What is Medical Transcription?
Medical transcription is the process of transcribing medical records dictated by physicians as well as other healthcare providers. These reports include history and physical, clinic notes, office notes, operative, consultations, discharge summaries, letters, psychiatric evaluations, laboratory, radiology and pathology reports. A transcriptionist can obtain their dictation via tapes or digital voice files. A variety of word-processing systems is used to transcribe the reports. Anyone that is interested in pursuing a career in medical transcription must receive the proper training. This training will include: basic computer skills, English, grammar, medical terminology, human anatomy and physiology as well as report Style as outlined by the American Association of Medical Transcriptionist.
Once the training process is complete, the educational process has just begun. The healthcare industry is ever changing. The task of a medical transcriptionist is not to merely transcribe the report, but to clearly understand the patient’s diagnosis and ensure that all aspects of the report are as accurate as possible. This is sometimes a very difficult task to achieve; therefore, it is felt that our title in the workplace would be more suitably referred to as a Medical Language Specialist instead of a mere transcriptionist.
Why is a Medical Language Specialist Important?
Many different entities within healthcare rely on the skills of a Medical Language Specialist to provide healthcare documentation. The reports produced are the repository of the care provided to the patient in a detailed form. These reports serve many functions, which include future patient care, legal documentation, insurance reimbursement, as well as continued medical and scientific research for future generations.
The changes occurring in the healthcare industry today promise to provide even more challenges and rewards to the forward-looking Medical Language Specialist.
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