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Serving Over 20,000 US Medical Transcriptionists

Anyone paid hourly?

Posted By: Typer on 2008-05-02
In Reply to:

I've been doing transcription for about a year and a half.  I do radiology work and love it.  The company I work for will only pay hourly for radiology.  The only way to get paid production is to do clinic work (not my favorite).  My pay is terribly low - only $8.50!  I was wondering what others are paid when paid hourly.  Also, if you can suggest any good companies to do radiology work for I would appreciate that.

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You don't get paid an hourly rate you get paid by line - sm
so because of how you are paid (not an hourly rate) you don't get OT, especially if you are an IC.
If you could get paid hourly...sm
If you could get paid hourly, no incentive, just straight pay, what would you want to get paid?  We are in transition right now where I work and we are trying to come up with a new pay scale and one of the possibilities is no incentive, just straight hourly pay.  What do you think would be a reasonable hourly rate to suggest?  Thanks!
If you are paid hourly, you obviously are not an IC. sm
As a regular employee, you may have to keep strict hours. This is just part of the package. Sometimes you can find a company that will allow you to flex your schedule as an employee, but most will not.

Only working as an independent contractor can you have true flexibility. In my experience, an employer can ask you to set the hours you will be working, but if you have to work other hours instead, the company has no control over this. All they can do is not give you any more work. That is the limit of their control. There are companies that try to enforce hours on their ICs, but this is not legal.

You should look for a job as an IC, if you want true flexibility. However, be aware that there will usually be no benefits such as insurance, vacation, etc.

If someone else has a different experience as an IC, hopefully they will let us know. Good luck to you.
I think most QA are paid hourly. nm
Since you are paid hourly,

I'm not so sure a raise would be in order.  If you are working OT, you should be getting OT wages and fairly compensated.

Setting up templates and such is a good skill, but lots of regular secretaries can do that who can't do transcription, so maybe you are actually being overpaid if you are getting a transcriptionist's hourly wage for secretarial work. 

It is good that you are willing to be flexible and take on a different project, but I'm not sure if you should get a raise for that.  Maybe a bonus, but not a raise. 

paid hourly isn't much better
I've been at my current editing job for 3 years and I've always been paid hourly, but I only get paid for the hours spent actually editing. I don't get paid to download any of the voice files that I must have in order to do my job. If my boss needs me to look up an old file and send it to her, I don't get paid for that. If she wants me to give feedback on how a Transcriptionist is doing - that's on my own time as well.

On my invoices, I have to break each day's time down by how much was spent on which doctor's editing -- I can't include anything else.
Paid production/hourly

To those of you who are paid production (other than MQ) - are you limited to working 39 hours a week? I don't understand being paid by the line, yet being treated as an hourly worker. Just curious as to whether this is the norm at other places. 

are you paid by production or hourly?
Are there any hourly paid jobs as an MT?
I was wondering if anyone knew of a company that paid hourly pay.  I am kind of getting tired of grinding my fingers to the bone to make a living .  Thanks for your help. sm
Are you paid hourly? If so, I'm surprised they allow you to work with such little ones.
I get paid hourly $18.00. The hospital I work at don't believe sm
in production because of the error rate, blanks, etc. just to make money. I am sooooooooooooooooooooooo happy.
That's harsh. Hardly anybody is paid hourly in this field
It's all production pay. It's not theft to get your line quota in and knock off for the day. Why should the fast ones be penalized for being good? Why should they have to do more work than the others? You can't fire somebody for meeting their contracted production in a timely manner.
Working at Home/Getting Paid Hourly

I sent in this info to an MT head hunter:

I am looking for a work-at-home MT position that is employee-based, not independent contractor, paying hourly instead of per line or per page, where I could work Tuesday through Friday, 32 hours a week, no weekends, no nights or holidays.

I was told this was a "TALL ORDER," and that I would never be able to find it.  I don't think that I am asking for too much, and that there has to be an MT company out there that is willing to pay highly skilled and experienced MTs what they are worth.  I know there are plenty of MTs out there who say, "Oh, if you work hard enough, you can make just as much per line as by hour,"   but it's been my experience, having worked three MT jobs from home, that that would entail cranking out btetween 1,500-2,000 lines per day...provided there is work available and provided you are getting paid more than 0.12 per line  I've been working 12 YEARS as an MT, but most companies still want to pay me between 0.05-0.12 cents per line.  FIVE CENTS A LINE FOR AN MT WITH 12 YEARS IN THE BUSINESS.  What is wrong with this picture???????? 

If there is a company willing to pay an experienced MT at least $16+ per hour to work at home, please e-mail me!

Re: Working At Home/Getting Paid Hourly
Perhaps. Don't get me wrong, I like where I work and how much I'm making, and this company acdtually has two MTs working at home; however, they are not offering this option to any other MTs at this time, if ever. The at-home MTs from this company are getting paid per hour and have full benefits, but that's only because they've been working in-house at the company for many years. *Sigh*....
Working at Home/Getting Paid Hourly
Sounds like nice work if ya can get it. :) I wouldn't mind picking up tapes, provided that the pick up/drop-off site wasn't too far.
Working at Home/Getting Paid Hourly
THAT SUCKS. You should be making FAR more than 9 cents a line. UGH. And there are still companies offering experienced MTs 5 cents a line.
then you should be paid hourly somewhere and leave the lines to those
who take it more seriously. I used to do it in 6 hours...six straight. you can call that two 2 hour breaks daily - I called it done for the day early. and I did not do it sitting in diapers with a straw from my mouth to the frig, I stretched the legs as often as necessary.

