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coding at home sm

Posted By: CrispyCritterMT on 2008-11-19
In Reply to: make better money coding...sm - cj

Would you care to share what state you are in?  I assume you do the coding via computer and have computer access to patient's records.  Do you code directly into the hospital system?  I only had exposure to coders back when they had no computers.    Do you have coding certification?  How many years experience do you have?  I want to get into coding and I would love to work at coding from home.  I've taken classes and really enjoy it and have done well, but am not certified and I heard its really hard to get into coding.  I do have lots of MT experience though, 33 years.  Thanks.


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In the early days, MedQuist said working at home was a benefit, therefore at-home sm
employees did not receive as many benefits as those working in-house.  As I believe, it was something like at-home employees got 3 days off a year versus 10 days for the in-office employees -- WHAT?!!!  I told them it made no sense to me, since by working at home I was saving them money -- no need to provide office space, equipment, references, utilities, etc. -- yet I get shafted.  I was only part-time when they took over the previous company with their great policies, and I told them to kiss where I can't. 
Coding, VR?

If the trend continues to let all transcription go to India, what is left for us?  Is anyone paying more than 3-4 a line for reviewing voice recognition work?  Is coding on the way to India too or is this still an option for us who live in the U.S.? I am wondering if it is worthwhile to start taking coding classes now before I lose my job to India.  Can we even do coding from home?


 


Coding
Yes, coding could be the way to go,although not at home yet. I'm considering a course, they say MTs make good coders.
I want to go into coding too (sm)
but don't have the money now for school.  I've been in the biz 20+ years and it's unbelievable how the work has dried up.  Yet they keep hiring when other MTs have no work. 
coding

I was an inpatient coder for a year and I made more transcribing.  I worked for a large chain (that ended up in trouble with the feds) and we were constantly told to find better DRGs so they would get paid more....dig 'em up even if that wasn't the reason for admission.  I enjoyed my job otherwise, I did become nearsighted after a year probably because of reading the physician writing.


Even if you go to school and get certified now, the companies say they need 2 years.


 


Remote Coding
Does anyone have anything to say about the remote coding.
Coding certification

First I would encourage you that if you are serious about coding, do NOT go to a course that does not allow to test for NATIONAL certification.  There are only 2 organizations in the US that do national certification.  AAPC (the first) and AHIMA.  With AAPC there are numerous companies that offer their course.  The cost runs between $1200 and $1600 for a three month course of 8 hour classes plus your proctored exam and membership to AAPC, or you can do the self-study course for the same money (I chose to be in a classroom setting so I could have questions answered on the spot).  You can opt to take the course for hospital coding CPC-H (which few hospitals will recognize as official) or the doctor/outpatient based course - CPC, which is widely recognized.


I don't know the cost of AHIMA's testing but it is as intense as AAPC's but it is mostly taken by people who either already have AAPC certification or are already working in a medical coding setting.  Both organizations offer apprecentice programs if you are not already in a coding setting until you can clock some coding hours.  I think you need references to enter either program as to your character - remember, if you make a mistake the penalty could be monetory and/or a jail term.


Now, can you get a job and is the money worth it.  Most hospitals want AHIMA's inpatient certification and 1-2 years OTJ experience, unless they are hiring for their outpatient clinics and/or ER (which they will then accept the AAPC's CPC).  Most of these positions pay between $15 and $24/hr plus bennies.


It is very hard to get into the coding industry.  It's just like trying to get into MT without any experience, only harder.  I would network, join both organizations as a member and go religiously to the monthly meetings to network and learn.  Both certifications require a high number of CEU's to be earned each year.  It is easier to get into a physician's office setting as a CPC.  Most of these jobs pay $9 to $18/hr depending on geography, but again you'd have to be very, very good and have good references from certified mentors to help you get a job with no experience.


Most jobs are obtained by word of mouth.  If you are very good, you could skip working in a hospital or doctor's office and become a consultant and/or instructor without any working experience (more $$ for the instructor's certification).  It would be like working as an IC.  You would have to hustle to get clients and build a reputation.  I was lucky and got a job with a hospital in their outpatient clinic side at $19/hr with hospital bennies and had an offer with the people whose course I took to become an instructor and consultant for them even before I got the results from my test score (but I had prior coding experience).  My job was basically consulting, doing audits and giving feedback and education to doctors on how to maximize their reimbursement, how to document charts properly and be available for their coding questions.  I loved the respect I got from the doctors.  It was totally unlike what I get directly from doctors as an MT.  They are eager to learn, listen to what is being taught, are interactive, friendly and recognize that you are there to help them succeed.


