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Serving Over 20,000 US Medical Transcriptionists

Not all jobs are created equally either.

Posted By: TinaK on 2009-05-03
In Reply to: Moneymakers tell us your secret?? - Leanne

I won't work for the big nationals. They always wind up sticking me on ESL and difficult specialties that "nobody else can do," bouncing from account to account for coverage, several pools of hundreds of dictators, can't use your Expander much because you never hear the same dictator twice, every work type, look up addresses and patient demos. It's all about what *I* can do for them, not what *I* need to earn to support my family. Forget that! Why should I work harder for a cut in pay?


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Both are equally as lovely--sm
but to me, a 10 hour trip anywhere to see the mountains is always worth it! Go. you will not regret it.
I like typing/QA equally SM

I just happen to have a QA position right now, but if I get bored, I'll go back to typing.  I do have to say that production requirements in both positions have never been an issue with me, so that's probably why I don't have a strong preference for either job.


One thing about QA that you need to know is that we have jobs that contain a lot of blanks.  We still have to complete a specific number of jobs per day, so if you happen to have a day where all the jobs that come to you are full of them they don't take that into account-you still have to meet the number of jobs they expect.


Adaware is equally as good and there too..nm

I imagine it was equally irritating for the patient. nmx
x
PS - it was equally terrible for this other lady to contact the doctors. SM

Very unbusinesslike - and what you could ~possibly~ make up in quick money somehow, you'd lose in credibility.


MTSOs have LONG memories. Stories circulate whether you want them to or not - as an example, this story is on the internet for all eyes to see.


You're better off just to suck it up and go on, be wiser for next time, both in prioritizing your time and in being businesslike. Sorry for what happened to you. I know it hurts.


FlashType is cheaper and works equally as well as Shorthand and has a free demo.

click on link below...


Well your statement sounds equally closed-minded to the one you're arguing with
Where one person prefers to live and why is their own business and no reason to diss someone else's personal choice.
IRS created the new SE definition and

then felt it was being abused.  They then noticed how large the MT industry was and decided that would be where they would focus their efforts to decide whether to keep the status or do away with it.  In order to find out that information, they had to start doing audits if the "SE" box on your W2 was marked.  I hired a tax person to help me but his efforts were fruitless.  One day after faxing back and forth and writing back and forth, I got on the phone and held for almost 5 hours until I got someone in the department created for consumer complaint resolution.  I was amazed to find myself talking to someone who was intelligent!  They saw what the problem was, saw that all the documentation was in place and negated all activity by clicking a few keys on his computer.  I had owed about $2000 that year but had already paid it as it was a retroactive audit, so I was lucky with how things worked out.


I was just wondering if anyone else had problems.  I've chosen to never again have SE status so as not to have lightening strike again!


 


If this was on a template that you had created--sm
or if it was sent to you, you can open the template, change the view percent, save the document that way, and it should reopen in the new view percent.
Nursing has created their own shortage
by severely restricting the availability of classes for students and refusing to make the class time available in the evenings, weekends, etc.

They also created their own shortage by making so many of the jobs papershuffling jobs rather than hands on care, and many of those jobs could easily be filled by a trained technician rather than an RN.

I do not feel sorry for nurses.
Not all QA people are created equal
If you absolutely love it, you really must have an aptitude for the job. Many of the QA people were once MTs themselves and could not keep up the pace nor did they have the necessary aptitude it takes so they became QA. So you are dealing with this scenario. Think about it.
Zipper/MQ Lover created another friend.
MULTIPLE PERSONALITY DISORDER
Great! Created a heading format, now want to
have the cursor start at the beginning of the first heading, can that be done within the autotext?
Wow .. $149!! It says it was created for ipod users -- is the cord sm
long enough to go to your computer, or did you have to get some kind of extension device?  They sound great ... just not sure if cheap ol' me is ready for fork out that kinda cash. 
...do an incorrect word or even pull up something already created...nm
s
With shortcuts, the important thing is that they are created with - sm
a system that is consistent, and that you can remember easily. It's generally not a good idea to try to incorporate someone else's shortcuts (though I appreciate the chance to look at them, as sometimes they can give me ideas for one's I've not yet used :-) for that reason, and these don't seem to follow a very consistent method.
I had created a huge dictionary in my expander too...sm
But I was still a butterfingers! Just lack of fine motor skills, I suppose. Couldn't have made it without my word expander.

