Health Information Tech/Transcriptionist-On-Call

Brown County, WI; Green Bay (WI); On-site; USD 25,000 - 41,000; Full time

Job summary

Brown County Community Treatment Center in Green Bay, WI is seeking a Medical Transcriptionist to transcribe physicians and health professionals, document client care, and assist in final chart analysis for medical record completion.

The role requires accuracy with medical/psychiatric terminology, ability to work with electronic health records, and strong typing (60 wpm). Candidates should have a High School Diploma and be able to work independently with confidentiality.

Qualifications

• Previous medical transcription experience or knowledge of medical/psychiatric terminology.
• Knowledge of general office procedures.
• Knowledge of English, grammar, spelling, punctuation and style.
• Knowledge of medical terminology, psychiatric terminology, anatomy and physiology and pharmacology.
• Ability to type at a minimum rate of 60 net words per minute.
• Ability to train new employees.
• Ability to learn and apply specialized Health Information Management Department terminology.

Responsibilities

• Transcribes dictation by physicians and other healthcare professionals to document client/resident care and facilitate healthcare delivery.
• Performs final chart analysis for medical record completion.
• Communicates effectively with providers and staff responsible for dictation and medical record completion.
• Distributes copies of transcribed reports as applicable.
• Scans or imports paper medical records into the electronic health record.
• Assists with other HIM/clerical duties as needed.
• Follows policies and procedures to contribute to the efficiency of the Health Information Management Department, especially in transcription.

Skills

Medical transcription

Typing 60 wpm

English grammar

Communication skills

Confidentiality

Education

High School Diploma

Tools

Electronic Health Record (EHR)

Word processing software

Job description

• Transcribes dictation by physicians and other healthcare professionals in order to document client/resident care and facilitate delivery of healthcare services. Performs final chart analysis for medical record completion.
• Transcribes medical/psychiatric dictation accurately and efficiently for Health & Human Services/Community Treatment Center to provide a permanent record of client/resident care.
• Demonstrates an understanding of the medico-legal implications and responsibilities related to the transcription of client/resident records to protect the client/resident and Brown County Community Treatment Center.
• Communicate effectively with providers and staff responsible for dictation and medical record completion.
• Distributes copies of transcribed reports as applicable.
• Assists with performing final chart analysis prior to filing/electronic finalizing medical records. This is a comprehensive analysis of the content of the medical record. Prepares chart deficiency slips and routes to providers for dictation and signatures.
• Scans or imports paper medical records into the electronic health record.
• Assists with other HIM/clerical duties as needed.
• Follows policies and procedures to contribute to the efficiency of the Health Information Management Department, especially in the transcription area.
• Understands and applies confidentiality standards.
• Completes and maintains necessary documentation according to applicable requirements and policies.

Previous medical transcription experience and knowledge of medical/psychiatric terminology. High School Diploma including or supplemented by a course in word processing/typing; or any equivalent combination of education, training and experience which provides the necessary knowledge, skills and abilities.

Knowledge of general office procedures.

Knowledge of English, grammar, spelling, punctuation and style.

Knowledge of medical terminology, psychiatric terminology, anatomy and physiology and pharmacology.

Knowledge of and ability to utilize a computer and the required software.

Skill in transcribing complex material and understanding diverse accents and dialects and varying dictation styles.

Ability to train new employees.

Ability to type at a minimum rate of 60 net words per minute.

Ability to transcribe information from dictating and transcribing equipment.

Ability to learn and apply the specialized knowledge and terminology of the Health Information Management Department and to use designed reference materials.

Ability to follow oral and written instructions; excellent listening skills.

Ability to communicate effectively both orally and in written.

Ability to accept responsibility.

Ability to establish and maintain effective working relationships with staff and the public.

Ability to maintain the confidential nature of client and business information.

Ability to work independently with minimal supervision.

Ability to work under pressure with time constraints.

Ability to concentrate.

Ability to work the required hours of the position.

PHYSICAL DEMANDS:

• Lifting 20 pounds maximum with frequent lifting and/or carrying o objects weighing up to 10 pounds.
• Intermittent standing, walking and sitting.
• Using hands(s)/feet for repetitive single grasping, fine manipulation, pushing and pulling, and operating controls.
• Occasional bending, twisting, squatting, climbing, reaching, and grappling.
• Communicating orally in a clear manner.
• Distinguishing sounds at various frequencies and volumes.
• Distinguishing people and objects at varied distances under a variety of light conditions.
• Must be able to pass the pre-employment physical and be free from communicable disease.