It is the process of transcribing medical information from audio files. Doctors, nurses and other medical professionals record their notes, then the medical transcriptionist — meaning a professional transcriber with medical knowledge — types it up. The medical transcription definition includes the transcribing of any dictated medical material, from case notes to lecture content. In some instances, physician dictation takes place over the phone. For a broader look at transcription services and how they could benefit you, you can click the link below.
Read more: What are transcription services and why does your business need them? In reality, transcription includes many specialise areas of work. What is a medical transcriptionist? A medical transcriptionist is a transcriber who has in-depth medical knowledge. It is this knowledge requirement that makes medical transcription a specialised field. The definition of medical transcription clearly assumes detailed medical knowledge and experience on the part of the transcriber.
Without such experience, the process of producing the medical transcript would be long and arduous. The reason that medical knowledge is a requirement for this specialised area of transcription is because medical transcribing involves:.
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. It means that those providing medical records transcribing services must have appropriate physical, process and network security measures in place.
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. 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. 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. 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.
Just as different types of doctors and different departments handle different conditions, so too do different types of medical transcribers. One of the reasons for this is the huge amount of specialist terminology that a single field of medicine can require knowledge of.
Some examples of medical transcription specialisations include:. But do you need a human to do it? Speech recognition software SRS is a computer program capable of converting the words you speak into a written document. And this is all thanks to artificial intelligence AI. They can also get a bit squirrely when certain accents are involved.
Because unlike automated tools, medical transcriptionists undergo specialized training and possess a tremendous knowledge of medical terminology. Well… it depends. Thirdly, these guys typically use a secure server to send and receive files to protect the privacy of your patients. This is usually done either through a secure smartphone app like we do! However, to get the best, you need to choose the right transcription company.
Here at Rev, we offer the secure Rev Voice Recorder app that allows you to record high-quality audio notes. Once recorded, you can order a transcription directly from the app and the file will be sent to us via our secure server. The best part? We combine A. Completed work should be carefully proofread and edited to ensure it is an accurate report of what the medical professional has dictated.
Therefore, a medical transcriptionist should have good grammar, sharp listening skills, and language proficiency to go with their quick-moving fingers. While speech recognition tools can be a great asset to transcriptionists, they lack several qualities that humans have in abundance. These include:. MT work often requires single-minded attention to detail and concentration—something that might prove difficult with an energetic toddler or teething infant in the same room.
Despite the industry shift towards EHR-based software and speech recognition tools, medical transcription remains a vital part of tracking patient healthcare records. If you'd like to find out more about Medical Scribe and Transcription services and how they can introduce renewed efficiencies and productivity to your practice.
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