I remember when we typed on IBM Selectric typewrites and EVERY single word had to be typed out. Geez, what a bore!
Religion is an outdated notion created centuries ago
and has no place in today's society.
Can an expander be created in Shorthand while typing the document?
Or do you have to get out of the document and make up the expansions?  When you download it from the website, do you get any instructions along with the program?  Any other info would be appreciated. 
Not all 8 cents a line situations are created equal sm
I am coming off a job using Extext and going into one using ChartNet. I have used Smart Type for over a decade and for Chartnet I have to go to Instant Text. I am able to do over 200 lines an hour after about a week at the new job. I will get to 300 again in a month or so. I say again because I have not done that much in a long time.

Extext...I loved it when I first used it, but after 18 months I can't get above 170 lph and that is with echoes and normals with lots of free lines, and that includes dozens of normals and report shells I have made myself. It won't get better and that is poor pay at the 8.5 cpl base rate, but then again I always have bonuses of a couple of kinds and shift differentials...but I can't do better than 1200 lines a day with any consistency, not in 8 hours a day.

I work a job in MedRite. Like Extext, it is a Word client and rather similar. Top rate for MedRite is close to 300 lines an hour on a horrid account with 80% PLUS ESLs. It is just a faster platform.

Enter ChartNet...never used it. Had to switch to Instant Text...never used it. I have been working about 5 days on it and I can do 200 lph and only one doctor so far who throws me for a loop when I can't do that. She is not an ESL, but a slurring motor mouth who skips around and forgets what she is doing on the phone in the first place.

The Extext work has been 90% OP notes, my specialty. The others are all the basic 4, and I have to say that I went from clinic for many years to OP notes, skipping the rest in between. I have very little experience in DS, CN and H&P notes, VERY little time with those. I'd be faster with them if I had done more of them before.

Part of speed is the expander, part is the platform and part is you. It doesn't matter how great you are as a typist and how perfect your expander, if the platform isn't very good you can't make money at any line rate. If the platform is good, but you are not Expander savvy, you won't you make it either. You can, however, be like me and a poor typist with a great expander and a decent platform...and STILL make money. LOL

In MY experience, the largest problem with making more money is the expander GLOSSARY, not which program you choose. I have heard some of the craziest stories about how to use an expander while on this board...ridiculous, wonky, time wasting, counter intuitive toro pu pu!!!! If you are struggling with an expander FEEL FREE TO EMAIL ME. I am happy to spend my time helping anyone who will genuinely give my methods a shot.
supposed to be, after people lose their jobs, they are forced to take part-time, lower-paying jobs..
with little to no benefits. service jobs. where are you going to work in a few years, when Medical Transcription is replaced by technology? McDonald's, Walmart? you really going to like that?
Several jobs on Monster & CareerBuilder for inhouse office jobs down there through an
s
I did 3 jobs for a while about 3 years ago, you burn out quick, I was doing 3 MT jobs though...after
10 months I cut down to 2 as I don't like to have all my eggs in one basket.  But I am considering going down to 1 in September for my sanity, its a good steady job so financally it should not be an issue.  I have 2 right but have not worked the 1 in about 3 weeks due to some problems at their end, supposed to learn a VA account but not sure if I want to pursue it right now or not, they are waiting to hear from me at this point. I still have a lot going on with chemo, etc. so am mulling things over.  But if you have a full-time day job, then I would just go with 1 part-time MT job at night, unless 1 is during the week, and the other weekends only, then of course you will be working 7 days a week, very tiring I know.  I have been working 7 days a week for 3 years now but I do slack off now and then of course to recharge and get sleep etc. But burnout happens fast and I doubt you want to lose your day job so be careful. Good luck.
Two jobs very common, 3 jobs not unheard of.
x
God created Adam & Eve-- not Adam & Steve
nm
Yup! Not only short jobs, but also jobs from
extremely difficult dictators, bad sound files, jobs that need lots of ADT info added, and anything else that is not "easy" to do. I also questioned them about this and was told the same - they do not allow cherrypicking. Definitely not true!
MQ R jobs
the R stands for Reserved.  My office will call me to tell me they are reserving a job for me, for instance, if a doc calls them asking where a report is that he needs asap (don't they always) or if a doc forgot to make it STAT.  The coordinator can then reserve the job for you, used to be just simply assign in the good ol days
other jobs
I think that if you were unhappy at your job and you weren't making money then it was a wise decision to get another job. I wish you well.
Where are the $20-$30/hr jobs?
Just wondering if they are out there.  So far I make $10/hour or LESS and it's not going to pay bills. thanks.
no. of jobs
take some 20 files in the begining for working for 8 hours.