If your MTSO is also adding a coding department to their company, that would be an easier way to get into coding as it could be done from home with access to electronic medical records.  There are a number of tools available to coders that help to electronically code and flag potential errors, hopefully your company would pay for all that because it can be quite expensive.


I tried to portray a clear and realistic picture with discouraging you.  It's a lot like going into MT without someone being realistic with you, so the fact that you asked is a good sign.


good luck,


d~


medical coding
Does anybody know about going into medical billing/coding. I'm looking into getting out of transcription, and I know of 1 national company that supposedly hires coders, but I don't want to spend the $$ for school and then have no work or a low paying job
Coding is being sent overseas as well
NM
Has anyone left MT to go to coding? sm

I have 16 years experience as an MT, but I am just tired of it.  I have completed a medical billing course and I am now working on  a coding course.  I am really enjoying the coding and it seems to come easy to me, which is a miracle :)  So, if anyone has switched, I would love your input.  Thanks!


In 5 years, coding will be just like MT--sm
rates dropping, offshoring and big services taking over.  Mark my words.
They have coding and transcription
nm
Coding Recognition Software
I see that Nuance is now pushing its coding recognition software. Maybe I should put off that AHIMA coding course. I can't wait until they come out with HIM Director Botware, CFO Botware, and CEO Botware.
Thanks for warning me, but this is the other company - no coding LOL. NM
xx
Augusta Coding nad Transcription
This company had a job posting on mtjobs.com several weeks ago - anyone else apply and actually hear anything back?  I've even sent a follow-up email and nothing.  Just wondering if I was the only one.
Augusta Coding and Transcription
Amen, brother ben. They are not cool. Do not confuse with AugustaMedicalTranscription.com which is a great Christian owned (2 people, Mike and Pam, friends), run this business.

Augusta Coding will screw an MT by charging for software, paying low and charging high. Beware beware. I did not and I did work there, but found making about 3.00 hr was not possible.
make better money coding...sm
I do earn more money coding, mainly because it is hourly pay (so no fluctuations like you get with line counts) and the value of the benefits. I do think there are coding jobs which are much less stressful than where I work. Actually, I think most of them are. Our facility is huge, actually has it's own little city, with 3 hospitals, one with a level 1 trauma center which is shared with a children's hospital, 150-some clinics, an eye institute, and a cancer center plus is a teaching facility so we do the coding for the college facilities. Most coding jobs in my area (midwest) are working from home. Our benefits include health, dental, life, disability and vision insurance, FSA and HSA accounts, tuition reimbursement, AHIMA membership paid, 403B match, 4.6 hours of earned vacation and 1.8 hours of sick time per pay period (2 weeks) so they're pretty good. I do know coders in other facilities around here who do not have the same stressful conditions which we have and who love their jobs. Much of it is due to size and our remote management. I used to work at a smaller hospital and really liked coding there. I left when my daughter became ill and needed me home. I ended up at the facility I am with now because they were one of the few places who did have home coding available at the time that i started. Now I just think I am too darned old to start over someplace else and give up my seniority, vacation accrual, etc., so I will stick it out until I can retire. So it's my own fault I'm miserable 'cuz I don't make the change! If you go into coding, I hope you get to be one of the people who does love it and would venture a guess you would not find the stress level to be what ours is unless you work for one of the largest of facilities.
Augusta Coding and Transcription

Watch out for this company.  They have a horrible platform they use and are extremely rude in QA (main gal running the company).  Please beware, as life is too short to live like this. 


