MT-Medical Administration Professional
Max Healthcare · Noida · onsite · Posted 1d ago
Undisclosed2–5 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
To accurately transcribe, format, review, and maintain clinical documentation dictated or recorded by physicians and other authorized healthcare professionals, ensuring accuracy, confidentiality, timely availability, and compliance with hospital documentation standards . Key Responsibilities
1. Medical Transcription
- Transcribe clinical dictations, including consultation notes, discharge summaries, operative notes, procedure notes, progress notes, and other medical reports.
- Accurately capture medical terminology, diagnoses, medications, investigations, procedures, and clinical findings.
- Ensure appropriate formatting and standardization of clinical documents. 2. Quality Accuracy
- Proofread transcribed documents for spelling, grammar, punctuation, formatting, and medical terminology.
- Cross-check patient identifiers and relevant clinical information to minimize documentation errors.
- Clarify unclear or ambiguous dictations through the appropriate physician/channel rather than making assumptions.
- Maintain high standards of accuracy and turnaround time. 3. Electronic Medical Records (EMR)
- Enter and/or upload completed documents into the hospitals designated EMR/HIS.
- Ensure reports are correctly linked to the appropriate patient record.
- Follow hospital protocols for electronic authentication, amendments, and document version control. 4. Confidentiality Data Security
- Maintain strict confidentiality of patient information in accordance with hospital policy and applicable privacy requirements.
- Access patient records only when authorized and required for assigned duties.
- Ensure that printed, electronic, and dictated clinical information is appropriately secured. 5. Coordination
- Coordinate with consultants, clinicians, medical records, nursing, and other departments for completion of pending documentation.
- Follow up on delayed or incomplete reports as per defined turnaround times.
- Escalate recurring documentation issues to the reporting manager. 6. Compliance Documentation Standards
- Follow hospital policies, SOPs, medical documentation standards, and applicable accreditation requirements.
- Support medical records audits and quality-improvement initiatives.
- Maintain appropriate records of completed, pending, and corrected transcriptions. Key Performance Indicators (KPIs)
- Transcription accuracy
- Turnaround time (TAT)
- Percentage of reports completed within defined TAT
- Number of documentation errors/rework
- Compliance with patient identification requirements
- EMR documentation accuracy
- Confidentiality and information-security compliance
- Physician/department satisfaction ","
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Nursingquality improvementmedical recordsmedical transcriptionSecurity ComplianceHealthcareData SecurityInformation SecuritycomplianceGIT
About Max Healthcare
Max Healthcare
Healthcare
15.1k+
employees
2001
25 years old
Delhi/NCR, New Delhi
India
About
Max Healthcare is Indias leading providers of world class healthcare services.
Industries
HealthcareHealthcare / Pharma
Employee ratings
3,169 reviews
4.0/ 5
Culture
3.8
Career growth
3.4
Work-life
3.8
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