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Medical Transcriptionist

Summary

Transcribe medical reports recorded by physicians and other healthcare practitioners using various electronic devices, covering office visits, emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate abbreviations into fully understandable form. Edit as necessary and return reports in either printed or electronic form for review and signature, or correction.

Examples of Work

Job functions are specific duties that would be included in the essential functions of the job description. These functions are not all-inclusive nor do they cover the full extent of the duties performed.

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

Education and Experience

A high school diploma or equivalent and six months of occupational-level medical transcriptionist experience; or completion of an accredited medical transcriptionist course.

Licensure and Certification

None

Supervision

None

To see common career pathways for each position at the University of Florida please visit the Career Paths section of the UFHR website.