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I started in the file room of a 6 doctor urology office....

Posted By: MT and worn out on 2009-03-26
In Reply to: Please answer about starting as an MT - SarahE

The file room in any office is a nuclear dumping ground...any paper that nobody knows what to do with gets dumped there. Then and there I made up my mind that I was NOT going to be a file clerk for the rest of my life.

I actually started by filing part time and typing part time. When we got a new Peds Urologist in the office, fresh from a fellowship at Mayo, I was right there. We used tapes back then as that was in the early 1990's. As he could fill up a 2 sided tape with 8 hours of seeing patient's, the other girl in the office did not want any part of his work and left it for me. The rest, as they say, is history.

I had no professional training, just 2 semesters of medical terminology and a killer spelling ability.

After I had typed urology, I was then farmed out to our other offices and I learned GI/GU, family practice, sleep labs etc.

I now work for a major hospital on the west side of Michigan and still type for my Peds urologist. The only difference is that he now has his practice in AZ, not MI.

If you can find somebody willing to take a chance on you with no experience, jump on it with both feet. You will be glad you did.


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I started in the file room of the urology office I worked. And I was not
going to be a file clerk for the rest of my life. I only had 2 semesters of terminology, no other professional schooling. They had a fresh from a Mayo Fellowship peds urologist coming in and needed somebody to help with the typing. First it was half file-room and half transcription. Finally he was so busy, I became full time. I was there from 1990 until 2003. I then left to free-lance and start my own business. He has since moved to Arizona and I still type for him after all these years.
I started out in the file room of a 6 doc urology practice.
I started in the file room and worked my way up to full time transcriptionist. I took 2 semesters of med terminology at our local CC and haven't looked back since. I now have my own small transcription business and also work full time for a major hospital here in Michigan. My cubbie mate spent 7K on her program and degree and was no further ahead than I was.

It can be done.
#1-no doctor is going to kick me out of the room
#2 - My daughter has had the guardasil shots and is just fine. It protects again HPV which is one of the most sexually transmitted diseases that can cause cervical cancer.

It seems if these issues concerned you that much, you should take them up with the doctor.
Have room just for my office
I have a really big house and not that many people so have my own comfy quarters. I have a television in the room and it is on all the time but not a distraction for me, rather just sound around and the news when I need it.
Right now my office is in the family room...
we have a separate living room also...it is fine for now because I have an 8-year-old and a 15-month-old that need my attention so I can't be too far away...but we are planning on moving and I want an extra room for an office/playroom...maybe try some of those noise-reducing headphones if you can't escape the noise...
Have no office. Just the corner of the dining room. nm
x
My office is in a separate room, yet close enough
I can hear what is going on. I have a shock collar that I put on my dogs to keep them quiet when they are outside (I don't have to shock them but very rare occasion). I work late afternoon/early evening so that part of my schedule, pets and husband are in bed and I have total peace and quiet.
Check with your tax person for certainty but I have a room solely used for my home office and I even
:)
I have a doctor I just started seeing.
Sitting in the office while they were doing the EMR report stunk. It took a lot longer for my appointment when he could have been seeing other patients. When I had my procedure done, he started dictating that as I was signing out to leave. Apparently he still dictates procedures. He made a comment several times to the nurses that to make sure I was comfortable, as I am a medical Transcriptionist and they have a special place in his heart! :) It was sweet. He also made several comments about that dang computer (his EMR)!
I deduct all expenses that relate to my home office-% of utilities, taxes, repairs to that room, --s
mortgage (we do not plan to sell our house so this deduction will not affect us)as my office is used only for that purpose, internet, phone, I print out a daily schedule so paper/ink, computer repairs, pens, pencils, tape, staples, file cabinets, storge bins for tax recepts/tax returns,file folders. Anything/everything I use to do my job.

