POSITION DESCRIPTION / PERFORMANCE EVALUATION
Name: _______________________________________
Job Title: Medical Transcriptionist Supervised by: Director of Health Information Prepared by: __________________________________ Approved by: ___________________________ Date: ________________________________________ Date: _________________________________
Job Summary:
Transcribes medical information from tape or written text using a computer and proofreads finished documents for accuracy and completeness. Distributes and files reports according to established procedures. DUTIES AND RESPONSIBILITIES:
E = Excellent Performance is clearly outstanding;Performance is superior – it far exceeds standards or expectations;Performance is exceptional on a continuous basis.
G = Good Performance generally meets or exceeds standards or expectations;Attains all or nearly all of position objectives.
S = Satisfactory Performance is adequate – it meets standards or expectations, and is developing within the position.
NI = Needs Improvement Fails to meet one or more job expectations.
U = Unacceptable Performance is below accepted levels;Fails to meet most job expectations.
Demonstrates Competency in the Following Areas: E G S NI U
Leads department in absence of director and assists any licensure, health department, or Medicare surveyors.
5 4 3 2 1
Obtains records from physicians’ lounge and nurses’ desk numerous times a day.
5 4 3 2 1
Makes file folders for each admission bringing forward any previous records. Looks up patient in computer MPI to determine any previous records.
5 4 3 2 1
Files completed records in appropriate file folders, then in terminal digit record order on the file shelves.
5 4 3 2 1
Responds to requests for medical records from all sources, including nurses, physicians, insurance companies, attorneys, peer review organizations and patients. Prepares invoices for copy charges, as allowed by state law.
5 4 3 2 1
Obtains information from OB department for birth certificates. 5 4 3 2 1 Prepares official and complimentary birth certificates for each newborn infant. 5 4 3 2 1
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Demonstrates Competency in the Following Areas: E G S NI U
Assist in training of new transcriptionists. 5 4 3 2 1
Other miscellaneous duties as requested. 5 4 3 2 1
Professional Requirements: E G S NI U
Adheres to dress code, appearance is neat and clean. 5 4 3 2 1
Completes annual education requirements. 5 4 3 2 1
Complies with requirements, including all state and federal regulations. 5 4 3 2 1 Adheres to the Group II level of HIPAA Minimum Necessary Standard when
using, disclosing or requesting Protected Health Information (PHI).
5 4 3 2 1
Reports to work on time and as scheduled. 5 4 3 2 1
Wears identification while on duty. 5 4 3 2 1
Attends annual review. 5 4 3 2 1
Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
5 4 3 2 1
Acts proactively in managing time, workload and other departmental duties. 5 4 3 2 1 Represents the organization in a positive and professional manner. 5 4 3 2 1 Resolves personnel concerns at the departmental level, utilizing the grievance
process as required.
5 4 3 2 1
Compliant with policies and procedures regarding department operations, fire, safety and infection control.
5 4 3 2 1
Complies with all organizational policies regarding ethical business practices. 5 4 3 2 1 Communicates the mission, ethics and goals of the facility, as well as the focus
statement of the department.
5 4 3 2 1
Education/Experience Requirements:
•
High school diploma or GED.•
Experience working in an environment that requires attention to detail, accuracy, and efficiency. Preference will be given to those individuals who have experience working in a health care setting.Skills:
•
Basic computer knowledge.•
Able to communicate effectively in English, both verbally and in writing.•
Able to meet deadlines and prioritize work. Physical Demands:•
Able to stand, stoop and climb when retrieving or filing records.•
Able to lift heavy boxes (up to 25 lbs.) when placing records in permanent storage.•
For physical demands of position, including vision, hearing, repetitive motion and environment, see following description.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
======================================================================================= I have received, read and understand the Position Description/Performance Evaluation above.