What about medical coding? Is that a lucrative..sm
and somewhat secure field to consider?  I am doing a lot of re-thinking after this MDI-Transcend stunner and know that being an MT today is nothing like it was 30 years ago when I first started my career.  Does anyone have any opinions or knowledge on medical coding and if that is a viable alternative to MTing?  Thanks.
OOPS! Supposed to be Coding and Transcription
nm
Anyone ever hear of Augusta Coding and Transcription in SM
Georgia? Any comments. There are 2 in Georgia. Thanks in advance.
Make sure it is not Augusta Coding and Medical Transcription....
that company is run by 2 psychos, Ann and Stella...it certainly is not Christian either, and you will have to pay their license fee to use their software. In other words, you pay them to work for them.
is this ACTI (augusta coding transcription inc) in Evans, GA or
Augusta Medical Transcription in Augusta, GA? I'm trying to find out which company is better. I want to work in ChartScript. Thanks!
Part & Full Time Data Entry & Document Coding Position - Sara McDaniel - HR Administrator
This company has ads on other web sites. You have to pay them $55 to do a background check up front. Guess what? If you don't get hired, they've got your $55. Don't know if it's legit - just posting facts.
did that at home...
worked for a court reporter service typing depositions at home for a while. The biggest problem was that it seemed there were often 2 or 3 people talking at once and it was hard to tell one from the other. Things had to be verbatim to the letter, with absolutely every word spoken included in the report. I can see where it would be easier to do that in an office setting where you would be able to ask questions about things you were unsure of. The pay was excellent, but I found it really difficult to do it at home.
About MT at home

I am - or hopefully soon to be - was on eof those recruiters, and I coul dgive you a heads up on what they are thinking when they advertise, and what they really expect.


First, not all companies are making 14 cents or more a line with so much off shoring - BUT that doesn't mean they coud not give more. I have been asked to low-ball on many occasions. What a company needs to realize is that without MTs, there is no company. After soul searching, I will be leaving my inhouse job for an at-home MT position NOT WITH THEM. Now that I know what they do, I am hoping to cope, and work around it to make what I need without the stress. Cause the stress is making me physically ill, and I am too old and too professional and too qualifed to be treated the way they do. AND I wont be a part of their antics with the MTs. I mean how many times can a bank possibly make an error. MTs are smarter than that. Them leaving would only make my life more stressful in the office.


 


Yup. Only 2 at home still, 12 & 17 NM.
nm
FLOATING HOME - PLEASE
No houseboat just a floating home with the sun rising and setting over Mt. Hood. 
PT at home with benefits
Does anyone know of a good company to work for part time at home that offers insurance?
New at home based...

I would like to get some feedback on a few companies.  I have been offered positions from AccuScribe, Cymed.  I am an IC now and have been in a hospital setting for several years, now at home working for a local company that does not pay well. 


This newbie really needs some help! 


Thanks in advance!


Carly


At home positions
DTS America Brentwood TN has at home positions awesome management group there.
Used to work for them at home--sm
You don't work for any certain facility. They now have the MTs working on all their facilities depending on the region you are in. They have heavy ESL.
Thanks. I am used to working at home
and not having to deal with this.  This hospital has opened up a new surgery center which is its own entity and that took away a lot of our transcription plus a good majority of our radiology has gone to templates so in other words we are now very over staffed.  They pulled some of us in-house to work on other stuff when transcription gets low which it frequently does so when I work on other things I get paid an hourly rate.  I make more typing.  Some of the other transcriptionists refuse to do anything else but type and one of the supervisors made a comment that that is not the right attitude to have.  I have considered the nationals mainly due to my pay cut and gas prices and of course this coworker doesn't help, but am afraid of jumping out of the frying pan into the fire.  I have read horror stories on this board.   Its hard to decide what to do.  There is little opportunity for transcriptionists around here.  The ones that have a job are holding on tight.  One of the local multispecialty clinics outsource to India  and another one of our big multispecialty clinics do voice recognition and templates. They still have transcriptionists but let a lot of them go.  I live in a remote area also and never thought I would have to worry about India, templates, VR since big city people claims we are soo far behind but it has happened.  Oh, well thanks for letting me vent.  I feel like I did this on the wrong board though, probably should have been on the main board.  Sorry.   
radiology at home

MDI-FL pays 10 cpl for radiology and acute with Meditech experience.  Good company.


 


Trying to adjust to home

I've had a tough time working at home.  It takes more discipline than in an office and I applaud anyone who can do it and make money. 


Hospital at home now.

Please forgive me but I really need to vent.  I think  I am at my lowest now.  I have worked in local Hospital Radiology dept. for 10 years and was told I must work at home, or no job.  I must provide high speed internet and pay for it, I provide space in my home and desk and chair, must show proof that my homeowner's policy will cover their computer equipment, and must show picture of area in my home showing a door for HIPAA compliance, they say.  I get 9 cents per line, only what I type, one line each for headers and footers.  They won't tell me how they determine a line, they won't say if macros and normals are included. I went to personnel and they say my department head determines what and how she pays and they won't interfere.  I have a one year old mortgage so can't say no, and my pay is down to 8-9 dollars an hour, and that is before I deduct what I have to pay to work at home.  When I told my supervisor that the new program they put in is not Transcriptionist friendly, she said, no it's not, it is mainly designed for Voice Recognition.  I can't check my lines, they give me a paper with total lines for the last two weeks on it with my paycheck.  I feel abandoned and abused.  I called local labor board and they said if I was getting minimum wage and overtime pay as required by law, then I should be thankful I have a job!