I was using mileage for another account where I pick up tapes every day, but found for me the time it took to keep track of the mileage, write it down, add it up was not worth the effort so I quit doing it this year.
Doctor's office also in CT
I am also in CT in the Hartford area and I have not seen an MT job for ages. I used to work in a hospital for years in Hartford and saw a job on Career Builders.com. It has been there forever so not sure if it was ever filled.
Hopefully my doctor's office
hasn't sent anything there recently. Well maybe their place of employment will have to close and THEY will have to lose THEIR jobs. Karma sucks...
New doctor in the office
I picked up my work this morning from one of the four offices I type for (yes, some of us do still pick up work, I'm from ancient times, I know :).  The doctor hired another doctor to work in his office with him.  Don't you think it is not very nice not to let you know that?  I'm grateful, and can use the extra money, but surprise surprise!
New doctor in the office

I also pick up tapes from 3 offices. I like doing it this way. I would be very happy if another doctor joined one of my groups. I guess it's better than the other way around.


Our office just started it. Not sure yet how it will go.
;
doctor's business office...
It depends on the office. I personally know of a large clinic in my hometown where the physicians are required to see a certain number of patients per day, bringing in a minimum amount of $$$$ based on office visit, labs, and other ancillary services they order for the patient.

Their doctors are under contract for 5 years; then after they make partner, they still have to adhere to the daily minimum requirement.
How to get a transcription job in a doctor's office. ??

In the past 3 years, I have never once seen an ad in the papers for a Transcriptionist to work in house (or at home for that matter) at a doctor's office.  For those of you that have those jobs, how did you get them?  Did you know someone at the office?  Maybe no one ever quits these jobs and that is why there are no postings?


Anyone just sit down with the phone book and start calling?  


Working in doctor's office

I have a small MTSO, two I/C's but last January started working in a clinic that used to me one of my clients -- but they put in electronic charts and after 4 years of pulling their hair out and late notes I now go in 2-3 days a week and one of my subs 2 days a week to do their notes.   It is as an employee and no where near what I get with my own accounts but gets me out and with other people.   Nice mixture.   Out here in Oregon we have several large clinics that only use in-house people.   Need to go to the medical offices located by hospitals.   They are out there but don't expect big bucks as you won't get them. 


 


Just got hired by doctor's office.
Yep, can you tell I'm happy! Was working for a large national who took over the transcription department at the hospital I used to work for.
You'd think a doctor's office would be more understanding - DUH!
Ever tried to do your transcription with bilateral ear infections?  Can't hear, running a fever, dizzy-can hardly sit upright, but still expected to do work that requires HEARING and sitting at a computer!  And, I can't win, because as soon as I get this work done (which is taking 2x as long), there are going to be so many mistakes I am going to get ragged about that as well! 
doctor office dictation
Does anyone out there know of any companies who do doctor office dictation instead of clinic work or acute care?  I am looking for work and I have 25+ years experience in doctor's office transcription in many fields, but all the ads I keep seeing are only offering acute care or clinic work.  All the clinic accounts I have checked into put you in a pool and you never get the same doctor twice, so you don't have a chance to get familiar with them or get your speed up when typing.  There has to be companies out there who have doctor office accounts that consist of just a few docs.  Any names come to mind?
Doctor office trans
Probably smaller companies is what you want to look for instead of large nationals.  Have you looked in your local newspaper?  How about approaching a few docs on your own?  I've done that before and did overflow for them. 
don't print for them. Send the file to their office...

you might as well start smart. Push the advantages of them having the file in their office. Doctor gave wrong physician name? No problem! They don't have to wait for you. They correct it in their own Word file. They need to archive their transcription. You however are required by HIPAA to only hold it long enough to do billing. So that is why you, smart business person that you are, send it to their office in a digital format.


1.  Can anyone or everyone recommend a good medical spell checker that interfaces with Word?  Stedman's


2.  What about an Expander to work with Word? I know some use Instant Text, but at least one says she uses the Word Autocorrect feature. (I think.)  Does the Word autocorrect hold a bunch....can you put whole reports into it...large capacity? I only use ShortHand because I have a Meditech account and Shorthand works with all Windows based applications. Some of the other ones didn't. Will defer this to other MT's.


