Job Description

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