Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues

Serving Over 20,000 US Medical Transcriptionists

Depends on what kind of hospital? Large urban hospital or small community hospital? SM

Posted By: Tinks on 2006-11-21
In Reply to: Hospital Job - Happy MT

Also, is it a large teaching hospital? If so you have to consider there will be A LOT of different residents dictating, usually a lot of ESLs at teaching hospitals, and the residents rotate out and new ones rotate in every summer. So you can't expect to get the same dictators and build up your macros because the dictators change all the time.

I would say 9 cpl would be a pretty good offer for a small to medium community hospital where you will be doing the same dictators on a daily basis.  But for bigger, urban or teaching hospitals I would want at least 12 to 15 cpl. 

Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

Other related messages found in our database

Depends upon size of hospital. If it's a large teaching
Hi! Went through a similar thing at a smaller community hospital....sm
in the state...all the same set-up as you stated, but the coders, who shared our office, were also the darlings of the hospital and were treated differently. When pressed for an answer, the head of HIM said that between us, the coders were seen differently because they were responsible for bringing lots and lots of money into the hospital, their coding "properly" translated in to billing, which translated into $$$ for the hospital...all the while, the coders, in part, depended on back-up from our department when trying to decide which code was most appropriate. Since your working conditions would be changing if you are sent home, I think it is entirely reasonable and very intelligent to ask them for a new job description, I always love to have things in writing for future reference. You sound like a very productive MT, so don't worry...I didn't have to worry about speech recognition at this hospital cutting down on pay, but is there an HIM head whom you could all have a small meeting with to clarify these questions? It would be nice to put your mind at ease. Hope it all works out and you have the best of BOTH worlds, Granny!
275-310 lph - one account-large teaching hospital
If you want to work at a local hospital or doctor's office, go to community college. Otherwise
if you want to work from home, for a national company, you need to take the course from either Andrews School or M-TEC. It does you no good to save money by taking the Penn Foster course, because most companies will NOT hire grads from that school, it is a poor course and does NOT prepare you sufficiently for MT work.
Philadelphia - $25 per hour at a large teaching hospital. nm
I'm there with ya! I worked for a hospital that outsourced overflow to a very large, VERY SM

well-known service.  The quality of the work was shockingly bad.  There's no way to describe it except to say it was painfully obvious that the MTs on our account had no business being MTs.  They didn't even have the very basic skills for the job, let alone the medical terminology.

I had the opportunity to read through the contract, and there was a paragraph in the contract that clearly stated that not only did the service promise to adhere to a specific TAT, but also promised high quality, proofread reports.  Basically saying that they employed a highly qualified QA staff that insured nearly error free reports.  That's the OUT clause as far as I'm concerned.  I started a file of every report with errors from the service, every ridiculous error.

A new supervisor for our department was hired and her first order of business was to cut the flab out of department.  She told us that the service doing our overflow was being paid something like $60,000 a MONTH!  The hospital was paying the service 45 cpl.  Now do the math!  The service gets 45 cpl and pays you and me 7 to 8 cpl to transcribe for them or even worse pays 2 cpl for an India-based MT and 3 cpl for an American QA person to edit and correct it, so that's only 5 cpl they end up paying.  That's quite a profit.  I vowed the day I found all this out to NEVER work for a national service again and especially not THAT service.

The new supervisor was against outsourcing which was good news.  She set out to renegotiate the contract or drop the service all together.  I threatened her with breach of contract and that's where my little file came in handy.  Needless to say, the service backed off and we not outsource overflow to a service local to our area and a much more reasonable rate.

My advice to you is start your file and keep track of everything.  Tell your boss to reread the contract, especially those paragraphs that speak to what the service promises to provide for the inflated line rate!

Good Luck!

And it's rough work dangit. First job, large hospital,
drives me nuts sometimes. Sorry, just felt like throwing that out there! ;)
small hospital
I get 12 cpl as an IC for a hospital. No pickup, delivery, or printing. All work is internet based. Not only is gas expensive, but have you seen the price of printer ink lately? I would stand firm on the 15 cpl.
No joke. I made 12 cpl as an employee at a large teaching hospital. I should mention the ended up
work to an outside service and that is why I'm not with them today, but good paying, employee status jobs are out there, though they are few and far between.  You just have to be patient and be good at what you do. 
IC working for a small rural hospital
I have worked for a small rural hospital as an IC for 9 years, this year I asked for a raise.  Hospital thought about going to a national until they found out how much they charged.  They contract their transcription themselves.
On-call transcription in a small hospital

I work for a very small rural hospital with only two full-time transcriptionists and one part-time transcriptionist.  We have recently been told that the administration of our hospital is entertaining the idea of on-call Transcriptionist for uncovered hours.  We already work alternating Saturdays (day shift only).  I wanted to know if any other hospitals out there do on-call transcription (Not from home and not outsourced).  They want us to physically drive in and be in the office to do this transcription.  Any information at all would be greatly appreciated.  Thanks. 

