The Primary role of a medical transcribe is to assist the ED physician with the complete documentation of patients charts. Transcribes accompany the physician as he/she examines and interviews patients and then records the physicians observations and comments on either on paper or in an electronic medical record (EMR) depending on what the hospital uses. All information is recorded in the presence of a physician
High School graduate or equivalency.
Medical Terminology or Medical Assistance certification preferred.
Two (2) Experience in the Emergency Department or Acute Care Facility preferred.
Excellent customer service skills.
Computer skills required with knowledge of Microsoft Office suite.
Good written and verbal communication skills required.
Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
Keep track of laboratory tests, medications, and radiology tests ordered by the physician
Gather data for physician review (i.e., laboratory results, faxed radiology reports, medical records)
Coordinate communication between physicians and staff, make and answer telephone calls
Document any consultations the ED physician makes to a patients personal doctor, family members, or on-call physician.
Provide patients with updates about waits and delays
Document all procedures done by the physician. Procedures may include life performing support, reducing dislocations, suturing, etc.
Responsible for documenting all diagnoses, treatment plans, prescriptions, and discharge/follow-up information for each patient.
Other duties as assigned.
Doctor's Hospital At Renaissance