Welcome to the Medical Transcription Webpage

WHAT IS A MEDICAL TRANSCRIPTIONIST?
The medical transcriptionist is the key person who transcribes or converts reports medical information from dictated from to written form to be produced as hard copy or sent to storage in a computer system.

As long as people get sick, injured, or visit medical personnel for other reasons, there will be a job for medical transcriptionists. Medical transcriptionists must know medical terminology thoroughly, must have a command of English grammar, and be efficient with technology, especially the keyboard!  Transcriptionists must be able to work independently, know how to research unfamiliar terms and phrases, and be conscientious workers with a good eye for detail.

WHAT DOES A MEDICAL TRANSCRIPTIONIST DO?
Medical transcriptionists listen to dictated recordings made by physicians and other health care professionals and transcribe them into medical reports, correspondence, and other administrative material. They generally listen to recordings on a headset, using a foot pedal to pause the recording when necessary, and key the text into a personal computer or word processor, editing as necessary for grammar and clarity.

The documents they produce include discharge summaries, history and physical examination reports, operative reports, consultation reports, autopsy reports, diagnostic imaging studies, progress notes, and referral letters. Medical transcriptionists return transcribed documents to the physicians or other health care professionals who dictated them for review and signature, or correction. These documents eventually become part of patients’ permanent files.

WORKING CONDITIONS
The majority of medical transcriptionists are employed in comfortable settings, such as hospitals, physicians’ offices, transcription service offices, clinics, laboratories, medical libraries, government medical facilities, or their own homes. Many medical transcriptionists telecommute from home-based offices as employees or subcontractors for hospitals and transcription services or as self-employed, independent contractors.

Work in this occupation presents hazards from sitting in the same position for long periods. Workers can suffer wrist, back, neck, or eye problems due to strain and risk repetitive motion injuries such as carpal tunnel syndrome. The constant pressure to be accurate and productive also can be stressful.

Many medical transcriptionists work a standard 40-hour week. Self-employed medical transcriptionists are more likely to work irregular hours—including part time, evenings, weekends, or on call at any time.  Some medical transcriptionists who work in physicians’ offices may have other office duties, such as receiving patients, scheduling appointments, answering the telephone, and handling incoming and outgoing mail.

MEDICAL TRANSCRIPTION TRAINING AND ADVANCEMENT
Employers prefer to hire transcriptionists who have completed postsecondary training in medical transcription, offered by many vocational schools, community colleges, and distance-learning programs. Completion of a 2-year associate degree or 1-year certificate program—including coursework in anatomy, medical terminology, legal issues relating to health care documentation, and English grammar and punctuation—is highly recommended, but not always required. Many of these programs include supervised on-the-job experience. Some transcriptionists, especially those already familiar with medical terminology from previous experience as a nurse or medical secretary, become proficient through refresher courses and training.

In addition to understanding medical terminology, transcriptionists must have good English grammar and punctuation skills, as well as proficiency with personal computers and word processing software. Normal hearing acuity and good listening skills also are necessary. Employers require applicants to take pre-employment tests and usually prefer individuals with experience.

With experience, medical transcriptionists can advance to supervisory positions, home-based work, editing, consulting, or teaching. With additional education or training, some become medical records and health information technicians, medical coders, or medical records and health information administrators.

EMPLOYMENT OPPORTUNITIES
Medical transcriptionists held about 105,000 jobs in 2004. About 4 out of 10 worked in hospitals and another 3 out of 10 worked in offices of physicians. Others worked for business support services; medical and diagnostic laboratories; outpatient care centers; and offices of physical, occupational and speech therapists, and audiologists.

JOB OUTLOOK
Job opportunities will be good. Employment of medical transcriptionists is projected to grow faster than average for all occupations through 2014. Demand for medical transcription services will be spurred by a growing and aging population. Older age groups receive proportionately greater numbers of medical tests, treatments, and procedures that require documentation. A high level of demand for transcription services also will be sustained by the continued need for electronic documentation that can easily be shared among providers, third-party payers, regulators, consumers, and health information systems. Growing numbers of medical transcriptionists will be needed to amend patients’ records, edit documents from speech recognition systems, and identify discrepancies in medical reports.

WAGES AND EARNINGS
Medical transcriptionists had median hourly earnings of $13.64 in May 2004. The middle 50 percent earned between $11.50 and $16.32. The lowest 10 percent earned less than $9.67, and the highest 10 percent earned more than $19.11. Median hourly earnings in the industries employing the largest numbers of medical transcriptionists in May 2004 were:

Compensation methods for medical transcriptionists vary. Some are paid based on the number of hours they work or on the number of lines they transcribe. Others receive a base pay per hour with incentives for extra production. Employees of transcription services and independent contractors almost always receive production-based pay. Independent contractors earn more than do transcriptionists who work for others, but independent contractors have higher expenses than their corporate counterparts, receive no benefits, and may face higher risk of termination than do employed transcriptionists.

Other programs of interest:

Health Information Management - Associate of Science Degree

Medical Assisting

Medical Coder/Biller