About This Role
This role involves accurately transcribing medical dictations into various clinical documents, ensuring precision in terminology and formatting, and maintaining strict confidentiality. The position suits a detail-oriented professional with experience in medical transcription who can work closely with medical staff and adhere to hospital and NABH standards.
Responsibilities
- Transcribe medical dictations from doctors accurately into reports, discharge summaries, operative notes, and clinical documents
- Ensure 100% accuracy in medical terminology, grammar, and formatting as per hospital and NABH standards
- Maintain document confidentiality, following NABH guidelines and hospital information security policies
- Review, edit, and proofread speech-recognition outputs to ensure error-free medical records
- Verify patient identifiers and clinical details before finalizing reports to avoid mismatches or errors
- Ensure timely completion of transcription tasks to support TAT (Turnaround Time) requirements
- Work closely with doctors, nurses, and medical coders to clarify unclear dictations or missing information
- Follow hospital-approved standardized templates, abbreviations, and formatting rules as per NABH documentation standards
- Identify and report discrepancies, incomplete dictations, or inconsistencies in patient records
- Update and maintain electronic medical records (EMR/EHR) accurately
- Assist in quality audits, documentation reviews, and internal NABH compliance checks
- Maintain updated knowledge of medical terminology, anatomy, procedures, and NABH documentation protocols
- Ensure proper archiving, backup, and traceability of transcribed documents as per NABH requirements
- Maintain confidentiality and data protection, ensuring adherence to hospital’s privacy and information security guidelines
- Support the hospital team during NABH inspections by providing required documentation or clarifications
Requirements
- Bachelor’s degree (mandatory)
- Minimum 1-2 years of experience
Nice to have:
- Certification in Medical Transcription from a recognized institute (highly preferred)