POSITION DESCRIPTION
SECTION A: Position Identification
POSITION TITLE:
CLASSIFICATION
CL 8
Medical Transcriptionist/Editor
DEPARTMENT
DIVISION
SMRH
Health Records Department
POSITION #
MANAGEMENT
EXCLUDED
BARGAINING UNIT
Clerical
SECTION B: Reporting Structure
Your Supervisor’s Title:
Manager of Health Information Services St. Martha’s Regional
Hospital / Privacy Lead
His/Her Supervisor’s Title:
VP – Operations and Allied Health
Other positions that report to your immediate supervisor:
 Patient Information Services Clerk
 Health Records Clerks II
 Health Records Technicians (HIMS)
SECTION C: Program/Functional Area
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Health Records Department
Mental Health Department
SECTION D: Position Summary
Medical Transcriptionist/Editor type or edit dictated reports by all physicians and
services. They also possess superior skills in grammar, medical terminology,
investigations and medications. Their prompt and accurate abilities in transcription
contribute to the documentation for ongoing patient care.
SECTION E: MAJOR RESPONSIBILITIES: (indicate approx % of time spent on each)
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Transcribe health care provider’s dictations and/or review and edit reports
against actual dictation versus text generated by speech recognition software.
(90%)
Recognize, interpret and evaluate inconsistencies, discrepancies and
inaccuracies in medical dictation and appropriately clarify and flag or report them
as needed.
Responsible for creating accurate reports in grammar, spelling, terminology and
formatting.
Access patient’s health information as needed for further clarification.
The in-house transcriptionist also answer inquires from the floors, doctors,
clinics, etc.
Helps new physicians with any inquires about the dictation system
POSITION SPECIFICATIONS
SECTION F: MINIMUM FORMAL EDUCATION:
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Graduate of Medical Office Administration Program, Business, Office Information
Technology, or Medical Office Program or equivalent combination of education
and experience.
Superior knowledge of medical terminology, medications and operative
procedures and investigations.
Superior language and grammar skills.
SECTION H: SPECIAL KNOWLEDGE & SKILLS:
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Demonstrate ability to work in all work types and specialities
Advanced knowledge of medical terminology, anatomy, physiology, disease
process, signs and symptoms, medications and laboratory values.
Excellent written and oral communication skills including grammar, punctuation
and style.
Excellent acoustic and listening skills.
Demonstrate an understanding of the medico legal implications and
responsibilities of the healthcare record and privacy practices.
Ability to understand diverse accents, dialects and varying dictation styles.
Proficient in referencing and researching.
Ability to multitask and work under pressure with time constraints.
Ability to work independently with minimal or no supervision.
Ability to operate a computer, multiple software applications, transcription
equipment and other office equipment necessary.
Organization skills
SECTION I: NATURE AND AMOUNT OF EXPERIENCE:
One year experience in Medical Transcription is an asset.
SECTION J: JUDGEMENT & INITIATIVE:
Demonstrate judgment and initiative as appropriate under the scope of duties and
responsibilities.
SECTION L: KEY RELATIONSHIPS:
Peers in health records department, nursing units, physicians and manager
SECTION N: PHYSICAL DEMAND:
 Extended time at computer
 Wearing earphones and listening
SECTION O: MENTAL & VISUAL DEMAND:
 Busy environment.
 Long periods in front of computer screen
 Constant reading
SECTION P: WORKING ENVIRONMENT and UNAVOIDABLE HAZARDS:
Home based transcriptionist needs to have a secure and safe work space at home
SECTION Q: SAFETY (patient, worker & workplace)
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The successful applicant will demonstrate good stewardship in the identification,
reporting & mitigation of unsafe Acts or conditions
Expected to conduct safety inspections
Commit to maintain and protect patient, client and personal safety on an ongoing
basis
Prepared by:
Date: _______________________
Signature
Name (Please Print)
Approved by:
Date: ________________________
Signature
Name (Please Print)
VP Approval:
Date:
Signature
Name (Please Print)
DISTRIBUTION:
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