14 Nov
|
Max Healthcare
|
Dwarka
14 Nov
Max Healthcare
Dwarka
MHC/29871
- Medical Administration
- Dwarka-Max Super Speciality Hospital
- Posted On 13 Nov 2026
- End Date 27 Nov 2026
- Required Experience1 - 5 years
Basic Section
Basic Section
No. Of Openings1
DesignationMedical Transcriptionist
Employee CategorySupport
Closing Date 27 Nov 2026
Skills
Skill
Required Qualification
Graduate
Job Description
Medical Transcription
- Transcribe medical reports, clinical notes, discharge summaries, operative notes, consultation notes, progress notes, and other medical documentation.
- Accurately interpret medical terminology, abbreviations, drug names, investigations, diagnoses, and procedures.
- Ensure correct spelling, grammar, punctuation, formatting, and medical terminology.
- Cross-check dictated information against available patient records wherever required.
- Clarify unclear or incomplete dictation with the concerned doctor/clinical team.
- Ensure all reports are completed within defined turnaround time (TAT).
B. Discharge Summary & Clinical Documentation
- Prepare and format discharge summaries as per hospital standards.
- Ensure discharge summaries contain relevant clinical information, diagnosis, treatment, procedures, investigations, medications, and follow-up instructions.
- Coordinate with doctors/RMOs/clinical teams for pending or incomplete documentation.
- Monitor pending reports and follow up to ensure timely completion.
C. Quality & Accuracy
- Maintain a high level of transcription accuracy.
- Review documents before final submission/upload.
- Identify discrepancies, missing information, or unclear medical terminology and escalate appropriately.
- Maintain consistency in medical terminology and hospital-approved formats.
- Participate in quality audits and corrective actions related to medical documentation.
D. Coordination
- Coordinate with consultants, RMOs, SMOs, nursing teams, medical administration, and other relevant departments.
- Follow up with doctors for pending signatures, approvals, corrections, or incomplete documentation.
- Coordinate with the Medical Records/Health Information Management team wherever required.
- Escalate critical delays or repeated pending documentation to the reporting manager.
E. Hospital Information System / Documentation
- Enter and update information accurately in the Hospital Information System (HIS/EMR).
- Upload/attach reports and documents to the appropriate patient record.
- Ensure correct patient identification before entering or uploading documentation.
- Maintain proper documentation flow and avoid duplication or incorrect uploading.
F. Confidentiality & Compliance
- Maintain strict confidentiality of patient information and medical records.
- Follow hospital policies regarding patient privacy, information security, and medical documentation.
- Do not disclose patient information to unauthorized persons.
- Handle medical records and clinical information responsibly.
G. Shift & Workflow Management
- Work according to the assigned shift/roster.
- Ensure proper handover of pending work to the next shift.
- Prioritize urgent documentation such as critical care, emergency, surgery, and discharge-related reports.
- Maintain daily productivity and TAT as defined by the department.
- Support night-shift documentation requirements as per hospital workflow.
📌 medical transcriptionist MHC/29871 (Dwarka)
🏢 Max Healthcare
📍 Dwarka