MT-Medical Administration
Core
Transcribe, format, review, and maintain clinical documentation dictated by physicians to ensure accuracy and compliance with hospital standards.
Role type
Medical Transcriptionist
Builds
Clinical reports (consultation notes, discharge summaries, operative notes, etc.)
Domain
Healthcare
Required skills
Medical terminology, clinical documentation standards, EMR/HIS systems, proofreading, data entry, confidentiality protocols
Responsibilities
Transcribe clinical dictations including consultation notes, discharge summaries, and operative notes; Proofread documents for spelling, grammar, and medical accuracy; Enter completed documents into the hospital's EMR/HIS; Coordinate with clinicians and departments to resolve unclear dictations; Maintain strict confidentiality of patient information; Follow hospital policies and accreditation requirements for documentation.