that is sufficient.

regards
aroun2000@gmail.com
Jobs
Like you, I've worked over 30 years in the medical field. Seems a shame to waste that knowledge sliding groceries across a scanner but what the hey, why not? At least you are working, getting paid and have some benefits. It "ain't" all that bad, is it? Our so-called "profession" is becoming a joke! I'm still working here and there but got dumped by my own group of doctors after 26 years--I think the bottom line is they didn't want to pay me big bucks any longer--even though I knew the ropes, obviously, knew more than the girls they hired, etc. Bottom line. . . money! They want to keep it all for themselves. I didn't even have sick leave for years until I screamed loud and clear! I did get a huge pension and profit sharing, though, for my grief so I guess it was worth it. I just didn't like being "dumped" so unceremoniously when I came to their rescue years ago because their Transcriptionist quit. Oh well, such is life, I guess.
Other jobs can be the same too...
I agree it is stressful to always be watching the line counts, but other jobs have stress too. I worked as a physical therapist assistant for 7 years before becoming an MT and it was all about numbers and paperwork at most places. Even had to keep a number chart at some places with how many patients seen and how many hours worked doing patient care, etc. The director wanted us to double up on patients, seeing 2 to 3 at a time. I feel lucky now to work for a supervisor who puts quality above quantity. We get paid by the hour, so lines per hour is not in the forefront, but we get bonuses if we go above what is expected. This job is much less stressful for me and easier on my back as I was lifting patients and injured my back in the process doing the physical therapy job. I also love working from home, so that is a wonderful benefit too.
Second jobs
I tried that for awhile myself.  The first job picked up and I had to stop.  The important thing is that you meet turnaround times for both jobs.  I made it clear up front with the second job that it was a second job, and that I could not take on as much work for them, since I was full-time with the other company.  However, whatever work I agreed to do, I was expected to get finished on time.  It got to the point that I was not going to be able to do both and meet deadlines, so I had to give the second job up.  I have worked a second job several times for various lengths of time.  You just have to make sure you can realistically do both. 
I'm going to try two jobs and see what happens...sm

I have always had my eggs in one basket.  I recently picked up a second job and so far I really like it.  When one job had no work, I just started my other job early.  My first job has a set schedule, but my second has a 24 TAT, so this is beneficial to me.  Originally, I was going to quit my first job after a couple weeks, but I'm going to keep both just to be safe.  I have to make a certain amount in order to pay bills and I can't have my account running out of work (which happened three times last week).  I just can't risk it.


Just an idea.  I might actually pick up a very very part time third job too.


2 jobs?
Has anyone ever successfully worked 2 FT jobs?
2 jobs
Been doing this since 1976. Never had two jobs, but my first work-at-home job in the mid-1980s offered endless transcription. I, too, was a single partent. Before I knew it, I was working 12 hours daily (sometimes longer) 6-days-a-week on an IBM Selectric. I would work at times until midnight or beyond.

After my shift, every single day, I would pack up my reports and make about a 12-mild round trip to deliver them to the company which at the time was being run out of a residential home. I shopped cooked, cleaned and gardened in between. I would go months and months at-a-time with my only human contact outside of my home being with cashiers in the store. The only voices I ever heard (except for my son's) were electronic, from dictation and the TV.

Five years passed without a vacation. Can't remember too many holidays when I wasn't typing. It didn't seem to take much time at all before back pain was making it take longer to type the same amount of work, thus stretching my work day from 12 to 16 hours. By the time I was 34, I was diagnosed with DJD at multiple levels in my back. At age 42, I had a physical (and mental) collapse, and for the next 7 years I could not do transcription. I lost my home and my car. My son went back to live with his dad and I had to move in with my elderly mother. When unemployment ran out, I ended up on food stamps and at the door of the Texas Rehabilitation Commission. They told me I wasn't "handicapped enough" to warrant assistance or job skills retraining.

