Course Information
Description
Learn guidelines for accurate electronic health record documentation. Applying the Association for Healthcare Documentation Integrity standards, mastery of medical documentation rules for capitalization, measurement and quantitation, abbreviations, grammar and punctuation, reference materials, plurals and possessives, business correspondence formats, and an exploration of specialty standards with an emphasis on quality healthcare documentation.
Total Credits
3
Course Competencies
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Punctuate phases and sentencesAssessment Strategiesby inserting proper punctuation marks and rules on a worksheetby written examination.Criteriayou use reference materials to select proper punctuationyou list reasons for accurate use of punctuation marksyou identify grammatical terms for parts of speechyou write the appropriate punctuation ruleyou insert proper punctuation markswritten examination demonstrations application of punctuation rules.
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Capitalize words correctlyAssessment Strategiesby capitalizing words on worksheet prepared in lower case lettersby written examination.Criteriayou accurately capitalize wordsyou recognize when capital letters are requiredyou explain special uses of capitalized letters in medical reportsyou use reference materials to check unfamiliar medical/business termswritten examination demonstrates application of capitalization rules.
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Transcribe numbers, figures, abbreviations, symbolsAssessment StrategiesTranscribe numbers, figures, abbreviations, and symbols correctly in clinical document.by written examination.Criteriayou explain when a number should be typed as a figure, spelled out, or as a roman numeralyou type medical and business symbols and abbreviations appropriatelyyou demonstrate accurate typing of material containing numbers, symbols, and abbreviations in medical writingyou recognize and correctly use metric abbreviationswritten examination demonstrates application of transcribing numbers and figures.
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Compose business lettersAssessment Strategiesby producing a quality business letterby producing each of the basic formats of lettersWritten Objective TestCriteriayou produce a quality business letteryou demonstrate professional business letter formatsyou prepare a two-page letter accuratelywritten examination demonstrates application of correct letter formats and letter parts.
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Proofread written communication for quality assuranceAssessment Strategiesby proofreading documents and inserting commentsby correcting transcriptsCriteriayou illustrate the importance of proofreading documentsyou proofread and correct transcripts
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End words correctlyAssessment Strategiesby correctly making medical and English words pluralby constructing correct plural and adjective endings of medical termsby written examination.Criteriayou explain rules for making medical and English words pluralyou identify adjectives and noun endingsyou construct plural and adjective endings of medical termswritten examination demonstrates application of medical term endings
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Use antonyms, eponyms, homonymsAssessment Strategiesby correctly transcribing antonyms, eponyms, and homonymsby written examinationCriteriayou correctly use antonyms, eponyms, and homonymsyou correctly punctuate eponymsyou correctly capitalize eponymswritten examination demonstrates application of correct use of antonyms, eponyms, and homonyms
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Analyze professional organizationsAssessment Strategiesby exploring professional organization websitesby learning about certification options for the fieldCriteriayou identify professional organizations for medical transcriptionistsyou complete professional organization worksheet activity
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Explore research and manuscript documentationAssessment StrategiesDissect a full medical article from a scientific journalCriteriaExplore medical scientific journalsDemonstrate manuscript partsReview author submission guidelines