifying potential issues


• Discussing with Senior Medical Transcription Officer (if necessary) before recommending solutions after obtaining and verifying information


• Contributing to the team effort


• Participating in all team efforts as required


• Collaborating with other members of the team to carry out work smoothly

Qualifications

• 2 – 4 years of medical transcription experience in an acute care hospital setting or comparable setting.


• Experience in a large healthcare facility