I had to figure out my own physical therapy because of the public health care system was such an abdomination. That was a long and painful process. I learned how to take care of myself again and how to restore balance back into my life.

Ultimately I ended up back behind the computer cranking out medical reports again. I work 5 days, not six, and I type 8 hours over a 10-hour window, allowing for plenty of "stretch" breaks and time out for lunch. When my shift is over, it's OVER


2 jobs
Been doing this since 1976. Never had two jobs, but my first work-at-home job in the mid-1980s offered endless transcription. I, too, was a single parent. Before I knew it, I was working 12 hours daily (sometimes longer) 6-days-a-week on an IBM Selectric. I would work at times until midnight or beyond.

After my shift, every single day, I would pack up my reports and make about a 12-mild round trip to deliver them to the company which, at the time, was being run out of a residential home. I shopped, cooked, cleaned and gardened in between. I would go months and months at-a-time with my only human contact outside of my home being the cashiers in the grocery store. The only voices I ever heard (except for my son's) were electronic, from dictation and the TV.

Five years passed without a vacation. Can't remember too many holidays when I wasn't typing. It didn't seem to take much time at all before back pain was making it take longer to type the same amount of work, thus stretching my work day from 12 to 16 hours. By the time I was 34, I was diagnosed with DJD at multiple levels in my back. At age 42, I had a physical (and mental) collapse, and for the next 7 years I could not do transcription. I lost my home and my car. My son went back to live with his dad and I had to move in with my elderly mother. When unemployment ran out, I ended up on food stamps and at the door of the Texas Rehabilitation Commission. They told me I wasn't "handicapped enough" to warrant assistance or job skills retraining.

I had to figure out my own physical therapy because the public health care system was such an abdomination. That was a long and painful process. I learned how to take care of myself again and how to restore balance back into my life.

Ultimately I ended up back behind the computer cranking out medical reports . I work 5 days, not 6, and I type 8 hours over a 10-hour window, allowing for plenty of "stretch" breaks and time out for lunch. When my shift is over, it's OVER. I have a life now.

I can tell you this much. When I look back on those years, my regrets are not because of what happened to my house, my car or even my body. I was able to get all those things back eventually. But I never figured out how to have a second chance to be there for my son more when he needed me. I was usually too exhausted to help him with his school work. Missed a bunch of soccer games. The TV and video games were his babysitter when he was younger. He was a latch-key kid and during his junior high and high school years, he and his friends (usually other latch-key kids of workaholic parents) virtually ended up raising themselves.

I was lucky. He turned out just fine. But I can say without hesitation that the extra money, the good house and the new cars were most definitely not worth the price I paid to get them and I am a whole lot happier (and better off) without them. I indulge myself in simple pleasures that money can't buy and live a full and satisfying life now.

If I had it to do over again.......


2 jobs
Whoops! Sent this incomplete message by accident. Completed message posted abov.
2 jobs sm
I did not lose anything, but for the grace of God, but you told my story work-wise. I had to "retire" because of the back pain and each day that goes by, I think of returning to the same work because that's all I know after all these years of 100 hour work weeks. However, the posts on this board are very discouraging as to who to work for, etc. If I had it to do over, I probably would not have "killed" myself the way I did, but then again, my son would never have gotten his master's degree. Can't win. I am using a laptop and can't do much else for too long without wicked back pain. Paying the price for being an over-achiever but still have high hopes "repairing the damage"  myself once again and doing this again soon. I thank God to still be here but pray the back pain will go away. Tried PT, heat packs, all kinds of gadgets, but the damage is done - overuse to say the least. A rheumatologist had the brass ones to say he sees "nothing wrong" with me. Good God, I wish he could feel the way I do just for one day. I sure am relating to others today. My gift, I guess, there's always someone worse off. Take care of yourself. We all need to share to help others not make the same mistakes we did. Don't overdo it and do it ergonomically correct or the damage will be permanent. Thanks for sharing your story today.
That would be 2 FT jobs....nm
s
jobs
Check online on MT Jobs...there are quite a few services on there that are hiring, most of which are asking for only 5+ yrs experience. I've been applying past couple weeks. I have 24 yrs experience, & got the definite impression that they're nearly desperate for us seasoned pros!
JOBS.