It depends on where your hospital is...sm
Many warmer areas of the country have big snow-bird seasons in the winter with a major influx of older people who leave in droves over the hot summer months. Since seniors have more medical problems than young folks, places like this have a big decrease in hospital visits (ER & IP alike) during the summer months. I'm in Phoenix, and it happens here every year. I imagine the same thing happens in reverse in some colder climates or winter resort areas, like ski resort towns. Might also be slow if it's a smaller college town because all the students go home for the summer. Anyway, yes, it happens. Yes, it goes back to normal as the seasons change again.
Well, it depends on the hospital...

In the hospital I worked at they should have called it basic five, then.  It was OPs, discharges, H&Ps, ER, and consults. 

This board just cracks me up sometimes!  Can't we just tell the poster what she wants to know?  Why belittle someone by questioning someone's education, etc.?

I would bet a lot of us here with 20 plus years in this field never even attended a transcription school or course dedicated to transcription.  It used to be lumped in medical secretary.  Get a grip people.... 

What difference does not it make?  Basic Four is hospital work and can include OPs and/or ER. 

There are MTs that ask about platforms, equipment, etc., and no one is bashing them or questioning their education!  Why on Earth are people so nasty?! 

It really depends how much you make at hospital. If
Opinions please! I have been asked by a small rural hospital to do their overflow. SM

It is clinic notes that are pretty easy to type.  Some of the work is digital and some is still on tapes.  They want me to come in and pick up tapes, and they want me to print and deliver reports when I pick up the tapes because they don't know much about setting up a remote printer.  I made an introductory offer of 12 cpl for the first month and then 15 cpl if we both feel like continuing to work together.  I felt that since I am going to be out the cost of gas and ink, my offer was more than reasonable.  Well, they countered with a flat 12 cpl period with a one year contract and then we reevaluate at that time.  While I was mulling that over, she called back and asked if I would be interested in doing some radiology for them in addition to the clinic work.  So basically this account will keep me very busy and is not going to be just overflow.

So now I'm back to thinking 15 cpl and because they balking, not offering the introductory rate anymore.

What does everyone think?

Well, that all depends on the contract between the vendor and hospital. sm

Some MTSO's and hospitals have a clause regarding penalties if account is out of TAT and some do not.  That is a negotiated point in a contract.


Hope this helps.

You gals seriously make this kind of money? I am losing my job at the hospital
and thought I would never find a job that will pay that kind of money and its 14.50. I thought that was good!!!!! So you are telling me if I worked my tail off being an IC I could make more?? Break it down for me? How many hours a pay period, how many lines, how many cents per line?

I was actually regretting losing this job, but may be it is an opportunity.
Hospital. I wish I'd never left my hospital job.
They'll only take me back if I start off working nights and weekends again at the bottom of the totem pole.
If you work for a hospital - how come no one from the hospital
called you?? Were they in the dark, as well?? How sad, that no one in your hospital communicates with the at home staff.
hospital MT
Call the hospital.  You can offer a better deal to them.  Most MTSOs charge the hospitals a lot more than what they pay out for the actual work done.  I work for a hospital.  I asked for a raise after 10 years, they baulked, started looking at outsourcing.  They changed their mind really quick when they found out how much they would charge them.  (four times what they paid me).
Hey, if you don't want that hospital job can I
have it? Just kidding (only because it's probably not where I live in central Florida). Started working at home for the kids over 10 years ago, but they are all grown now and I realize I don't know anyone because I hardly ever leave the house!!
hospital job
My situation too. Son out of the house now. Still know all the people at the hospital as I worked there for 10+ years and still do side typing for one of the units there that were not taken over when they outsourced!   So seriously considering it....Sorry, its in PA!
I think they did that to us at the hospital

but no O/T.  But you could get on there and do BONUS MINUTES at 6/cents a line all you wanted.

I always felt like that should have been illegal.  If I'm working, then I'm working.  If I'm an hourly employee - then anytime I'm working!!!!! I should be an employee and thus paid HOURLY WAGES.  But they got away with it.  Sort of a hybrid deal.

They screw us any way they can.

  (good little screws all in a row)

 (Medical Records Supervisor yucking it up drinking coffee, practicing snapping her whip)

(Me at the end of the day saying WHY AM I HERE?????)

