Medical Transcriptionist Resume Samples

Description :

1. Specialized in record retrieval & management, nurse analysis, audit, regulatory compliance services helping clients in the legal, pharmaceutical, government, insurance and healthcare industries accomplish and overcome their business challenges".
2. Transcribed legal nurse reviewer's digital dictation of medical records into comprehensive typed documents.
3. Transcribed legal nurses reviews notes into well organized and accurate type written documents in pre-approved format per project requirements.
4. Detected any discrepancies in dictation and highlights for nurse review on the work product.
5. Transcribed complex medical terms and ensured that the meaning of the reports where accurate.
6. Upload completed, digital segments into the database for review and merging, ensured deadlines where met.
7. Responsible for billing all time worked into MRC time and billing software according to project specification analyzed medical records.
8. Record retrieval specialist responsible for the end-to-end process of collection records and any other associated documents deemed necessary by clients.
9. Worked within an assigned caseload of subjects, and was responsible for obtaining the records within the service level agreement contractually agreed upon with the client.
10. Properly and timely processed request orders from various sources including, but not limited: electronic direct orders, legal documents, e-mail orders, spreadsheet order forms and/or nurse work product.

Experience

10+ Years

Level

Senior

Education

Certification

Description :

1. Produced reliable medical reports via both speech recognition editing and straight transcription.
2. Worked in a wide range of different job types including, but not limited to, those listed above.
3. Maintained an average line count of 232.5 converted lines per hour, which translates to approximately 435 lines per hour without the conversion used at nuance for pay scale.
4. Maintained an excellent relationship with my immediate supervisor and workflow coordinators.
5. Received the designation of "credentialed" transcriptionist for outstanding quality, which allowed me to bypass the typical quality control step for reports exceeding the allowed blanks.
6. Reviewed, audited reports daily to stay aware of any errors, which I then would take immediate steps to correct.
7. Also researched errors to ensure that the auditing process was correct and challenged errors as appropriate.
8. Utilized an extensive knowledge of medical terminology and terms, grammar, word usage and style guidelines as outlined by the clients and general rules of style set forth by AHDI.
9. Used critical thinking to determine when an error was made in dictation and when to leave blanks as appropriate in order to avoid critical patient safety errors.
10. Did research through the utilization of old reports and trustworthy websites and reference books to determine the appropriateness of certain terms, instruments, medications, dosages and more.

Experience

7-10 Years

Level

Senior

Education

BS

Description :

1. Distributing dictation to patient charts in nurse's station for physicians and nurses, discharges and operative notes for coders or make sure it is available for viewing in CPSI.
2. Making sure dictation is typed in a timely manner, usually within 12 hours or less.
3. Available (on-call) when the physician needs urgent transcription for transfer of patients.
4. Available when urgent transcription is needed for insurance purposes for case management and emergency surgery.
5. Making sure history and physicals are dictated and typed and sent to surgery before the day of surgery, review transcription for errors and blanks.
6. Ensuring that copies of reports including cardiology reports, outpatient reports, and inpatient report are available to the attending physician and/or physician's office staff.
7. Available for filling in for absent employees in other areas of the department.
8. Performing other duties that supervisor may deem necessary to help the medical records department to run efficiently for the hospital personnel and physicians to provide the best of patient care.
9. Serving on hospital committees that enable the hospital to look for ideas and ways to ensure quality patient care, patient and employee satisfaction and safety in the workplace.

Experience

10+ Years

Level

Management

Education

Diploma

Description :

1. Take dictation using shorthand, a stenotype machine, or headsets and transcribing machines.
2. Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
3. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
4. Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
5. Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine.
6. Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
7. Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
8. Identify mistakes in reports and check with doctors to obtain the correct information.
9. Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.