Guess what? Every day I pushed myself, when I relaxed back to my normal 'comfortable pace' again, I found my line counts had increased! That much more just got easy and I just gave myself a raise.

normals? of course. shortcuts? a ton.
What to you think mass production is? Keeps the QA soores high, too. If you knew your stuff outside of terminology, you would know it is a waxing/waning speed the whole time, and you would know how to utilize the software and platforms to max. Those little games pay off to your advantage come payday. Sit and type? Not by your standards or definition. They really need to cover this in the schools.

If you do not want to work on yourself, then you need to be hourly somewhere because you won't be able to handle it. In production, it is your type of woe-is-me I'm just the messenger stance that tends to get get in our way when turnaround slips.

And that, my friend, is why overhiring was created. The same ones that would or could not pull their weight - would or could not pitch in extra to keep the darn account in contract.

I wouldn't knock those to think of it as more than a second income but a living, and regard themselves as more than a secretary but a professional. Oh, and what makes you think we DON'T have lives? We manage quite well - ALL OF IT.

Depends on whether you are paid hourly or on production.

If you are paid on production, then I wouldn't even spend five minutes researching a physicians name because it's the MTSOs responsibility to make sure have up to date physician lists available to you.  Nothing irks me more than starting a new job with an MTSO who expects you to hit the ground running, but gives you very little to start with!

If you are paid hourly, then I would spend up to 10 minutes trying to figure something out.

I get paid hourly and I work at home
They expect me to work 7-1/2 hours a day and I do, but they do let me spread it out over the course of the day. I work four hours in the morning, two in the afternoon and the other one and a half in the evening. I can leave and go to an appointment and make that time up in the evenings also. But then again, when I don't have any work I still get paid.
How did you count lines before the PC, or were you paid hourly then? nm

Hospital job is "work-at-home" paid hourly
Thank you for well wishes.
Nope. We get paid production too. Unfortunately, hourly QA is out the door.
They are fewer and farther between than you could imagine. AND, for those of us who have been fortunate enough to be paid production (I'm one of the unfortunate CBay editors who was fired just before Christmas.)
QA, $3000/mo hourly so get some overtime too, bennies paid, no complaints. nm
When paid hourly, we still had a minimum daily line count
We paid hourly with incentive for high production. So she's making money when she's just
sitting there.  I don't know if it is a habit or not because this is the first time I've really had to work with her for any length of time.  I usually only work a couple of hours a day with her when our shifts overlap.  I think I'm definitely going to ask the girl I'm filling in for what she thinks about her.
Paid hourly, req'd 1000 lines, anything over 1101 was 0.04 cents a line


You're expected quota depends on whether you are paid hourly or per line. SM

I'm paid hourly and I was told the requirement was 50 or more reports per day.  I've never worked QA per line, but I'm sure their line quota is pretty high, at least 2000 or better per day, as you get credit for every line in every report you QA.

Hope this was the answer you were looking for.

Doesn't matter, IF you are not paid an hourly wage, i.e. a set amount no matter - sm
how much or how little you type, say $12.00/hour, you do not get OT. As someone mentioned here, certain jobs are exempt, and as most of us are paid a flat rate of .08 cpl or .09 or .10, whatever it is, that is all we get regardless of how many hours under or over 40 hours we go. If you want OT then go get an in-house job or get a job doing something else.
For QA consulting I'm paid per hour; QA instructing (college) paid salary, QA editing paid per li
I am an IC and work for two different MTSOs as well as instruct at a business college.
if mt paid 9, editor paid 4 or 5...how can company charge 14 and make it..sm

I know the going rate in our area is 14 cents per line.  As MTs most companies here pay us 8 or 9 cents a line.  Now add in the Editor rate at 4 or 5 per line..you are paying OUT more than you can charge a line.  How would companies stay in biz?

Unless all work is sent by the company overseas at pennies per line, this would not pay for a company.

just curious how this works out

But how much are the US EDs gonna be paid? Typically this work is paid at 2-3 cpl. nm
I would move on. I think it is so unfair not to be paid for spaces! I think we should get paid

per keystroke, but that'll never happen.  I just think that these national companies are going to keep finding ways to cheat us.  I found a job working for a hospital as an employee, paid hourly plus incentive, and they let us expand everything!  Somebody's gonna have to kill me to make me give up this job.  I will never go back to the national's again.

I feel for you though.  I know that for us MTs those good jobs are few and far between and some have little choice but to work for the nationals.  I just happened to luck into the job I have now.  I just applied at the right time. 

Good luck to you whatever you decide.

