Occupation Profile for Medical Transcriptionists

Use transcribing machines with headset and foot pedal to listen to recordings by physicians and other healthcare professionals dictating a variety of medical reports, such as emergency room visits, diagnostic imaging studies, operations, chart reviews, and final summaries. Transcribe dictated reports and translate medical jargon and abbreviations into their expanded forms. Edit as necessary and return reports in either printed or electronic form to the dictator for review and signature, or correction.

 
 

Significant Points

  • Job opportunities will be good.
  • Employers prefer medical transcriptionists who have completed a postsecondary training program.
  • Many medical transcriptionists telecommute from home-based offices.
  • About 41 percent worked in hospitals, and another 29 percent worked in offices of physicians.

 

 
 
Overview
$29,950.00 Median Annual Wage 3,000 Average Job Openings Per Year
4.0 Average Unemployment Percentage 30.6 Percentage That Completed High School
98,000 Employment Numbers in 2006 58.9 Percentage That Had Some College
112,000 Employment Numbers in 2016 (est.) 10.4 Percentage That Went Beyond College Degree

Sample Job Titles
Certified Coding Specialist
Certified Medical Coder
Certified Professional Coder (CPC)
Data Transcriber
Documentation Specialist
Medical Administrative Specialist
Medical Coding Technician
Medical Language Specialist
Medical Secretary
Medical Stenographer
Medical Transcriber
Medical Transcription Supervisor
Medical Transcriptionist
Pathology Transcriptionist
Radiology Transcriptionist
Transcribing Machine Operator
Transcriptionist

Training
  • These occupations usually involve using communication and organizational skills to coordinate, supervise, manage, or train others to accomplish goals. Examples include funeral directors, electricians, forest and conservation technicians, legal secretaries, interviewers, and insurance sales agents.
  • Most occupations in this zone require training in vocational schools, related on-the-job experience, or an associate's degree. Some may require a bachelor's degree.
  • Previous work-related skill, knowledge, or experience is required for these occupations. For example, an electrician must have completed three or four years of apprenticeship or several years of vocational training, and often must have passed a licensing exam, in order to perform the job.
  • Employees in these occupations usually need one or two years of training involving both on-the-job experience and informal training with experienced workers.

Postsecondary training in medical transcription is preferred by employers; writing and computer skills also are important.

Education and training. 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.

Formal accreditation is not required for medical transcription programs. However, the Approval Committee for Certificate Programs (AACP)—established by the Association for Healthcare Documentation Integrity (AHDI) and the American Health Information Management Association—offers voluntary accreditation for medical transcription programs. Although voluntary, completion of an ACCP approved program may be required for transcriptionists seeking certification.

Certification and other qualifications. The AHDI awards two voluntary designations, the Registered Medical Transcriptionist (RMT) and the Certified Medical Transcriptionist (CMT). Medical transcriptionists who are recent graduates of medical transcription educational programs, or have fewer than 2 years experience in acute care, may become a registered RMT. The RMT credential is awarded upon successfully passing the AHDI level 1 registered medical transcription exam. The CMT designation requires at least 2 years of acute care experience working in multiple specialty surgery areas using different format, report, and dictation types. Candidates also must earn a passing score on a certification examination. Because medicine is constantly evolving, medical transcriptionists are encouraged to update their skills regularly. RMTs and CMTs must earn continuing education credits every 3 years to be recertified. As in many other fields, certification is recognized as a sign of competence.

Graduates of an ACCP approved program who earn the RMT credential are eligible to participate in the Registered Apprenticeship Program sponsored by the Medical Transcription Industry Association through the U.S. Department of Labor. The Registered Apprenticeship program offers structured on-the-job learning and related technical instruction for qualified medical transcriptionists entering the profession.

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

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

Nature of Work

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, medical 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.

To understand and accurately transcribe dictated reports, medical transcriptionists must understand medical terminology, anatomy and physiology, diagnostic procedures, pharmacology, and treatment assessments. They also must be able to translate medical jargon and abbreviations into their expanded forms. To help identify terms appropriately, transcriptionists refer to standard medical reference materials—both printed and electronic; some of these are available over the Internet. Medical transcriptionists must comply with specific standards that apply to the style of medical records and to the legal and ethical requirements for keeping patient information confidential.

Experienced transcriptionists spot mistakes or inconsistencies in a medical report and check to correct the information. Their ability to understand and correctly transcribe patient assessments and treatments reduces the chance of patients receiving ineffective or even harmful treatments and ensures high-quality patient care.

Currently, most health care providers transmit dictation to medical transcriptionists using either digital or analog dictating equipment. The Internet has grown to be a popular mode for transmitting documentation. Many transcriptionists receive dictation over the Internet and are able to quickly return transcribed documents to clients for approval. Another increasingly popular method uses speech recognition technology, which electronically translates sound into text and creates drafts of reports. Transcriptionists then format the reports; edit them for mistakes in translation, punctuation, or grammar; and check for consistency and any wording that doesn’t make sense medically. Transcriptionists working in specialties, such as radiology or pathology, with standardized terminology are more likely to use speech recognition technology. However, speech recognition technology will become more widespread in all specialties as the technology becomes more sophisticated, that is, better able to recognize and more accurately transcribe diverse modes of speech.

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 secretaries, discussed in the statement on secretaries and administrative assistants elsewhere in the Handbook, also may transcribe as part of their jobs.

Work environment. The majority of these workers 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.

Workers usually sit in the same position for long periods. They 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.

