Wake Technical Community College

9101 Fayetteville Road, Raleigh, NC 27603-5696

Program Details

The Medical Document Specialist Certificate from Wake Technical Community College is designed to assess competency in medical transcription by determining if a candidate has the core knowledge and skills needed to practice medical transcription effectively. A healthcare documentation specialist, sometimes known as a medical transcriptionist or a medical documentation editor, listens to a voice recording made by a doctor or other healthcare professional and either transcribes the information into a captured electronic record, or reviews and edits a version produced by a speech recognition technology software program for the record.

The reports produced become part of the legal medical record, and include medical histories, discharge summaries, physical examination reports, operating room reports, diagnostic imaging studies, consultation reports, autopsy reports, referral letters, and other documents. These reports are important because they serve as foundation for ongoing clinical decision-making, continuity of care, maximized reimbursement, and risk management.

Medical documentation specialists need extensive knowledge of medical terminology, anatomy and physiology, medical procedures, pharmacology and other medical terms. They apply advanced clinical knowledge to the art of accurately interpreting and capturing patient care encounters. This is a skill set that must be applied in the challenging setting of enabling technologies, an expansive and constantly evolving medical language, and an often unpredictable work environment. The medical documentation specialists will gain important skills and be able to type accurately and quickly. Students may also master complex medical terminology and critical thinking skills to determine the accuracy of the reports and follow established protocols to deal with inaccuracies.

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    Program Overview

    • Degree Level:
      Certificate
    • Delivery Format:
      100% Online
    • Completion Time:
      14

    Accreditation & Licensing

    Southern Association of Colleges and Schools, Commission on Colleges

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