Medical Transcriptionist

Position Summary:

Description:

Works in the pathology department reviewing and editing surgical pathology gross descriptions and final diagnoses, prepared by the pathologist assistants using dragon software. Ensuring that the transcription and grammar is correct, complete, and has a consistent style.

Type’s surgical pathology final reports into the laboratory information system. Ensuring outside consult reports are typed in a timely manner into the patient’s pathology report. Coordinates frozen section procedures between the operating room and the pathology department. Packaging slides/block requests to various outside hospitals for 2nd opinions.

Ability to answer and triage busy phone service

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Responsible for accessioning surgical and consult specimens, ensuring MRN, DOB, SPECIMEN SITE, REFERRING PHYSICIAN assignments matches with the correct patient. Reviews and edits any incorrect grammar, spelling, specimen sites, date of service on the gross description.

• Updating various logs (consult, patient demographics)

• Review and edit working drafts, prepared by speech recognition software, making sure that the 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

• Proof-read and identify inconsistencies, errors, and missing information within a report that could compromise patient care

• Follow up via phone or email with the healthcare provider to ensure the accuracy of the information as per the requisition if needed

• Follow patient confidentiality guidelines and legal documentation requirements as per HIPPA

• Enter finalized medical reports received from BMC health center partners via OCHIN web portal

• File glass slides and paper requisitions

• Maintains 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 voice mailbox

• Monitor fax machines to ensure all faxed reports, requests are being sorted and input into patient’s reports

• Utilizes 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

• Compiles information from various reports; input into computer, print and distribute to residents and pathology staff.

Must adhere to all of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

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

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Completed postsecondary training in medical transcription preferred

EXPERIENCE:

One to two years’ experience as a medical transcriptionist.

KNOWLEDGE AND SKILLS:

Need a good understanding of the English language and grammar

Medical terminology and anatomy and physiology as pertaining to pathology

Able to work under short deadlines.

• Must be comfortable using computers and word-processing software and is able to type 40 to 50 words per minutes