Transcription of Discharge Summaries
- Accurately transcribe and type patient discharge summaries from handwritten or audio notes provided by physicians.
- Ensure that all patient details, diagnosis, treatment, and follow-up instructions are accurately documented.
- Maintain a consistent format for all discharge summaries, following hospital guidelines.
2. Collaboration with Medical Staff
- Communicate with doctors, nurses, and other healthcare providers to clarify any unclear or incomplete information.
- Review discharge summaries for completeness, ensuring all necessary information (medications, follow-up care, instructions) is included.
3. Data Entry & Documentation
- Enter patient discharge information into the hospital’s electronic medical record (EMR) or health information system (HIS).
- Maintain accurate records and ensure that the patient’s discharge information is properly archived for future reference.
4. Confidentiality & Compliance
- Ensure strict confidentiality of patient information as per hospital policies and healthcare regulations (e.g., HIPAA, GDPR).
- Ensure compliance with medical and administrative guidelines for discharge summaries and patient records.
- Assist with auditing discharge records when required for quality assurance or compliance checks.
5. Proofreading & Quality Control
- Proofread and review all discharge summaries for grammatical errors, inconsistencies, and accuracy.
- Correct any mistakes and ensure that final copies are error-free before submission or filing.
6. Follow-up & Coordination
- Work closely with the Medical Records department to ensure timely processing of all discharge summaries.
- Coordinate with other departments (e.g., billing, pharmacy, clinical staff) for accurate discharge documentation.
- Assist with compiling and filing reports, including discharge summaries, for medical records audits or quality checks.
Job Types: Full-time, Permanent
Pay: ₹12,000.00 - ₹25,000.00 per month
Work Location: In person