Sources: Career Guide to Industries (CGI), Occupational Information Network (O*Net), Occupation Outlook Handbook (OOH)
Earnings

Wage-and-salary medical transcriptionists had median hourly earnings of $14.40 in May 2006. The middle 50 percent earned between $12.17 and $17.06. The lowest 10 percent earned less than $10.22, and the highest 10 percent earned more than $20.15. Median hourly earnings in the industries employing the largest numbers of medical transcriptionists were:

Medical and diagnostic laboratories $15.68
General medical and surgical hospitals 14.62
Business support services 14.34
Outpatient care centers 14.31
Offices of physicians 14.00

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 wage-and-salary transcriptionists.

For the latest wage information:

The above wage data are from the Occupational Employment Statistics (OES) survey program, unless otherwise noted. For the latest National, State, and local earnings data, visit the following pages:

  • Medical transcriptionists
  • Job Outlook

    Employment of medical transcriptionists is projected to grow faster than the average; job opportunities should be good, especially for those who are certified.

    Employment change. Employment of medical transcriptionists is projected to grow 14 percent from 2006 to 2016, faster than the average for all occupations. 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 be shared easily 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.

    Contracting out transcription work overseas and advancements in speech recognition technology are not expected to significantly reduce the need for well-trained medical transcriptionists. Outsourcing transcription work abroad—to countries such as India, Pakistan, Philippines, and the Caribbean—has grown more popular as transmitting confidential health information over the Internet has become more secure; however, the demand for overseas transcription services is expected only to supplement the demand for well-trained domestic medical transcriptionists. In addition, reports transcribed by overseas medical transcription services usually require editing for accuracy by domestic medical transcriptionists before they meet U.S. quality standards.

    Speech-recognition technology allows physicians and other health professionals to dictate medical reports to a computer that immediately creates an electronic document. In spite of the advances in this technology, the software has been slow to grasp and analyze the human voice and the English language, and the medical vernacular with all its diversity. As a result, there will continue to be a need for skilled medical transcriptionists to identify and appropriately edit the inevitable errors created by speech recognition systems, and to create a final document.

    Job prospects. Job opportunities will be good, especially for those who are certified. Hospitals will continue to employ a large percentage of medical transcriptionists, but job growth there will not be as fast as in other industries. An increasing demand for standardized records should result in rapid employment growth in physicians’ offices, especially in large group practices.

    Employment

    Medical transcriptionists held about 98,000 jobs in 20006. About 41 percent worked in hospitals and another 29 percent 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.

    Knowledge
    • Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Engineering and Technology — Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
    • Sales and Marketing — Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
    • Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
    • Physics — Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub- atomic structures and processes.
    Skills
    • Equipment Maintenance — Performing routine maintenance on equipment and determining when and what kind of maintenance is needed.
    • Coordination — Adjusting actions in relation to others' actions.
    • Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
    • Writing — Communicating effectively in writing as appropriate for the needs of the audience.
    • Troubleshooting — Determining causes of operating errors and deciding what to do about it.
    Abilities
    • Near Vision — The ability to see details at close range (within a few feet of the observer).
    • Stamina — The ability to exert yourself physically over long periods of time without getting winded or out of breath.
    • Explosive Strength — The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object.
    • Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
    • Hearing Sensitivity — The ability to detect or tell the differences between sounds that vary in pitch and loudness.
    Tasks
    • Supplemental — Receive and screen telephone calls and visitors.
    • Core — Return dictated reports in printed or electronic form for physician's review, signature, and corrections and for inclusion in patients' medical records.
    • Core — Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
    • Core — Take dictation using either shorthand or a stenotype machine, or using headsets and transcribing machines; then convert dictated materials or rough notes to written form.
    • Core — Perform data entry and data retrieval services, providing data for inclusion in medical records and for transmission to physicians.
    Activities
    • Monitoring and Controlling Resources — Monitoring and controlling resources and overseeing the spending of money.
    • Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
    • Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
    • Repairing and Maintaining Electronic Equipment — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, devices, and equipment that operate primarily on the basis of electrical or electronic (not mechanical) principles.
    • Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
    Related College Curriculum
     
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    60 Medical Transcriptionist Jobs Found


    Ref ID: 00216-9500272812 Classification: Accounting - Medical Compensation: $14.00 to $15.00 per hour A healthcare practice in Tempe, Arizona is lo...
    Accountemps - AZ - Tempe - posted 12 days ago
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    Accountemps - AZ - Tempe - posted 12 days ago
    Ref ID: 00216-9500272819 Classification: Accounting - Medical Compensation: $14.00 to $15.00 per hour A healthcare practice in Tempe, Arizona is lo...
    Accountemps - AZ - Tempe - posted 12 days ago
    Ref ID: 00216-9500273023 Classification: Accounting - Medical Compensation: $14.00 to $15.00 per hour Good morning, A healthcare practice in Tempe,...
    Accountemps - AZ - Tempe - posted 12 days ago
    Ref ID: 00216-9500273205 Classification: Account Executive/Staffing Manager Compensation: $14.00 to $15.00 per hour A healthcare practice in Tempe,...
    Accountemps - AZ - Tempe - posted 12 days ago
    RadiologyRegional Center is seeking a Transcriptionist to work in our administrativeoffice in Fort Myers. This is a full time position with benefit...
    Radiology Regional Center - FL - Fort Myers - posted 3 days ago
    Ref ID: 00680-0008956381 Classification: Administrative - Medical Compensation: $11.88 to $13.75 per hour One of San Diego's most well known Health...
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    Entry Level Transcriber – Work from Home – Virtual Contractor – ONLINE TRAINING* – Healthcare – Medical Records Med Trans, Inc. provides medical tr...
    Med Trans Inc. - NATIONWIDE - posted 15 days ago

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