Experience

10+ Years

Level

Management

Education

HS

Description :

1. Transcribing hospital reports, medical discharge summaries, er notes, h&p's for the various departments of the hospital.
2. Responsible for putting resident needs first: ensuring that resident and family members receive the highest quality of service provided in a caring and compassionate atmosphere.
3. Assisting residents in a manner conducive to their safety and comfort under the direction of a licensed nurse.
4. Performing all duties in accordance with the state board of nursing regulations when assisting patients with ADLs.
5. Assisting in the scheduling and transporting of residents requiring OT, PT.
6. Recording weights, vitals; apply skin care treatments, simple dressings under the direction of a licensed nurse.
7. Safely using mechanical apparatus needed to support and transfer residents.
8. Reporting changes in resident status as well as family concerns of a resident to a licensed nurse.
9. Assisting in training CNA's new to the facility as well as new to performing duties required of a certified nursing assistant.
10. Transcribing accurately, utilizing correct punctuation, grammar, and spelling, and edits for inconsistencies.

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Accurately transcribe medical documents from the digital recording of dictation including histories and physical examination, surgical and operative procedures, progress notes, consultations, hospital summaries, and other miscellaneous typing in a correct and presentable manner.
2. Accomplished transcription using word processing software and entering information directly into the computer system within specified timeframes and keeps a daily production/workload report.
3. Diligently researches correlates and performs analysis of data received to ensure the integrity of transcribed information delivers transcribed documents via e-mail and/or through various software programs to the proper medical providers.
4. Precisely edits documents that are dictated using voice-activated computer software, to review the dictation and reports at the same time and make corrections as needed, including indicating proper headers for the document.
5. Uses various dictation equipment and assist providers with their requests for dictation.
6. Practical knowledge of human anatomy, physiology, medical terminology, and legal requirements of the medical record.
7. Provided daily support and contact to medical offices to ensure client satisfaction and accurate medical records in accordance with HIPAA policy.
8. Responsible for receiving dictations and transcribing records in 24-48 hours.
9. Exposed to doctors from around the world and multiple different accents.
10. Worked primarily in oncology but also in orthopedics, pediatrics, cardiology and acute care.

Experience

10+ Years

Level

Management

Education

Medical Transcription

Description :

1. Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
2. Identify mistakes in reports and check with doctors to obtain the correct information.
3. Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
4. Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine.
5. Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, radiology, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
6. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
7. Perform a variety of clerical and office tasks, such as handling incoming calls, typing, filing, and operating office machines.
8. Perform monthly QA for in-house and current MTSO to ensure quality standards at met.
9. Demonstrated commitment to customer satisfaction and teamwork in all interactions with patients, family members, visitors, and staff.
10. Devised working templates for the transition from the as/400 to the HMS systems.

Experience

10+ Years

Level

Senior

Education

GED

Description :

1. Worked for a family practice medical care facility consisting of seven different physicians/providers.
2. Accurately performed provider dictation results within a 24 to 48-hour time period.
3. Efficiently typed x-ray reports within the expected 24-hour turn around a timeframe.
4. Possess a broad knowledge of using various computer systems such as macros and the short key program.
5. Oversee the daily activities of the department to optimize productivity and quality of work.
6. Maintain logs of medical procedures, incoming dictation, and transcription records.
7. Distribute and collect dictation and transcribed reports; follow up on physicians' missing and late dictation.

Experience

10+ Years

Level

Senior

Education

Associate

Description :

1. Transcribe dictation for a variety of medical reports, such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, or discharge summaries.
2. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
3. Distinguish between homonyms and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine.
4. Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
5. Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
6. Identify mistakes in reports and check with doctors to obtain the correct information.
7. Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.
8. Able to fill in for others at any time when needed in all categories of transcription at physicians east.
9. Strictly follow all federal and state guidelines for release of information.
10. Examine diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered.

Experience

10+ Years

Level

Senior

Education

MA

Description :

1. Communicate with physicians, employees, and patients of all ages in locating information and/or services needed.
2. Responsible for daily dictation for all office physicians using Express Scribe software.
3. Efficiently organize and process interoffice communications and requests for patient medical records, while compliant with HIPAA rules and regulations.
4. Process insurance company receipts and mailing statements sent to patients.
5. Room patients, take the history of medical information, perform blood pressure checks and prepare rooms for surgeries.
6. Transcribe medical dictation for two physicians from a home-based office.
7. Part-time front desk and receptionist during personnel shortage.
8. Utilized various software and equipment to complete medical transcriptions.
9. Ensured radiology reports were correct by adding proper CPT codes.

Experience

5-7 Years

Level

Executive

Education

Medical