Pathology Transcriptionist

WellStar Health System; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Wellstar Health System in the United States seeks a detail-oriented medical transcriptionist to support pathology reporting and case management. You will transcribe gross and microscopic dictations, manage patient demographics, and prepare CAP forms for tumor pathology cases, while coordinating consultations and billing documentation.

Under supervision of the department manager, you will mentor new staff, adhere to SOPs, and contribute to process improvements in the pathology workflow.

Qualifications

• High school diploma required or equivalent.
• Six months transcription experience in medical setting with pathology experience preferred.
• Formal medical transcribing experience preferred; CAP forms familiarity useful.

Responsibilities

• Transcription of gross and microscopic pathology reports.
• Handle patient demographics and related documentation.
• Prepare CAP tumor anatomical forms based on diagnoses.
• Coordinate case materials for consultation and peer review.
• Assist with billing-related documentation for slides/blocks.
• Support pathologists and histology staff; respond to queries.

Skills

Computer skills

Medical terminology

Written communication

Oral communication

Education

High school diploma

Associate's Degree (Preferred)

Formal medical transcribing (Preferred)

Tools

Pathology Information System

Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift Day (United States of America)

Job Summary

Under the supervision of department manager. Performs a variety of tasks in support of pathologists and other allied healthcare providers. Is accountable for ensuring accuracy and completeness of all documents, tests ordered and patient case reports which allows the pathologists to focus on patient care. The tasks include transcribing pathology reports as well as research and administrative documents. Responsibilities also include coordinating patient case correspondence materials for sending out for consultation. Responsibilities may include ordering tests and stains for cases answering phones and most often assisting the caller with patient report, adding stains to a current case, changing of patient demographics, or providing related follow through, participation in process improvement which includes data collection, coordinating case conference materials and maintain consultant calendar as appropriate. Required to follow work unit standard operating procedures along with reviewing and ensuring accuracy of those procedures. Routinely serves as a resource and mentor to others by training, educating and mentoring both new and existing members of the work unit and trouble shooting and resolving problems as appropriate.

Core Responsibilities and Essential Functions

• Transcription/Work related to pathology reports both Gross and Microscopic
• Demographics of patients
• Gross transcription of dictation done by Pathologists Assistants or Pathologists depending upon type of specimen received.
• Microscopic transcription of dictation during the pathologists review of slides for diagnosis.
• Notify pathologists of need for amendment/addendum of any case that needs further information in order for physician to make informed decisions. This information comes from outside reference labs, or consults with other site pathologists. Also, the reverse can occur with the pathologists notifying transcriptionists of need for amended/addendum based on additional info from within department consults. This requires previous transcription to be pulled and verified, and additional info be added and then physicians notified.
• Prepare CAP required tumor anatomical forms based on diagnosis of pathology report CPT codes.
• Work with pathologists when they are in need of further histories, additional current information, from WellStar or other hospitals. Must be aware of information that can be shared in order to obtain what is appropriate.
• Send out Cases for consult as appropriate per facility
• Document receipt of requests for slides/blocks.
• Request slides/blocks from Histology. Verify when received.
• Obtain pathology report.
• Discuss with pathologists the purpose of request in order for pathologist to make decision on which slides/blocks to send.
• Prepare package of blocks/slides/report and any comments from pathologists.
• Prepare invoice for billing of slides/blocks using department calculation as appropriate.

Other Duties

• Answer phones for department
• Distribute mail
• Orders kits and supplies for reference lab send-outs
• Assists pathologist and histology techs as needed.
• Maintain pathology files.
• Provide pathologists with physician requests/information Preparation of slides/block for Peer Review as appropriate per facility
• With knowledge of what are considered complex cases, select assortment of slides that reflect a diversified representation of complex cases (i.e., kidney resection, liver resection, brain tumor removal).
• Prepare for pathologists review (depending upon who had the last peer review).
• Place selected slides in folder along with surgical protocol.
• Give to next pathologist in line for peer review.

Professional Billing as appropriate per facility

• With professional billing, staff must have knowledge of documentation within pathology reports for special stains, and/or immunohistochemical stains. Billing in the professional genre is not billed out through the HIS; therefore, all charges are in the Pathology Information System. When errors are found and are not recognized until report has gone to CBO, staff interacts with Pathology Medical Billing Group in order to have correct billing processed by CBO.

Technical Billing as appropriate per facility

• The technical billing component is billed out when the specimen is accessioned. If an error in technical billing requires assistance, the transcriptionist will research. This includes documenting how many parts to the specimen request, which specimen request the technical fee error belong with, and notifying Histology personnel to make changes in the technical fee charge.

Physician Orders as appropriate per facility

• Physician orders that are received via fax, transcriptionist (with knowledge of appropriate pathology specimen availability for requested testing) staff will determine if tissue block contains enough tumor for testing. Also, if previous testing failed, are there alternative samples available for testing.
• Staff will work closely with representatives from reference labs to remain aware when new testing becomes available, after training by reference lab on test requirements and turnaround times, staff will order by completing requisition form for reference lab with technical information. Again, knowledge of appropriate specimen availability for testing is required.

Preparation of slides/blocks for Tumor Board, Breast Tumor Board and occasionally County Tumor Boards as appropriate per facility

• Receive request from Tumor Board of request for slides/blocks. Prepare request for slides/blocks to be pulled from storage. If Histology unable to get pulled in timely manner, pull slides in order that remaining process can be continued.
• Prepare tray with slides selected by pathologists an also obtains pathology report.
• Check Tumor Board schedule/discuss with pathologists which slides/blocks have been pulled and then give this packet to the pathologist scheduled for Tumor Board.

Legal Cases are a part of responsibilities of this department as appropriate per facility

• Staff must have knowledge and discretion to communicate effective with attorneys offices/staff and law enforcement individuals, communicate with Risk Management/Health Port staff obtaining validity and approval of requests, ability to understand and retrieve specific requested materials, complete and submit Pathology material inventory when requested, and with Notary Public when legal cases require notarization.

Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education

High school diploma Required or equivalent Required and Formal medical transcribing Preferred and Associate's Degree Preferred

Required Minimum License(s) and Certification(s)

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s)

Required Minimum Experience: Less than 1 year Six months transcription experience in medical setting with pathology experience Preferred and Knowledge of Pathology Information System billing, Tumor Conference preparation (all genres), Pathologists Peer Review and CAP Anatomical Tumor Forms preferred as appropriate Preferred

Required Minimum Skills

Computer skills and medical terminology with pathology specialty preferred. Demonstrates initiative, proficiency and good judgment to optimize the use of other allied healthcare providers time. Must be high organized, efficient, and multifunctional with ability to work independently as well as in a team. Has excellent written and oral communication skills and experience in medical terminology and excellent customer service. High motivation and successful working independently and in a timely manner is required

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.

Mission, Vision & Values

At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients’ and team members’ expectations, while transforming healthcare delivery. OUR MISSION: To enhance the health and well-being of every person we serve. OUR VISION: Deliver world-class healthcare to every person, every time. OUR VALUES: We serve with compassion We pursue excellence We honor every voice Culture of Excellence Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.