Jun 08, 2023
OFFT 2041 - Healthcare Documentation Fundamentals Credits: 3
Hours/Week: Lecture 3Lab None
Course Description: This course introduces transcription and editing of basic healthcare documentation. It incorporates skills in English language, technology, medical knowledge, proofreading, editing, and research.
Prerequisite(s): Assessment score placement in RDNG 1000 or completion of RDNG 0900 or RDNG 0950 with a grade of C or higher. CAPL 1010 and OFFT 2010 with a grade of C or higher, concurrent enrollment, or instructor consent.
- Body system terminology
- Document formatting
- English spelling and grammar
- Equipment operation
- Professional transcription organizations code of ethics
- Reference material use
- Organization¿s code of ethics
At the end of this course students will be able to:
- Transcribe commonly dictated reports from a variety of medical specialties.
- Incorporate medical terminology into medical documents using a body system approach.
- Demonstrate use of language skills and medical knowledge to edit, revise, and clarify while transcribing dictation, without altering the meaning of the dictation or changing the author¿s style.
- Operate transcription equipment.
- Recognize situations requiring assistance from supervisor, coworker, or originator in order to understand dictation and transcribe reports.
- Demonstrate use of medical references.
- Describe professional code of ethics.
- edit speech-recognized medical reports.
- identify situations requiring assistance from supervisor, coworker, or originator in order to understand dictation and transcribe reports.
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