Medical Transcriptionist

Job Summary

Transcribe dictated reports and translate medical jargon and abbreviations into their expanded forms. Edit as necessary and return reports in either printed or electronic form to the dictator for review and signature, or correction. Make discharge summary of normal discharged, DAMA & death patients.

Essential duties and responsibilities

• Co-ordinate with medical officer for discharge summary of patient and prepare the computerized discharge summary from the hand written summary prepared by medical officer.
• Prepare Final Summaries for the patient with accuracy, add ICD Coding and in-time and print the two copies of the same.
• Prepare the certificates i.e MLC Certificate, Rest Certificate, Fitness Certificate, Implant Certificate and fit to fly certificate etc. as suggested by the consultants.
• Prepare all procedure reports i.e Cath Lab Procedures and Operative Notes (Minor and Major Operation).
• Import the discharge summary in Hinai with medications.
• Prepare daily report and submit the same to reporting manager / immediate supervisor.
• Work as assigned by reporting manager / immediate supervisor for MT related job in any department.
• Good Communication with all employee, Resident Doctors and Hon. Consultant
• Identify mistakes in Summaries / Reports, and check with doctors to obtain the correct information.
• Provide information to supervisors and co-workers by telephone, in written form, e-mail, or in person.
• Enter all the history, investigation and prescribe medications in EMR (Electronic Medical Record).
• Co-ordinate with Echo Technician for 2D Echo Report of patient and prepare the computerized Report from the Register maintained by Technician and upload the same data in Hinai.

Working conditions

• Will work in rotation shifts of 8.5 hours a day.

Skills & Abilities

• Very good computer skills & typing skill.
• Able to communicate with consultants and medical officers.
• Basic knowledge of clinical terminologies.
• Able to use hospital information system software.
• Active Listening
• Time Management

Other requirements

• Ability of preparing planned discharge summary.

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