3.  You all mentioned that the docs usually supply their letterhead and to use plain copy paper for subsequent pages.  Does the MTSO usually supply the paper or the docs?  Same question with sticky paper...that sounds expensive!  


Write a macro to put the letterhead into a header on the letters he dictates. Then they can use plain paper to print the whole file.


Think about whether he wants logs or not. They can be good (line count) but a pain. Not sure if you make any money off of it or not. Look for ways to streamline your billing, i.e. don't be telling him you will take off for the ones where he dictates his standard paragraph, etc. and make line counting a nightmare. Most of all, use what is already out there...i.e. why pay for a TASP when you can send stuff over the internet for free. Why DRIVE to deliver transcription when you can send it over the internet for free...get it?


inexpensive tips you gals can think of that can be gotten ready now besides the main transcriber? (Would want to wait on that to see which type the office uses.) 



 


Now that I have the ball rolling, I am also going to contact the two MTSOs that I know locally and ask if they have any overflow.  Might also send a sample psych report to my shrink and see if he can spread the word.  Scary stuff, but you gals really helped!  Thanks so much for all the encouragement!!  


Don't you love these doctor's wives who have to be in the office
but we all know they're just keeping an eye on the checkbook they married. So pathetic.
Doctor's wives as office mangers
is such a bad idea!  All of the offices I have worked for have had the "wives" as OM's.  They act like every penny they pay comes out of their pockets!  Gawd, once one tried to get rid of me and go to some Indian company and her hubby Dr finally spoke up for himself and said "no way"!!
They did test first time at doctor's office.
x
I had a doctor that was having problems with the office manager ...sm
So he would be in the middle of dictating and would see her walk by and under his breath he called her a few choice words everytime he saw her. I emailed the lady and told her that enough was enough and until they could make friends I was off the account. It was only a few hundred lines a week and was ready to quit the account anyway, but their feud had gotten to be too much for me. ;o)
I'd suggest you look for a local doctor's office if you
want no ESL.   If you do acute care you're going to have ESLs. 
I worked in house in a doctor's office and it was the same for me...
and I had to answer phones, make copies, et cetera, basically was an MT/secretary...and I hated it...I am making much more money now working at home part-time...
If I call the doctor's office and ask for results of an
MRI done on me, do they have to give me the results or do I have to just wait on the doctor to call me?
Started in 1979 when I was 18, worked in office at MQ while it was still
.
Start Stop voice file player and conflicts with Spyware Doctor

I was having problems with StartStop and talked to one of their techs this morning.  One of the bugs it was having was fixed when I turned off Spyware Doctor so I need a new anti-spyware program. 


 


I’m thinking of trying Spyware Blaster.  I called to see if there were any conflicts with that one but had to leave a message.  In the meantime, does anyone use StartStop voice file player and also use Spyware Doctor without any buggy conflict problems between the two softwares? 


No, I've worked in doctor's business office.
That is what the insurance company allows, not what they dictate.  Who is to tell the doctor how long he can sit and talk with his patient.  It is up to him.  True insurance companies get together to decide what is the appropriate amount for the doctor to "charge" for a service but I've literally seen where the doctor sees the patient all of 2 minutes after patient is worked up by techs, but they still get paid for that visit.
I know a lot of people it helped (I worked in a doctor's office) SM
BUT you have to really want to quit before you start it. It doesn't make you want to quit - it just helps you w/ the depression and the withdrawal symptoms that come along w/ quitting. Good luck.
I work in-house for doctor's office now and Love My Job!
Good Luck.  I accepted an in-house position at a doctor's office after being laid off from a very large hospital. It is wonderful to be able to go and ask the doctor questions and get feedback directly from them.  It really is the way to go now instead of working for the really big transcription companies.  I feel like I am appreciated.
try starting with a doctor's office or small clinic.
x
I would not do it. Go with a free FTP site for use by you and the doctor's office access only.
All you need to do is create files or folders, for example by date, upload them to the FTP site, and the doc's office can in turn download them directly to their computer. This uses a secure password on both parties' end, and is much securer than emailing.
I am glad I was sitting in an office with experienced MTs when I first started.
I think I have a decent ear for accents, but I can't imagine doing ESLs for acute care when you are a newbie without having a trainer sitting at the next desk to interpret now and then. Otherwise I'd have cried at times.