I hear people complaining from the big companies that they hate their jobs or that they are low on work and etc.  So, it brings me to this question; I have been working for a small MTSO and was thinking about trying to get on with a big company, but then I read all of the bad posts about them.  What do you think is better?  Dont the Big Nationals offer benefits? 


Thanks tonz for all then INFO!!


 


jobs
Hi,  I apologize in advance if this is posted in the wrong spot.  I live in Grand Rapids, MI, and my husband has been looking for a job since September, to no avail.  If anyone knows of anything open around our area, could you please send me an email?  I would greatly appreciate it.  My husband has 10+ years experience in customer experience.  We aren't even getting any unemployment, so it's been very difficult.  Thanks so much just for reading this, and God bless you.
Some of the new jobs are second and third
jobs obtained by people whose primary job doesn't pay enough to take care of basic needs - thanks to corporate greed and the government's complicity in absolutely ruining the middle class little by little!!
There might be MT jobs but only 1 for every 10...sm

I've been in the field for 25 years and been watching very closely what is happening with outsourcing, VR and EMR. I bought a VR program and became proficient with it to see if it can be done. I went to the hospital in the next town when I heard they had a VR program that in 30 days, had the docs doing their own radiology transcription, without proofing. I went to the EMR conferences to see what the programs can and cannot do. If you think you have 30 years of MT work left until you retire, you will be in for a big surprise...There is a huge push to automate. The only work left will be crappy ESL's that the machine can't understand. Oh, there might be jobs, but 1 job for every 10. Wages will fall, and it will be cutthroat. Only the most shrewdest MT's will survive. Dictaphone is a million dollar company that will only exist if they can convince doctors to keep dictating. Yet they know the cost has to be competitive. Solution: Speech recognition. They put their smartest engineers on task to find a way to make it work. They consulted with MT's to find out how to make it efficient for editing. And guess what? They were successful. As far as India taking the work, in a few years, there will be experienced MT's that can do the work.


Best advice I can give is to at least get a bachelor's. It will get you in the door somewhere doing something you like.  I'm getting mine in a field that is growing and can't be outsourced...nursing. I LOVE working from home  but I don't have my head in the sand.


VA jobs
I did VA overflow for a while and I did NOT like it.  Talk about poor dictators, bad reports, etc.  Also the government does not want to pay much.  Very frustrating to me and gave up after a month or so.  This was a couple of years back but it was way worse than any teaching hopsital that I have done.   Of course I did to a lot of psych posttraumatic reports that were really weird.  But that is just my opinion. 
new jobs

i see where a lot of people are getting out of transcription and thinking about doing something else I was just wondering what else people were getting into knowing that MT will no longer exist in probably 5-8 years and the fact that we are getting older, etc.  Are you staying in the medical field at all or getting out all together?   Would like to know what some of you are doing to make up for the income that we seem have lost over the past 5-6 years and will continue to lose (as it sounds) to make ends meet???


 


I like my 2 jobs, too! nm
x
two jobs
This may not help, but just to add to your thoughts - I work 2 jobs, one 12 hour shift and then I go home and do transcription part time for now. I am trying to find a full time transcription job so that I can quit my 12 hour/day job. Luckily, there are many jobs out there for us that have flexible schedules, and that is my hopes. My advise to you is the same: Look for flexible scheduling.
two jobs

It is hard doing it that way, I've done it before, although my full time job was out of the house, so I had the break for the drive.


I now work full time at home and also part time.  My part time position is a couple hours a day, but has a 24-hour TAT, which helps tremendously.  I have a couple of choices of when I can do the work, which really helps.  


Having a set schedule has its advantages though. When you are done, you are done, and can make plans for the times you don't work.  If you have to do it the way you explained, I would at least give yourself an hour break in between.    


 


2 jobs
I have a 35 hour a week job at a hospital coding and then 20-30 hours a week at home as MT. I need the outside contact with people. I like both jobs but wouldn't want to MT or code for that many hours.

My hospital job gets me out of the house and provide affordable insurance. My at home MT job is a lifesaver as far as extra money.