About This Role
This role involves accurately and efficiently translating a Pathologist's dictations of patient histories, diagnoses, and treatments into comprehensive pathology reports. The Transcriptionist ensures the accuracy and completeness of medical records by transcribing and editing dictated materials.
Responsibilities
- Take dictation using shorthand, a stenotype machine, headsets, and transcribing machines
- Transcribe dictated materials and voice recordings into electronic comprehensive pathology reports for the Pathologist in a timely manner with a high degree of accuracy using word processing and dictation equipment
- Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of pathology reports
- Return dictated pathology reports in printed or electronic form to the Pathologist for review, signature, and corrections
- Review and edit transcribed pathology reports for spelling, grammar, clarity, consistency, and proper medical terminology
- Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to medical dictionaries, medical references, and other sources on anatomy, physiology, and medical terminology
- Retrieve and produce pathology reports, correspondence, and administrative and reference material from information systems, library, internet sources, medical dictionaries, and medical references
- Perform data entry and data retrieval services, providing data for inclusion in pathology reports and for transmission to Pathologists
- Prepare pathology reports promptly and maintain an accurate medical database for patient records
- Perform a variety of clerical and administrative functions, such as handling incoming and outgoing mail and telephone calls, drafting correspondence, maintaining calendars, scheduling appointments, arranging conference calls, meetings and travel arrangements, preparing and submitting expense reimbursements, renewing subscriptions and memberships, and organizing and maintaining paper and electronic files
- Ensure the path report and all patient information are correct in the system before sending it to the client
- Maintain strictest confidentiality
- Comply with all State, Federal, professional regulations as well as company and departmental rules, policies, and procedural manuals
- Adhere to CLIA, State Regulations, HIPAA, Safety and OSHA Regulations
- Perform other duties as assigned
Requirements
- High School Diploma or equivalent
- Minimum of two years of medical transcription experience
- Knowledge of medical terminology including anatomy and physiology
- Knowledge of word processing software
- Knowledge of medical transcription guidelines and practices
- Knowledge of English grammar, spelling, and punctuation
- Skill in using computer programs and applications
- Ability to listen, read, understand, and follow oral and written instruction
- Ability to concentrate and pay close attention to detail for extensive periods of time
- Ability to type 80 WPM from tape using transcription equipment
- Ability to use designated reference materials
- Ability to establish and maintain positive relationships with employees, physicians, vendors, clients, and external agencies
Important Details
- Schedule: Monday - Friday, 7:00 a.m. - 3:00 p.m. or 8:00 a.m. - 4:00 p.m.
Equipment
- Computers, computer programs, information system(s), photocopiers, scanners, facsimile machines, dictation machines, postal machines, and telephones
Physical Requirements
- Occasionally required to stand, walk, sit, use hands to finger, handle, or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk or hear, taste or smell
- Occasionally lift and/or move up to 25 pounds
- Specific vision abilities required include close vision, distance vision, and the ability to focus
- Requires visual acuity and normal color perception
PHI Security Level
- High – information access is detailed and sensitive to an individual’s demographics, service information, and personal medical history (past/present medical conditions, specifics of medical diagnosis or tests, treatment plans, and family history)