Hospital pay
I make about $15 per hour at my hospital job in Washington state and have recently quit that to work out of my home. However, I have not yet found any home job that even comes close to that when being paid based on lines.
hospital pay
i make 21/h. living in the hawaiians islands, thats actually pretty good
hospital pay
my main job is at the hospital and i would never leave it especially with all the benefits and good pay. ic has its benefits when it comes to tax time, but as far as job security and being a single mom, i choose to stay at a guaranteed $20/h. too many people are unhappy with the problems of security in this line of work and i dont want that to happen to me.
Hospital pay
Out here in Oregon, all hospitals pay from 14 to 19 plus benefits.  Am considering going with Kaiser after the first of the year and having my I/C's run my business.  Have one doctor retiring after the first and deciding whether to do all my own accounts and make $40K doing 30 hours per week without benefitis enjoying life and not saving much or going with Kaiser at 18.50 per hour with benefits and having the I/C's doing 80% of my work and I will type parttime on the weekends.  Have only 10 more years to work.   Have been offered work at Kaiser, Providence and Good Samaritan Hospitals so the work is out there. 
Hospital pay

At least with the hospitals out here in the west, they always have posted salary ranges and you can usually always exept with decent experience to start in the middle somewhere and reach the top in 5 years.  Worked in HR in a large hospital for a bit.  They always post the salary ranges here with positions and with that you go in with a bit of knowledge.   I never did see one start at the top though.  Good luck. 


Hospital job
Let us know how things go.  I would fear that they see MT as just "typing" and would give you so many secretary duties that the MT part would be pushed to the back burner. 
national services lose accounts all the time whether it is nonrenewal of contract or fired, or whatever, your pay is never the same from week to week with a service, you may have extra transcriptionists on your account all of a sudden, work load varies, etc.

With the hospital work, you know your doctors, you have guaranteed hours and work and even down time (some services don't offer that), overtime, benefits, etc. Some hospitals even offer reimbursement on college courses - CAN AN MTSO SERVICE OFFER THAT?? Some hospitals have family leave time for 12 weeks of maternity!! Can an MTSO service offer that?

Take the hospital job!
Take the hospital job...
Those are only real "for sure" MT jobs out there anymore.   I worked for years for a service but since  I took my at-home hospital job, I feel like somebody for the first time in the eyes of my employer.  We are all local, so we have staff meetings and come into the department for different things, yearly reviews, parties, etc.  We're all in touch via e-mail  and know each other face-to-face too. I get paid by the house, have a set schedule, and can earn incentive pay too.  I have paid holidays, benefits, and am a hospital employee except work at home.  I love it, would never EVER go back to clawing for lines at a service who barely knows my name.
Hospital Job
One thing you have to be careful of -- are there witches in that hospital who will send you the "worst" work or not send it at all and keep it for themselves? Be sure - I know one hospital who "punishes" the work at homes because they're afraid their dept. will be outsourced completely. Be careful who you deal with. Don't like MTSO's so I started my own, but family sickness and my own illness forced me to retire (temporarily, I hope). When offered work at home from a hospital, I had to say no and glad I did, another person said yes and just sits there waiting, and waiting, while the in-house people make the bucks and if they do send, it's all stuff they don't want to do. Be careful and good luck!!

That's good pay and bennies to boot!!! I would die for that.

I worked for a hospital as an IC for many years at home. That's the only way the hospital bigwigs would allow it, not employee status.  Never ran out of work except in the first few weeks in a new year. Never had "just the junk" as some suggested. I did the same work as everyone else. I tried to get my employee status back (which I was once) but no luck. I was at home. Some rule about that, but I was happy.

I'd go back to my hospital in a flash. My buddies want me back. The boss wants me back. For some reason, they still won't give me employee status. That sucks. ('scuse my French).

Don't even THINK about what to do, DO IT. You'll never be sorry.



I work full-time from home for a local hospital and am paid per hour.  I also work an IC on a part-time basis.  I would say if you need the benefits and steady paycheck and can handle working possibly rotating weekends and holidays, yes.  The only good thing with working with some nationals is having the flexibility with your schedule but you will NOT make a steady income.  You will constantly run of out work, loose money and find yourself clocking in and out all day long just to make 8 hours.  With a hospital, you know that the work will be there everyday and if you have downtime, you will still get paid.  Also, having that security in knowing that you can speak to management face to face or over the phone. Go for the hospital, because I know a lot of MTs wished they could have that opportunity.  Go luck to you!!!

security, benefits,local, communication, "real people" versus "phone people"
take less money and have these advantages, the days of making a lot by working on production are over
Good Luck!
Thank you both, will look into it and ask at the hospital too.
hospital IC
I contract with a local hospital.  I worked there for a little less than 2 years and as I had a sickly child and wanted to be closer to home, we agreed to my working at home as an IC.  My hours are pretty flexible although if I do not work I do not get paid.  And they do have someone as a back up for me when I am unable to work.  Still, I would not want to go back to work 8-5 at the hospital.  This has allowed me to be there for my children's activities and be home when they are sick.
new hospital......
The MTSO I work for does basically the same thing. Except they don't pay us by the hour, by production. Just about any place you work will do this.