If those companies paid a fair wage, and paid more
all came out equal, people wouldn't feel the need to try to make up the deficit by going for the good stuff. I actually prefer the harder, juicier reports. But I can't make a living doing only that, because the pay is not commensurate with the difficulty. So even though I prefer not to, sometimes I have to pick up some of the easier, more boring 'line-o-matic' reports just to make ends meet. Tell your MTSO to make it work their while, and MTs will stop taking all the easy work away that you obviously would prefer to keep for yourself.
You wont show UE being paid because it is employer paid -
the employee will never have to pay this.
What you "should" be paid and what you "are" paid

sadly are two very different things.  Good luck on demanding more..because someone else will just come along and take it for what they offer and they know it. 

10$ late if invoice is not paid within 10 days. At day 15 work stops until invoice is paid. Hardly
Thank you. Think-----hourly!!! Do not sm
accept less than an hourly wage and a reasonable one at that.
Hourly plus

A hospital where I worked long ago (in a galaxy not far away) had a hybrid pay system- a basic hourly rate plus incentive bonus for production over a certain amount.  I think this is the fairest way, because sometimes I'm fast and sometimes I'm slow, but I'm always accurate.  My first transcription supervisor back in the dark ages said "No one who reads that report will know or care how many lines you type per hour.  They only know what that report looks like".  I still believe that.

Hourly sm
Though there are a lot of variables you haven't told us, on face value I'd say hourly. I've done both, and hourly has paid better.

With MT you usually can't transcribe hour after hour nonstop (or at least you won't be doing so for many years if that's your pattern). Therefore, when figuring your actual earnings you need to include time you have to rest between transcribing to get your true hourly earnings.

As an MT this scenario is typical at so many companies: Get up early. Check for work. Do what's left. Get 7 great jobs that have you flying along thinking you're going to make a ton today. Suddenly run into Dr. X, ESL from hell, and watch your great production day go to pot. Fight for jobs at end of payperiods. Bounce around on accounts. Cry a lot as you worry about your bills.

With hourly lead position, you've suddenly opened up your possibilities. There will always be work for you. You now have more than just MT on your resume. You can also get up and go to the bathroom during work without worrying that it's cutting into your lines per hour. You may work more than 40 hours a week, but it will be actual work, not sitting there waiting for jobs to trickle in, not resting between transcription periods.

It may be stressful at times, but so is MT when you're worrying about meeting bills and having a consistent paycheck when work volumes fluctuate. It's also an investment in your future. You can possibly grow from there to be supervisor, recruiter, trainer, or use your management skills to GET OUT of this field and get into something else.

I've done both in many different ways, and would recommend the hourly.
...and with my level of experience, $16.50 or more per hour.
Hourly QA Pay
Just wondering what average hourly QA pay is? I've been QA'ing for 2 years now, but have always been paid by the line and not sure what to quote for hourly. I live on the East coast. Thanks.
yes it's hourly
But no pay when not working.
I went hourly

I went hourly....kinda.  My advantage is that I know what my paycheck will be and I don't have to worry about the difficult dictators that take FOREVER!  I am also paid for tech time and during phone calls and software issues.  On the negative side, production does nothing for me at all.  BUT, then again, what I make is about the same as 220 lines an hour.  I do get raises just like everyone else.  If there was never a chance for a raise, I would not do it.

I also went hourly...
For a bit over $16/hour with yearly raises. I love it! I don't have to worry about my paycheck if I have a bad couple of days, and it's just a much less stressful situation. Of course, in my old production pay job, I had the worst account ever, so I may be biased.
What have you been getting as an hourly wage?
Figure out what you make per hour now -- but be sure that you figure in if there is going to be difficulty doing his typing, formatting, background noise, etc.  I would say anywhere from $20 to $25 per hour. 
We were all hourly employees at that time. We were so trusting or ??? that we couldn't figure out how she kept getting such good numbers on production sheets. She was always on top. Duh! Of course she was, since she was using us to "create" her success. They (HR) told us that couldn't happen until we showed them how to do it. Accidentally, I found out when a colleague and I "switched" stations so she could try out my new keyboard for a report or two and then we realized we were "on each other's number" so we went in to change them and that is when it came to us that this must be what was going on with her. Sure enough, when we got out the logs (handwritten for our own eyes only log things we just kept for ourselves) there it was, our jobs had magically converted to her jobs! It was sad and backstabbing too!
Transcription Plus I believe. I am not sure of their web site but I think they pay hourly.
$12.70/hour. Is that too low? On a side note, I have a B.S. in Management and have never figured out a way to use it and still work from home. 
hourly pay
Those days are long gone. You might be able to find one if you really scoured the internet and hospitals all over America.

If my memory serves me right, people were more productive on hourly pay with OT thrown when work levels were high. My rationale for saying this is that the work environment was more cooperative than competitive. This led to more job satisfaction and thus more productivity and less down time.
wow - someone is getting cheated on hourly - sm
Let's face it, a facility will do their darndest to start out an employee at a low rate and then slowly bring them up. But for the Lafayette area, the pay should be (AND IS EXPECTED TO BE) around $12-13/hour.

Opelousas - a while back there was a hospital in that area that had an opening for a transcriptionist.