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DESCRIPTION OF
DESCRIPTION OF
DESCRIPTION OF
DESCRIPTION OF
PHYSICAL DEMANDS
PHYSICAL DEMANDS
PHYSICAL DEMANDS
PHYSICAL DEMANDS
JOB TITLE: Medical Transcriptionist DEPARTMENT: Medical Records
NAME: # HOURS/WORKDAY: 8
DEVELOPED BY: DATE DEVELOPED: 5/13/05
MANAGER SIGNATURE: DATE:
CHECK APPROPRIATE BOX FOR EACH OF THE FOLLOWING ITEMS TO BEST DESCRIBE THE EXTENT OF THE SPECIFIC ACTIVITY PERFORMED BY THE STAFF MEMBERS IN THIS POSITION
PHYSICAL DEMANDS
On-the-job time is spent in the following physical activities Show the amount of time by checking the appropriate boxes below.
Amount of Time
None up to 1/3
1/3 to ½
2/3 and more
Stand: X
Walk: X
Sit: X
Talk or hear: X
Use hands to finger, handle or feel: X Push/Pull: X
Stoop, kneel, crouch or crawl: X Reach with hands and arms: X
Taste or smell: X
This job requires that weight be lifted or force be exerted. Show how much and how often by checking the appropriate boxes below.
Amount of Time
None up to 1/3
1/3 to ½
2/3 and more Up to 10 pounds: X
Up to 25 pounds: X Up to 50 pounds: X Up to 100 pounds: X More than 100 pounds: X
This job has special vision requirements. Check all that apply. x Close Vision (clear vision at 20 inches or less) x Distance Vision (clear vision at 20 feet or more) x Color Vision (ability to identify and distinguish colors)
Peripheral Vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point)
Depth Perception (three-dimensional vision; ability to judge distances and spatial relationships) x Ability to Adjust Focus (ability to adjust eye to
bring an object into sharp focus)
No Special Vision Requirements
Specific demands not listed: _____________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ Note: Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions of this position.
WORK ENVIRONMENT
This job requires exposure to the following environmental conditions. Show the amount of time by checking the appropriate boxes below.
Amount of Time
None Up to 1/3
1/3 to 1/2
2/3 and more Wet, humid conditions (non-weather): X
Work near moving mechanical parts: X Fumes or airborne particles: X Toxic or caustic chemicals: X Outdoor weather conditions: X Extreme cold (non-weather): X Extreme heat (non-weather): X Risk of electrical shock: X Work with explosives: X Risk of radiation: X Vibration: X
The typical noise level for the work environment is: Check all that apply.
Very Quiet Loud Noise
Quiet Very Loud Noise x Moderate Noise
Hearing:
x Ability to hear alarms on equipment
Ability to hear patient call
x Ability to hear instructions from physician/department staff REPETITIVE MOTION ACTIONS
Number of Hours
Repetitive use of foot control 0 1-2 3-4 5-6 7+
A. Right only X
B. Left Only X
C. Both X
Repetitive use of hands
A. Right only B. Left Only
C. Both X
Grasping: simple/light
A. Right only B. Left Only
C. Both X
Grasping: firm/heavy
A. Right only B. Left Only
C. Both X
Fine Dexterity
A. Right only X
B. Left Only C. Both
PERFORMANCE EVALUATION CONTINUATION PAGE
Staff Member: ___________________________________
Job Title: ________________________
Performance Evaluation Score:
# of total points achieved
___________
140 – 112 points = Excellent
111 – 84 = Good
83 – 56 = Satisfactory
55 – 28 = Needs Improvement
27 – 0 = Unacceptable
100% merit increase
100% merit increase
75% merit increase
50% merit increase
25% merit increase
Supervisors’ Comments:
Recommended Goals/Actions:
Staff Member Comments:
Actions Recommended by Supervisor: Current Wage: _____________ New Wage: __________
Performance Review Only
Cost of Living Increase: __________
Next Performance Review on: __________
Salary Increase: __________
Acknowledgement of Job Description
Total Increase: __________
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PERSONNEL MEMBER
ANNUAL PROFESSIONAL PERFORMANCE AND COMPETENCY EVALUATION
As a member of the Okeene Municipal Hospital’s personnel team, your comments and input are important
to both our continuing development and quality provision of patient care and services. Your continued
professional growth and job satisfaction are primary goals of the hospital. The administrative team and
your department supervisor are interested in your comments regarding the following:
1 - 5
(1 = poor, 5 = excellent)
