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MASCO Code
3344-02
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Medical Stenographer
Medical Stenographer transcribes dictated notes from physicians and other healthcare professionals into accurate written medical records. They ensure clinical documentation is complete and organised, covering reports such as consultation notes, diagnostic studies, operations, and discharge summaries, and support healthcare administration by efficiently managing and entering patient information into health record systems.
Tasks
Listen to and accurately transcribe dictations and audio recordings from physicians and healthcare professionals into structured medical documents.
Review, edit, and proofread transcripts, including those generated by speech recognition software, to ensure accuracy, clarity, and proper formatting.
Interpret and expand medical terminology and abbreviations into complete and understandable documentation.
Prepare and compile medical reports, discharge summaries, and patient documentation for review and approval by healthcare professionals.
Organise, maintain, and update medical documents and patient records within electronic health record (EHR) systems.
Skills
Basic
Ability to work independently and meet deadlines.
Attention to detail and organisational skills.
Excellent typing skills with high accuracy and speed.
Proficiency in widely used languages.
Strong listening and comprehension abilities.
Specific
Ability to accurately transcribe and interpret medical dictations from diverse accents and speech patterns.
Competency in managing and organising medical records within electronic health record (EHR) systems.
In-depth knowledge of medical terminology, anatomy, and pharmacology.
Knowledge in medical documentation standards and basic coding practices.
Knowledge in patient confidentiality requirements and healthcare data protection regulations.
Proficiency in medical transcription, speech recognition software, and electronic health record (EHR) systems.
Additional Info
QUALIFICATION
Diploma or equivalent
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