Medical language specialist interprets and transcribes dictations in order to document patient care and facilitate delivery. This position provides support for Staff Psychiatrists, Social Workers, Psychologists and Psychiatric Residents.
Processes patient admissions and transfers by typing necessary information into log books, checking correctness of commitment, alerting team of commitment expiration, and processing commitments through the Adjuster's office.
Processes discharges which includes logging information, notifying the Adjuster's office in order to obtain Certificate of Discharge, photocopying Medical Record in conjunction with Release of Information Forms, FA/Mail paperwork, ensuring that discharges arrive in Medical Record within 72 hours, processing discharge plans, and calculating length of stay.
Tracks and processes commitments appropriately. Determines patient's legal status (i.e., involuntary, voluntary, CEPP); changes legal status as clinically necessary with appropriate paperwork; processes Temporary and Final Order of Commitment.
Transcribes Final Summaries in a timely manner in order to meet JCAHO Standards; transcribes legal and court reports; secures signatures of residents and Attendings; photocopies and faxes/mails reports to appropriate agencies.
Recognizes, interprets and evaluates inconsistences, discrepancies and inaccuracies in dictation; edits,revises and clarifies them without altering the meaning of the dictation or changing the dictation style.
Brings inaccurate reports or dictation that is unclear or incomplete to the attention of the Supervisor.
Understands and complies with polices and procedures related to medicolegal matters.
Types, copies, files all correspondence needed by patients and staff.
Performs an Admissions Monthly Systems Review by compiling Service and Volume Indicators, calculating Length of Stay, categorizing admissions and discharges by referral, preparing a breakdown of admissions by ethnicity for Civil Rights Standards as, well as, calculating Admission Categories, First Admissions vs. Re-Admissions, Catchment Areas, and the number of handicapped.
Processes required State forms (i.e., United Services Transaction Form and Division of Alcoholism and the Drug Abuse and Addiction Service Form.
Performs general office duties which includes but is not limited to mail pick-up and delivery to appropriate staff; answering telephone inquiries from families, agencies, etc, and routing calls to appropriate staff.
High School graduate or equivalent preferred.
2+ years' experience as a medical secretary or transcriptionist preferred.
Typing: 35 wpm (tested)
Familiarity with dictating equipment.
Knowledge of medical terminology.