A community of 30,000 US Transcriptionist serving Medical Transcription Industry

Is it just me, or do the words clinical documentation specialist mean - something different than transcriptionist?

Posted: Jun 05, 2015

Ahima certainly gives it a different spin than MT, and an article at Study.com lists desired or common requirements as associate's or bachelor's degree, with nursing, HIM, or health information technology, and medical coding expertise.

So where does Nuance get off expecting "lowly" MTs to do this stuff, with 100% flawless accuracy, on lowly MT pay having to Google everything? I mean, they do not even pay us enough to be "lowly" MTs, and yet expect us to Google and verify that doctor didn't accidentally invert two numbers? or give a decimal in the wrong place? or spell out loud incorrectly the name of that body part he just cut into?

I'm thinking they should just run ads for retired RNs or coders and let the whole lot of us go! Oh, but that would require truth in advertising.

Nope, the person who is trained to type what the guy with 12+ years of advanced medical and additional specialty training is saying cannot possibly be held responsible for any error the doctor makes.

ME, with a 12-month course of study? Bwahahahaha.

Confusing job title ... see explanation - CDS vs CDI

[ In Reply To ..]
You are a clinical documentation specialist, which is a transcriptionist or editor.

That is, to me, an intentional misnomer on the part of AHDI that encourages confusion between it and clinical documentation improvement specialist (CDIS).

CDIS are not concerned with cosmetic documentation issues, like spelling, punctuation, and formatting. They focus on the medical content of primarily inpatient documentation to make certain that it is a reflection of the reality of the patient's condition and the care provided. This is necessary to ensure that the case meets the criteria for the DRG assignment that is appropriate, rather than a lesser one that results in lost revenue. They work with physicians to get the necessary documentation added to the record.

Coders, RHIAs, nurses, and some other individuals typically go into CDI. Regardless of their background, they all have to understand coding and how clinical documentation drives it.

AHIMA and ACDIS provide training and certification for CDI. See the link below.

My point is, Nuance is expecting one to perform like the other - And not even paying us adequately as MTs.

[ In Reply To ..]
I'm really not interested in or qualified to do anything with any job description that has clinical anywhere in it. If I was, I would have become a nurse.

And/but, I would also appreciate being respected and paid for the nonclinical but highly specialized skill set I do have. Being paid like a mailroom college kid or file clerk is extremely exploitative.

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