Medical Transcriptionist

About This Role

The Medical Transcriptionist works in the pathology department, reviewing and editing surgical pathology gross descriptions and final diagnoses prepared by pathologist assistants using Dragon software. This role involves ensuring that transcriptions and grammar are correct, complete, and consistently styled, and typing surgical pathology final reports into the laboratory information system.

Responsibilities

• Accession surgical and consult specimens, ensuring MRN, DOB, specimen site, and referring physician assignments match the correct patient
• Review and edit any incorrect grammar, spelling, specimen sites, and date of service on the gross description
• Update various logs (consult, patient demographics)
• Review and edit working drafts prepared by speech recognition software, ensuring transcription is complete and has a consistent style
• Translate medical standard abbreviations from the referring physician ’s clinical history into the appropriate long form suitable for a pathology report
• Proofread and identify inconsistencies, errors, and missing information within a report that could compromise patient care
• Follow up via phone with the healthcare provider to ensure the accuracy of information as per the requisition if needed
• Follow patient confidentiality guidelines and legal documentation requirements as per HIPAA
• Enter finalized medical reports received from BMC health center partners via OCHIN web portal
• File glass slides and paper requisitions
• Maintain files and records according to standards set by JCAHO, CAP, OSHA, and HCFA
• Log out and log in slides/blocks via BMC COPATH system for current record keeping
• Monitor voicemail to respond to messages left on the voice mailbox
• Monitor fax machines to ensure all faxed reports and requests are sorted and input into patient ’s reports
• Utilize hospital ’s values as the basis for decision making and to facilitate the division ’s hospital mission
• Complete all required training in Workday and Media Lab
• Compile information from various reports, input into computer, print, and distribute to residents and pathology staff
• Perform other administrative duties as needed by the pathology department
• Coordinate frozen section procedures between the operating room and the pathology department
• Package slides/block requests to various outside hospitals for second opinions
• Answer and triage busy phone service

Requirements

• High School diploma with one-year certificate program or 2-year associate ’s degree with coursework in anatomy, medical terminology, legal issues relating to healthcare documentation, and English grammar and punctuation