I am about to default on my mortgage, and have three kids to worry about too.  Can it get any worse than this?


Will likely still pay hourly, even at home.
But I agree; 1200 lines will be required at minimum.
Working at home
If you compare working at home to having to get up and go into an office somewhere, rain or shine, that is a big plus. The only drawback to this profession is the declining line rate. Guess thats really up to the MT I guess. They will pay what you are willing to take. Just have to keep shopping around until you get what you want. Much better alternative than getting all nasty about the company you work for, there are plenty more out there, and they all pay different.
You would not be sorry to work for them. Like any @ home job, it is a job and to be taken serious (
The pay is good, it is based on a line rate and bonuses for tier levels. You would not be sorry. A good group of people, excellent technical support and communications within the management!
Staying at home
Hi: Our children are grown and gone and I still choose to stay at home. I like the flexibility that I have working as an IC. I like making as much or as little as I would like to. I like being off when my husband is so that we can spend time together, go see our children, travel. I even take my laptop with me when going to see kids so that I can work if I am scheduled. I could not do that working in an office environment. I agree with the other poster. You take the good with the bad. You pick your battles. Also, after working at home for so long, I'm not sure I'm a candidate for working in an office environment! That would mean wearing a bra every day! Hope you find the answers you are looking for.
At-home Transcribing
I have been working from home since July 2002.  I absolutely love it.  I have worked for Spheris, MedQuist, and now I am at Webmedx.  The company I am currently with is the best.  Spheris is also good, but they do not have bonus incentives.  All 3 of these companies have PT positions available.  You pay a $250 deposit for the equipment (which is better than using your own cuz if anything goes wrong they pay for it and not you!) which is split into $50 from each paycheck.  If you ever leave the company you get that back.  Also they have full medical, dental, 401K, and vision, and PTO time.  I work FT and absolutely love it!  My take home pay is around $1000 every 2 weeks.  That is TAKE HOME!!!!!!  So, if you have any more questions please feel free to ask me.  Good luck in your job search!
other at home jobs

I know a few days ago there was a post from someone on where you can get other work at home jobs.  Can someone please tell me where to find these.  I remember them saying there was a web site on Good Morning America.  You can email me directly.  Thanks in advance!


working at home
I work for a local hospital that has been promising us to go home for 7+ years and still be employees of the hospital.  We have Dictaphone and recently got speech.  We are in the learning phase.  We were told they (hospital) cannot decide if we will use their equipment or your own equipment.  I and another co-worker also work for a service.  That threw up a red flag for us both.  Our own equipment - independent, no benefits or possibly every thing outsourced and then possibly lose the job.  We both figure with the speech recognition coming and possibly having to use our own equipment, it would be easier for a service to take over.  Any thoughts to that?
This is why I like working at home - ALONE. nm
x
May have a home office in tn
But definately is affiliated with the Phillipines, know the person who runs it.
Not like they are going to come into your home to check.nm
nm
Home vs. office
Well, I've done both but did billing in between. Each has benefits. Our local hospital pays more per hour if you get over the req. amt. of lines. Pretty cool. However, they're small and don't often have openings. They have a good starting wage too.

OTOH, I like being at home, working in my sweats, and having my 3 cuddle babies (my 3 pugs) at home with me. We are trying to breed our 2 black pugs (just once to carry on the line) and I wouldn't have been able to do that if I had still been doing med. billing at an office. I had a TAH last May and had to use all my vac. days. I have to be home with my female if she has puppies in case something goes wrong and with the puppies in case she abandons then litter. Home trans. allows me to do that.

So, I guess, to each his own. At first, when I left an hourly paying job, I wanted to run to the local hosp. and beg them to hire me. Now, I'm more secure in what I can do and I feel comfortable at home. :-)

I know......been IC at home for 18 years. sm
Yes, they are my own client(s).
Is TT home of the unprofessionals?
x
Work from home
Does anyone work from home doing anything other than transcription? If so, can you share what your doing?
I do dog-sitting in my home. $15 per day.
x