I started too but home office got moved to bedroom. sm.
Now have to use earphones when husband is sleeping. I actually prefer the earphones just because my speakers weren't the best but it worked well the other way too.
I've been in MT for 20 years. Started out in the office at a hospital.

Switched to working for services from home for a while and now I work for the same hospital I started out at, but I work from home now.  So I guess you can say I've come full circle and now I'm back where I started.  I much prefer being an employee of a hospital versus an IC or employee of an MTSO.


It may be that your user profile in EXText is not set up to allow you to add normals.  I've found with services they don't give their MTs a whole lot of freedom with their software.   


It's a small doctor's office so I am doing it as a favor for a mutual friend....
Nice to do something different every now and then.


I started part-time in a doc's office while still in high school. sm
That was in 1984. My career just bloomed from there......
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.
A nice sunny room just for me in our finished lower level. Love my cocoon room.
:+
I have never had my own room. I shared a room with my sister, went away to college sm
and had a roommate (whom I am still close to) for 4 years, moved back home and back to sharing a room with my sister while she went to a local college and then got married. In fact, after 17 years of marriage, this is the first time in my life that I have had my own dresser, not just the top two or bottom two drawers!

I could never live alone. Not for fear but for loneliness. I like my alone time but I love to have people around.


Urology. Thoughts?
 

Posterior right renal mass, exophytic, and measuring up to 3.1 cm in maximum dimension.  This has Hounsfield attenuation numbers between 50 and 60 which is too high for benign simple cyst although this may be a proteinaceous or bled into cyst.

 

A 2.7 cm exophytic cystic mass involving the posterior mid-pole of the left kidney, somewhat hyperdense, possibly representing partially mildly hemorrhagic cyst.

 

Degree of malrotation involving the right kidney.

 

Within the right lung base peripherally, there is a nonspecific 3 mm nodule.  Six-month follow up is recommended.

 

This has the holy living hell scared out of me.  Mets?

 

Appreciate any thoughts; urologist appt. Sept. 27.

Urology to India

The urology office I work in only has me full time in the office for 6 physicians and 2 NPs.  We send out what I can't handle.  They started using a transcription company and guess where it was going? India!!!! Let me tell you it came back a mess and I had to deal with it, after 6 months they are finally letting someone locally do it for the same price.  That makes me very happy!  I can't believe doctors and patients don't care if their dictation goes to India.  Our local hospital says NO!!!


Used to work for urology and
they say at least 6 weeks for all the swimmers to be gone. Make sure he is protected!!!

LOL typical man wanting to make sure his business is still in order.
Urology, Radiology and Psych
Hi!  I'm new to the board, but I saw your question.  I did contract for VA hospitals in my area for years, and I got a ton of urology, some psych (those were very long reports!) and then ended up just doing their radiology.
Does anyone have any good urology sites?

Need some clarification on C-phone dictation and some websites for urology sm
I will be covering the transcription for a urology clinic.   I was briefly told that the doctors dictate to a C-phone that  goes directly to a base office.  Then the file is e-mailed to their office where they can access the dictation.   Does this sound right or are they accessing the file from the base office through FTP and then downloading it.  Also, doesl AOL work OK to access files or do you need another FTP provider.  Not sure how they are doing the work, but any help would be appreciated.  Need some good website for urology,  Just want to be prepared.   Always ask the experts!  Thanks.