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That is true. If the hospital has inhouse

Posted By: sm on 2008-12-03
In Reply to: I used to sing the highest praises of this company, but they are s/m - Nurse Diesel

people, then they have first priority on work. If they can do it, then the hospital will not make it available.


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Working inhouse for hospital, sm
There's 2 of us for 25 staff MTs plus monitoring the outsource vendor. We're both paid salary. Works out pretty well for my budget. Living in Florida, salary range for our jobs I believe is $35K to $39K annually.

I worked for a national company previously, we were paid on production, at about 4 cents per line. It was a horrible way to make a paycheck. Would never go back to that.

When I MT'd inhouse in a hospital medical records dept.,
the hourly pay was around $9/hr. I had plenty of experience too. The lady there who had about 25 years of experience made around $12/hr.... I have no idea why it was so low. That's why I ended up working for a service at home. As low as VR pays, that $9-$12 is starting to sound good though. What a shame this profession is.
The hospital I work has no intention of outsourcing...physicians and administrators want inhouse tra
and Medquist hasn't bothered us at all. Our reps are still the same personable guys they have always been.
The 12 cpl is true and it is a hospital in CA. sm
They use ExText. Work flow is not always steady; some days little to no work and other days a lot. Really not consistent.

When I was an inhouse MT, I used to use -
the 'flu', rather than go into detail about whatever personal issue was causing me to need a short-notice day off. After all, everyone knows what the flu is, and how contagious it is, and they don't want you to give it to THEM.
inhouse MT
I would take it. I have been working 25 years at my inhouse job and only getting $14 so that sounds pretty good starting out.
Most of those are inhouse positions so just
NM
Perhaps you need to work inhouse somewhere sm

there is communication and lots of it, or quite possibly, none at all. Like when the mangager closes the door to avoid avoid the staff, or doesn't return your voice mails or, better yet, takes a 3 week vacation just when the staff's tempers are burning hot over one issue or another. How about this scenario? You go in to talk with her about an issue you have and the next thing you know, it's all over the office and you are the one at fault? Or, how is this for communication (*&()^&^%&&$-get my drift? My manager was like that with 1/2 of her office staff. Quite a witch-which is why I left.  She is still there turning over MTs left and right because of her communication policy. TT is not like that in my books. TT responds to my emails nearly every time. They don't respond to my calls because I never feel the need to call.


When I was inhouse the rad docs liked it
And at that hospital those same docs were pushing for VR.  Most of 'em liked to goof off for hours wandering the halls telling jokes, then wanted to read like mad when our MT staff was down to a couple night people, and whine that we didn't get it all typed for them to sign off before they went home.  So I think its fitting its going to bite them in the butt.
This was years ago, inhouse-
anyone remember those days? I made $$$$ then and surely did not want to lose that job so I was an employee, still got the days off planned as per her but had to take without pay. I would have never quit that job just on something like that, too much money involved.
I did go home from an inhouse MT service
5 years ago where there was no flexibility whatsover, we worked every stinking weekend if we got hired for that shift and after 5 years of weekend and holidays they told me it would always be that way for me. Now with this company 6+ years I am going to be forced to work my holidays again? Just for insurance? Blood money I say. There is no flexibility in this new play either. Why are we home then? I would rather be in house, at least when I walk out I am done with it.
There are quite a few hospitals in NY that are hiring inhouse and
also at home. What part of NY do you plan on moving to?
AIDI in DE also hires inhouse
Plus they have transcriptionists who work at home just like Christiana Hospital. Both are in Delaware
You are correct - inhouse pays much more
But when comparing MTSO's its often better to accept a little less for a quality company, less badgering, better dictators in return.
Does anyone using these boards work inhouse? - sm

      And if so, where did you search for the job?   I've noticed that on the job boards here, it's not only all national companies, but also pretty much the same ones, too.  And of course the pay scale is the same old crumbs, as well.  Is there any one place that hospitals and clinics go to recruit for experienced MTs, or do you just have to slog through the job-lists on each separate institution's website?  There are a few where I'd post my resume tonight if I could, just so they could have it on file, but frequently you can't do that unless they're actively recruiting.  Anyway, for me 2008 is hopefully going to mean finding gainful employment again, and any ideas you might have would be greatly appreciated! 


