Project information

  • Category: Transcription
  • Client: Healthcare Company
  • Project date: 01 March, 2019
  • Project Details:  Rush Daily Medical Reports.

Medical Transcription

Medical transcription converts voice recordings that physicians and other healthcare workers make and converts them into written formatted reports.

Our team of medical transcriptionists create reports and other administrative documents from physicians’ dictated recordings. In addition to transcribing, you’ll edit information for grammar errors and proper usage of medical terms in a patient’s records. You’ll need an  in-depth knowledge of medical terminology, anatomy, medical procedures and treatments, and pharmacology—as well as a high degree of attention to detail. Medical transcriptionists must also be aware of the legal standards and requirements that apply to health records.

Where you’ll work: Hospitals, clinics, physicians’ offices, nursing homes, public health agencies and home health care agencies. Some medical transcriptionists work at home as employees of transcription businesses or as independent contractors.

Due to the sheer volume of patients and paperwork, hospitals often prefer electronic storage of their medical records. This gives other departments or providers immediate access to the patient's care and shows certain details, such as past or present medications and any allergy alerts. Establishing patient history facilitates healthcare performance, and medical transcriptionists play a big part in this process. Important to note is that a written report has now become a requirement for documentation of a medical bill or an application for Workers' Compensation insurance benefits.

Our staff possesses a combination of the following skills and attributes:

  • Compliance with the Health Insurance Portability and Accountability Act (HIPAA)
  • Extensive medical terminology knowledge
  • Experience in the medical field
  • Pharmaceutical terminology knowledge

HIPAA Compliance

The requirements of the Health Insurance Portability and Accountability Act apply to all those who deal with protected health information, including those providing medical records transcription. HIPPA exists to protect patients’ sensitive data. It means that those providing medical records transcribing services must have appropriate physical, process and network security measures in place. 

HIPAA’s requirements are stringent and in place for very good reasons. I find that those who are keen to undertake medical transcription work usually have a detailed understanding of their moral and ethical obligations when it comes to confidentiality. HIPAA is there to ensure that those obligations are fulfilled. 

Extensive Medical Terminology Knowledge

This is an absolute must. Medical record transcription includes the names of diseases, parts of the body, procedures, treatments and much, much more. I mentioned above that it might be possible for a non-medical transcriber to produce a medical transcript but doing so would involve spending so much time looking up medical terminology to check accuracy that it would quickly make the work unworthwhile.

A Transcriptionist with Experience in the Medical Field

Anyone can sit down with a medical dictionary or jump online and read about medical terms. However, I think it takes someone with first-hand experience of the medical field to really understand the context in which those terms are being used. And, of course, that understanding is what will make the transcription process faster, easier and more accurate. 

Pharmaceutical Terminology Knowledge

I find that knowledge of pharmaceutical terminology can also help to make medical transcription more efficient. If the transcriptionist is familiar with a wide range of medications, including their usage and their brand names, then they will be able to handle mentions of them during the transcription process much more efficiently than those who lack that knowledge. 

Returning Data Files to Clients

Returning data is tailored to your needs.

  • System451 Secure Cloud Server - Vault451
  • Reports uploaded to your system(s)
  • External SSD Hard Drive
  • Secure Email

We utilize your preferred method for the smoothest transport of your data. We are able to leap into future technology as well as being comfortable with older technology.

System451 transforms millions of documents every year. Backfile scanning, paperless maintenance programs, day forward initiatives or handling the daily receipt of paper or mail, we have a range of equipment and personnel to handle all of your paper scanning.