Medical Transcriptionist Al Dhafra Hospital

Job Description

Responsible for transcribing dictated material into clear and understandable text for the purpose of documenting patient care.

Responsibilities

Ensuring transcription of all relevant material

Ensuring transcription of all medical reports e.g. discharge summaries, operative reports, cardiology reports, electroencephalogram (EEG) reports, pathology reports, medical evaluations, history and physical reports, consultation notes and progress notes and other medicolegal documents as necessary in an accurate and timely manner to document patient care.

Applying extensive knowledge of medical terminology, pharmacology, anatomy and physiology, disease processes, signs and symptoms, laboratory values related to a specialty or specialties and English language rules to the transcription and proofreading of medical dictation from originators with various accents, dialects and dictation styles utilizing in-depth knowledge of medical transcription guidelines and practices. Translating of dictated medical slang and abbreviations into their expanded form to ensure the accuracy of the patient and health care facility records.

Clarifying dictated information that is unclear or incomplete, utilizing the electronic medical record to confirm laboratory and radiology results, diagnoses and medication/dosages and seeking assistance from physicians, nursing units, offices and/or ancillary departments as necessary. Utilization of professional reference materials.

Submitting all transcribed reports to the responsible physician for review, signature, correction, approval and insertion into the patient medical record.

Operating word processing equipment, dictation and transcription equipment and other equipment as specified and troubleshooting as necessary.

Ensuring accuracy of reports

Ensuring accuracy of the header and footer, and the correctness of the body of the transcribed material

Ensuring correct spelling of medical terms, correct punctuation, and grammar

Ensuring proper identification of patient name and medical record number

Identifying, interpreting and evaluating inconsistencies, discrepancies and inaccuracies in medical dictation; appropriately editing, revising and clarifying them without altering the meaning of the dictation or changing the originator's style.

Recognizing and reporting unusual circumstances and/or information with possible risk factors to appropriate Senior Medical Transcription Officer.

Recognizing and reporting problems, errors and discrepancies in dictation and patient records to appropriate Senior Medical Transcription Officer.

Verifying patient information for accuracy and completeness utilizing the electronic medical record.

Deficiency Tracking Ensure deficiency tracking module is updated when the deficiency status changes, i.e. a operative report or discharge summary status changes from “dictation required” to “signature required.

Data Management Identifying and eliminating duplicate records both paper and electronic in the dictation system

Maintaining performance standards Staying current with the clinical terminologies through publications, seminars, continuing education programs and other changes in the medical industry

Ensuring that transcribed document is consistent with all recognized standards

Performing daily, weekly, and monthly productivity report for statistical purposes

Recording productivity and ensuring quality monitoring on a daily basis. Keeping accurate work logs and edit sheets and ensuring the electronic record of dictations is kept accurate.

Providing customer service and support

Responding to verbal and written inquiries in a timely manner

Providing technical expertise in identifying potential issues

Discussing with Senior Medical Transcription Officer (if necessary) before recommending solutions after obtaining and verifying information

Contributing to the team effort

Participating in all team efforts as required

Collaborating with other members of the team to carry out work smoothly

Qualifications

Qualification :-

Special Certificate:-

Required

2 – 4 years of medical transcription experience in an acute care hospital setting or comparable setting.

Desired

Experience in a large healthcare facility

About Us

Abu Dhabi Healthcare Company (SEHA) is the largest and most comprehensive healthcare network in the UAE that was established in 2007 with the objective of operating all public hospitals and clinics across the Emirate of Abu Dhabi.

SEHA is committed to delivering world-class healthcare services using the most advanced diagnostics and systems across its network of public healthcare centers and hospitals in addition to partnering with global leaders in healthcare, including world renowned organizations such as the Mayo Clinic.

About The Team

Al Dhafra hospitals is a premier medical institution located in Al Dhafra, encompassing six hospitals which are Madinat Zayed, Ghayathi, Marfa, Delma, and Liwa. In addition, the institution also includes four clinics which are Bida Mutawa, Abu Al-Abyad Clinic, Sir Bani Yas Clinic, and Al Dhafra Family Medicine Center (DFMC). Together, these hospitals and clinic provide coverage across 16 different specialties including inpatient and outpatient medical services covering different fields and specialties, including internal medicine, pediatrics, gynecology & obstetrics, general surgery, anesthesia, pharmacy services, laboratory and diagnostic radiology.