Medical Transcription ( MT ) is the process of converting voice dictation (typically either cassette or digital format) into a permanent written record utilizing word processing equipment and software.
Physicians and medical record handlers alike must be extremely careful to ensure that detailed patient identification information accompanies each procedure and examination report to avert potentially disastrous mix-ups.
Over time, all of this information accumulates in a centralized medical records repository where it serves as a critical resource for patient care - facilitating accurate diagnoses and appropriate treatments.
Medical transcriptionists ( MTs ) are specialists in medical language and healthcare documentation.
They interpret and transcribe dictation by physicians and other healthcare professionals regarding patient assessment, workup, therapeutic procedures, clinical course, diagnosis, prognosis, etc., editing dictated material for grammar and clarity as necessary and appropriate.
In the past, these records consisted of very abbreviated handwritten notes done by medical secretaries and assistants as dictated by the physicians.
Ultimately, handwritten notes and typed reports was consolidated into a single patient file and physically stored along with thousands of other patient records in a wall of filing cabinets in the medical records department.
To enhance this manual process, many medical record documents were produced in duplicate or triplicate by means of carbon copy.
MT Skills Keyboarding Word Processing Referencing Basic Computing Anatomy & Physiology Pathophysiology Pharmacology Surgery Medical Terminologies Trends English Grammar Listening American Accent Proofreading & Editing Medical Terminologies
In an effort to remain competitive, many hospitals have turned to outsourcing as a means of cutting costs. Many of the processes that were previously performed internally are now being contracted out to third parties.
This proliferation of outsourcing agreements has spawned a new generation of small medical transcription companies intent on carving out a piece of the pie. Interestingly, in spite of its rapid growth, the medical transcription industry is still considered a cottage industry.
Medical transcriptionists work in hospitals , clinics , physician offices , transcription services , insurance companies , home healthcare agencies , and other locations where dictation for the purpose of healthcare documentation requires transcription. Many MTs work from their homes as independent contractors, subcontractors, or home-based employees.
More and more employers are allowing their experienced MTs to work from home. However, many will require you to work at their facility or in their office before sending you home to work on your own. The home transcriptionist needs an excellent knowledge of the medical language , as well as the English language , and may have to make a substantial investment in reference materials and equipment.