Medical Billing Coding - Transcription, cpt, codes
medical billing and coding forum

BC Advantage Magazine


General Forum

New Topic  |  Search

Thread Topic: Transcription
Topic Originator: Mary K
Post Date June 22, 2011 @ 4:10 PM

Mary K
June 22, 2011 @ 4:10 PM Reply  |  Email Friend   |  |Print  |  Top

I'm looking for input on the importance of a medical transcriptionist continueing their education. Most of the people that work in the medical field have continueing education responsiblilities, but what about a transcriptionist? In today's medical field things are changing daily, especially with ICD-10 coming, what responsibility does a medical transcriptionists have?

Linda Parker
February 22, 2012 @ 7:24 AM Reply  |  Email Friend   |  |Print  |  Top

Medical transcriptionists listen to dictated recordings made by physicians and other health care professionals and transcribe them into medical reports, correspondence, and other administrative material. They generally listen to recordings on a headset, using a foot pedal to pause the recording when necessary, and key the text into a personal computer or word processor, editing as necessary for grammar and clarity. The documents they produce include discharge summaries, medical history and physical examination reports, operative reports, consultation reports, autopsy reports, diagnostic imaging studies, progress notes, and referral letters. Medical transcriptionists return transcribed documents to the physicians or other health care professionals who dictated them for review and signature or correction. These documents eventually become part of patients' permanent files.

To understand and accurately transcribe dictated reports, medical transcriptionists must understand medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments. They also must be able to translate medical jargon and abbreviations into their expanded forms. To help identify terms appropriately, transcriptionists refer to standard medical reference materials-both printed and electronic; some of these are available over the Internet. Medical transcriptionists must comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for keeping patient information confidential.

Experienced transcriptionists spot mistakes or inconsistencies in a medical report and check to correct the information. Their ability to understand and correctly transcribe patient assessments and treatments reduces the chance of patients receiving ineffective or even harmful treatments and ensures high-quality patient care.

Currently, most health care providers transmit dictation to medical transcriptionists using either digital or analog dictating equipment. The Internet has grown to be a popular mode for transmitting documentation. Many transcriptionists receive dictation over the Internet and are able to quickly return transcribed documents to clients for approval. Another increasingly popular method uses speech recognition technology, which electronically translates sound into text and creates drafts of reports. Transcriptionists then format the reports; edit them for mistakes in translation, punctuation, or grammar; and check for consistency and any wording that doesn't make sense medically. Transcriptionists working in specialties, such as radiology or pathology, with standardized terminology are more likely to use speech recognition technology. However, speech recognition technology will become more widespread in all specialties as the technology becomes more sophisticated, that is, better able to recognize and more accurately transcribe diverse modes of speech.

Medical transcriptionists who work in physicians' offices may have other office duties, such as receiving patients, scheduling appointments, answering the telephone, and handling incoming and outgoing mail. Medical secretaries, discussed in the statement on secretaries and administrative assistants elsewhere in the Handbook, also may transcribe as part of their jobs.

Work environment. The majority of these workers are employed in comfortable settings, such as hospitals, physicians' offices, transcription service offices, clinics, laboratories, medical libraries, government medical facilities, or their own homes. Many medical transcriptionists telecommute from home-based offices.

Workers usually sit in the same position for long periods. They can suffer wrist, back, neck, or eye problems due to strain and risk repetitive motion injuries such as carpal tunnel syndrome. The constant pressure to be accurate and productive also can be stressful.

Many medical transcriptionists( work a standard 40-hour week. Self-employed medical transcriptionists are more likely to work irregular hours-including part time, evenings, weekends, or on call at any time.

March 12, 2012 @ 4:36 PM Reply  |  Email Friend   |  |Print  |  Top

To 'really' answer your question, CEUs are not required and so the initiative of most transcriptionists to advance in their medical terminology is hampered by the lack of CEU requirements. Many transcriptionists have been in their respective positions for many years and usually transcribed for the same field of medicine or departments and so are very accustomed to the medical terminology in their respective assignments, feel quite comfortable with their knowledge base and do not pursue advancement. I do agree with you that CEUs would encourage becoming more adaptable to the need to transcribe for any specialty if requirements were made but any certified medical transcriptionist would, on their own, take courses not related to their current job description, especially refreshments in anatomy and physiology to advance in their own knowledge base and the potential for transcribing and/or teaching transcription and view it as a growth opportunity.

Copyright © 2008 Billing-Coding Inc