As long as you work your assigned hours, it should not be a problem. Turn off the phone or let it go to voice mail (if it's family call back on break). Just work as if you were in an office, and there will be no problems. Don't try to do your laundry and cook dinner while you're working - it will kill your line count.

If you are getting an hourly wage plus incentive and hospital benefits, you are at the top of the heap - if you quit, let me know where you are and I will relocate and take the job!
My hospital wants them done like this...
If doses are given and there are more than 5 medicines listed, they want it in number format (even if 1, 2, etc., is not said). If there are less than 5, paragraph form. If there are no dosages at all, no matter how many meds are listed, paragraph form.

I'm sure you will get a lot of different answers on this though. :)
Not true. Many hospitals pay more. I make 50,000 yr at my hospital. I am full-time. I get same benefits as those who walk through the doors every day. I am not penalized if I don't meet the required line count each day. We have a week to reach our line counts and then we are not penalized. They know how hard we work. We never have to worry about losing our insurance because of "meeting quotas", and they provide all equip and pay the internet bill as well.
hospital pay

I'm thinking of taking a position at a local hospital. I would be picking up dictations and taking the reports back the next day. What would be an acceptable line rate? It would be a mix of both ESL and non-ESL. Any input would be appreciated.

Hospital MT
I know exactly what you mean.  They opened the Surgery Center here about a year ago, and our workload has also decreased.  And, because some of the girls in the office talk too much and are not doing 160 lph, we get no overtime as it is being sent to a service company instead!  We have two hospitals nearby that sold the department out and went strictly with the service company and one is sending their work to India!  Unfortunately, a lot of us need the benefits, which we will no longer get if this happens to us. 
Hospital Job
Would 9 cpl be considered good pay for an in-house employee hospital position?  No hourly pay, just pay on production.  Benefits available such as PTO, paid training, health/dental insurance.  Have option of working from home.  Is it worth considering?
Hospital Job
It is a smallish/medium hospital with few ESLs.
hospital QA
I work for a hospital. We do verbatim, but use BOS as well to a degree. We have to use our judgement. If you know it is wrong and it changes the patient care then it should be flagged for QA. Better safe than sorry. Their job to take care of it as far as I'm concerned.
I second getting on with hospital/doc
You will earn more money in a hospital or doctor's office for the first few years, and will probably have better benefits such as insurance, too.
I am used to the ESL...I came from a hospital that
was 80% ESL. You can't get away from ESL and I think 50% is about average.
I was just in the hospital...sm
First in the ER, then I was admitted, and many of the nurses and technicians I interacted with had cell phones *on* them.  I didn't see a bunch of signs saying 'no cell phones' which kind of surprised me.  I was thinking maybe it's not such a big deal anymore... ?  (They had me on an EKG the whole time because I was tachy.) 
hospital pay in NJ

I work as a full-time remote employee in Central NJ.  My pay after six years is 14.75/hour.  I started at 12.50 with small incremental raises since then.  Raises were hospital-wide and not based on individual merit.  I've tried to get an invidual increase but no luck.  We have a minimum line count per hour of 160, with incentive at 180 lines and again at 200 lines.  Unfortunately, most of our easy work has been steadily going to the outside services, so incentive is more difficult to make but not impossible.  PTO is 10 days to start and accrues from there.  Decent benefits.

When I applied at a sister hospital not too long ago for the same job, their starting pay was LOWER than our hospital's starting pay was SIX years ago, so if anything, in our area the average pay is going down for in-house MT's, at least in our hospital system.   

I'm actually considering the opposite route and seeing if I can make more money on my own, since it's pretty clear to me that our pay isn't going to go up anytime soon where I am now.   

Even if they pay you 15 cents a line, they are making out  cheaply.  You have to drive there and you have to drive back.  I do this every day.  It costs me about 8-10 dollars a day in gas (low estimate) and takes over one hour of my time.  You figure out based on the lines available if you are worth so little.  Be smart and set up a server for them so that they print.  If they print AND store, then 12 is a pretty good deal for both of you.  Just my opinion.  Good luck.  Also, consider how much you have to print - that could take a lot of time.  At one point I paid someone else to print, copy, make envelopes and distribute and it took four hours a day for them to do that.  Don't jump on it until you are sure. 
what about the hospital?
It is ridiculous for health insurance companies to decide when somebody needs medical care - that should be the doctor's decision. . but also, the hospital decided not to do the transplant until they got their money . . . sad. .