Medical transcription is a challenging and interesting career. A medical transcriptionist listens and transcribes the dictations of a healthcare professional. Generally, a medical transcriptionist works for one or several doctors. Each day, a doctor will see a wide range of patients. It is imperative that all of the information about the visit, treatment, and diagnosis be put into the patient’s medical records. These records are used for the patient’s medical benefit. Apart from that, the information that is found in these medical records can also be transferred to other medical facilities. If a patient is suffering from any ailment, other medical professionals can look into the patient’s electronic records and find out vital information about the patient’s allergies, medications, and treatments. Is it impossible for doctors to find the time to write down all the details of each patients’ visit, so after a visit with a patient, the doctor will go and dictate the details of the visit. Later, a medical transcriptionist will take that dictation and turn it into a written record. The MT (medical transcriptionist) enters the dictation directly into the patient chart of the specific EMR/EHR. Transcriptionists must have a variety of skills such as typing, proofreading, and editing. A transcriptionist may use transcription technology, but she still must be diligent in her attention to detail in order to avoid costly mistakes.
Some medical transcriptionist are able to work from home. A transcriptionist must listen to the recorded dictation from a healthcare professional. While the transcriptionist is listening, he simultaneously has to type what is being dictated. A professional transcriptionist must know how to translate medical jargon and abbreviations. Apart from that, anything that can put the patient’s health care at risk should be clarified with the healthcare provider. Next, the transcriptionist submits the records to the physician. After receiving the approval of the medical professional, the transcriptionist will put the reports into the electronic health record system. When the transcriptionist is finished, the patient’s information will be stored in a safe location for it to be found by the needed health care professional.
An Independent Medical Exam is a comprehensive exam of a patient. After a patient has gotten the IME, her information is put into her medical chart. This exam is generally done for legal purposes. A medical transcriptionist who works on Independent Medical Exams not only has to be versed in medical terminology, but he also must have a complete grasp of Independent Medical Exams. This exam is carried out in order to determine if a patient is currently disabled or if the patient will need ongoing treatment. The IME must be well arranged, and there is a strict protocol when it comes to its legal composition. A trained IME transcriptionist will be well informed on these details.