A transcription manager works primarily in the medical field. In this role, your job is to transcribe medical dictation that a physician speaks into a portable speaker to ensure that patient records are up to date and accurate. To do this job well, you need to understand health care terminology and any language that is specific to the hospital or office in which you work. You are also in charge of other transcriptionists in this management role, so you need to fairly distribute transcription duties and take on additional responsibilities such as correcting the language of some transcriptions and ensuring transcriptions get completed on time.