 


 


It's common policy. If you want pay, go inhouse or
Usually, you get holiday differential if you work a holiday but workers paid piecemeal production don't get hourly compensation for work not produced, unless it is their own earned PTO.


Anyone here work inhouse at Stanford University? - sm

Or know someone who does?  If so, any comments, pro or con, about working there?  I'm moving to that area soon, and was wondering if they're hiring.


guess again, i'm inhouse and my sup would rather send out work to the agency
yep, to meet the TAT she will send it out, even if it means no work for the real hospital employees.
I'd love to be back inhouse, paid hourly, and
a bad dictator or a report that's interesting, but slow to do. I'm tired of never having money for food, gas, clothes, fun, or anything else. I'm tired of no holidays off, and having to work a 12-hour day to make the minimum line count. And no, I NEVER get overtime, cuz they don't pay it. I think the hospitals should not only first give work to it's HOME BASED employees, but I think they should hire more, instead of farming it out to god-knows-where all over the world.
When I worked inhouse, we used Chartscript, now that I work from home for a different company, we

use Docuscribe.  In my experience, my line counts were much higher with Chartscript, but I think any program can be told to count lines a certain way, such as weighted lines with Chartscript for difficult dictators, which made your line count higher. 


Con: Overflow work is cherry-picked from the git-go by the account's inhouse MTs. nm
x
We could check our line counts up-to-the-minute with CTRL I inhouse n/m
b
Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
x
Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
x
If anyone works inhouse in the Atlanta area, pls see question on Main Board. Thanks. nm

First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
Glad that's true for you for 8 years. Not true for many. I love the company, but I do run out of
as do many others. Wish I were as fortunate as you.
Not necessarily true. That is not a true test of skill.
Do you know how many people get others to take tests for them? It happens and it happens more often than you might think. The only skill that shows anyway is that you can do it.

We are actually more than a transcriptionist. We are specialists in our field and we are supposed to know some things regarding anatomy and physiology as a working base. That's how we can judge if a physician dictates something in accurately and many do because they can't pronounce or just are not thinking. That's why our skills of basic knowledge come into play and that means basic knowledge of body parts. If our job was just to sit there and type without thinking about what we are transcribing, then all patients are in trouble and this is just based on what I see as a QA person.

It's more than just knowing how to transcribe and some of the companies have discovered how to know what your basic knowledge is based on what you have picked up with your experience by utilizing your references etc. Hopefully that utilization of your references has taught you something that does stick in your head.

Beliefs like yours are just so far off base. You have to know what you are doing. It's not just about being able to listen and type. Base knowledge is a very important thing and the services have to find a way to know that knowledge base that is there in your head.


This may be true... and that is philisophically true, but
and pay bills while being screwed? This is what I think the OP is scared of... I certainly agree and honestly think it is unfair to put people in this precarious position... on one hand be grateful you still have your job, or a job, and on the other, immediately there will possibly be a cut in pay, for which you may have to give up your home, or medicine or reduce your budget for food. I don't know if I am the only one, but I think the OP still has a good head on her shoulders and that may be the problem...at least for employers out there who are switching to VR.. and their employees
11 days is more than you would get inhouse...usually 10 days.
We have the convenience of working at home and yet you want MORE than what inhouse positions offer?


Thank you!!! The hospital I am ..
with is going to be switching over -- don't much about it so this is encouraging!
my hospital uses it also... c msg
just a little bit of demographics need to be put in every now and then, but overall, i really like it.
Hospital MT

I am so sorry that is happening to you. Are you a single parent?  I know how scary it can be to default on a mortgage. It happened to me back in early 90s before I started work for the hospital I am currently at.  Your supervisor is not a very thorough supervisor. If she checked with most large hospitals, she would see things are done very differently for their at home MTs. My hospital pays for internet connection, provides equipment, and pay is very good. We don't have to do all that extra stuff for HIPPA either. 


Your best bet now would be to try and find a national to work with, but that is scary too.


My thoughts and prayers are with you.


 


Hospital MT
Hey.  Does anyone work for a hospital, but work at home?
Hospital MT
Sorry. Should have been a little clearer. Looking to meet some other hospital MTs out there. Curious to know... Do you find the same problems with your employer as MTs do with national companies? I have had some may MTs tell me they wouldn't work for hospital, but my hospital doesn't have a third of the problems nationals do. Fortunately for me, my hospital hires within a 3-state radius. For those who are more than 1 hour away, we have conference call meetings.
Hospital MT
If that is the case, where are you located?  I may want to apply.  I am in NC.
Hospital MT
I wish you could apply. We are looking for a couple of good MTs right now. But unfortunately, you are not in the tri-state area. I am sorry.
Hospital MT

Thanks for letting me know.  What program does your hospital use?  I am just curious.  Happy hunting.  Wish I was the lucky winner.  Thanks......


hospital MT
We use CMT (CequenceMT) and VXP voice. Very user friendly.

Good luck to you too.. Happy 4th.
hospital MT
That's what I mean. I think hospital work is so much better as far as all of the little quirks go that companies have. Where are you from?
Hospital MT
Would Colorado be in the tri-state area? 
hospital pto
I think working inhouse they should find something for you to do since most MTs inhouse are usually in medical records :)
At a hospital that uses VR (nm)
NM
hospital MT

Sounds like my hospital that I work for.  Used to hire from 3-state area only, but now they can hire from anywhere in the U.S.


Go with the other hospital and get a
/////
Hospital job
Probably 99% of the time I would say take the hospital job over the service - but in your case with having a CMT and that amount of experience, pay for production might be a better deal for you. I think you have to decide what is most important, the benefits or a higher salary. As far as security, even though the hospitals have a tendency to go with what looks good on paper budget-wise, the services can also be bought out and changed over so no guarantees either way. I do wonder if more hospitals won't work a little harder to keep some in-house MTs as more and more services sell them a bill of goods they cannot deliver. Geez, they have to wake up sometime, don't they?

Hospital job.
Hi,

I do ops too and I love those. Will you be happy giving those up? Will they be sticking you with long, boring discharge summaries? They get real boring, real fast.

Another thing...a friend of mine, CMT, PA and several other initials, went to work for hospital, which told her she would only have to work in-house for a short period of time. I believe it was six months. It took over a year. 45 miles is a long way to drive, especially if traffic is an issue.

Ask a LOT of questions.
Hospital - see msg
I have worked as home based hospital Transcriptionist since 1990s. They recently took on a new platform and are outsourcing a great deal of our work.  We are running out of work; the outsource company takes almost all of it.  Our jobs are no longer secure. 
I'd go to a different hospital.
Good luck!
same hospital
I was probably hired for that same hospital account, in Broward county. I'm supposed to start this week, still haven't received my pc from DR...I had to order a copy of my BC so maybe that is part of the hold up, taking that to the hospital tomorrow. I accepted a 2nd shift position, but really need to work 1st shift. Are they flexible in that respect. How do you like working for them? Are there tons of ESLs on the account? How is your training going? Feel free to email me if you'ld like. Be nice to be in the dugout with someone in the same boat.
Hospital
If you have acute care hospital experience, I would suggest you go to work directly for a hospital with hospital benefits. Diskriter has an account like that, you cannot beat hospital benefits. IMO. But you have to decide what is most important to you. Good Luck.