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Serving Over 20,000 US Medical Transcriptionists

Regarding going in-house after ICing for 7 years...(sm)

Posted By: Mimi on 2007-09-28
In Reply to:

First, thanks to all who responded.  Your collective experiences and insight were very helpful.  I've decided that for the time being I am going to stay put at home.  The main reason I was considering going in-house was because I am now alone at home (hubby is in assisted living).  After years of caregiving and progressively becoming housebound due to that caregiving I find myself doing nothing but working and visiting hubby.  I thought going in-house would give me a much needed change.  However, I've decided that I'd rather select the people I interact with than having that fellowship need met by colleagues in a work environment. 


Anyway, thanks again for your input.  Most of you confirmed my underlying horror of office politics, gossiping, and pure misery.  I do love the company I work with and would have had a very difficult time leaving them.  I'm staying put!! 




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Today's e-mail is just icing on the cake!
Okay . . . so I am just venting about my QA, but to all people doing QA I don't think everyone is like this, I just can't use names, so I am stuck somewhat generalizing. Sorry. Please don't take offense, I don't mean all QA people just a couple I have dealt with lately.

A few weeks ago, I got blamed for something QA changed on my report. They got it wrong, not me. I blanked it and QA guessed wrong. Very frustrating.
I worked in house for 2 years

and when I went on Maternity leave they set me up from home.  I started working for a national in January.  My other at home position went VR and they brought all the jobs back in house. I couldn't go back into the office as I have two little ones and the cost of daycare is outrageous.  What's the sense of working then?


6 at home and 1 in house (first job) in 6 years
x
I trained in house 5 years ago
They had such a turnover they would hire anybody off the street that felt like giving it a try.  One in-house self-study medical terminology course, and a lot of help and support from my co-workers and I was good to go.  Since then I've worked for 2 nationals (and had to unlearn a few bad habits - I'd never even heard of BOS inhouse, LOL).  I never spent a cent to begin this profession - I got paid hourly to do it.
Best advice - work in-house a couple of years
You really do need hands-on experience in order to be able to do this at home. You will run into terms that you will have no idea how to look up - like "booj aw boo" would you know to look under bougie au boule? Or "terry onal craniotomy" would you know it is "pterional" or would you spends loads of time looking for "T" words? If you work face to face with experienced MTs, they can help you when you run into similar situations. I'm not being snooty, I am only pointing out real situations that you will be faced with and the reasons MTSOs insist that before an MT can work independently at home they have at least 2 years experience. I believe that most of us have worked in-house in the beginning to get to the point where we can do this efficiently at home. Once you do get that experience, though, stand back, the MTSOs will be beating down your door with job offers. Good luck and hang in there! Remember we all had to start somewhere. Best of luck to you!
A few years ago, Atlanta in-house average was about $12-$15/hour, plus good bennies. nm

By the way, as of about 5 years ago, Wellstar was with a service.  They might not even have in-house MTs.  Hope so for  your sake :).


 


 


I agree. Men should be the icing on the cake, not the whole cake.

58, AHP/self-taught, trained at hospital 5 years, now with 2 of my own accounts for 10 years, employ
Also worn out 2 keyboards in 4 years. I will never retire. DH will come home some day from work and I'll be slumped over my keyboard. I put in 14 hours a day 7 days a week.
Pack years = packs smoked per day x years of smoking - sm
25 pack-years = 25 years of 1 pack a day, or 12-1/2 years of 2 packs a day.

I don't think pack-years applies to someone who smokes only cigars. But I don't know for sure.
I worked for Cbay for 3 years. I was also part of their lay off back many years ago. sm
Even though I got stuck in a lay off era, I still love the company. They paid well then. The people were nice (exception of 1 person) and if I had the opportunity I would go back again. Fortunately (or unfortunately - depending on how u look at it), I have a great paying job right now, so I am not looking for a change. I do know that at one time, they asked management to accept late paychecks, but never sure of the reason why. My check was never late.
I know it used to be 5-10 years back, but the laws changed within the last 2 years. They can only g
x
6 years legal then switched to medical 17+ years ago. sm

I don't mind doing legal and will do it now from time to time, but be prepared to be totally bored out of your mind.


At least that's the way I feel.  I love to transcribe, learned legal in college, went on to get my paralegal degree, etc., etc., but I did temp work when the kids were younger, which was about 90% medical and I would never go back to legal except for once in a while.


Booooooring.


 


 


Only 3 years away from reaching total years for retirement
but if I had to do this and raise a family, would feel exactly like you do. The pay is terrible compared to what I used to make. I work 32 hours a week, hope to be able to continue even after full retirement age. I have worked on VR now and unless places get to where they really do not care about how their reports look, think they will need MTs. I very seldom do a report and it is 100%, just cannot remember 1 like that and most take a lot more editing. Working now because want to, not have to anymore, thank goodness!!
I dumped my ex 20 years ago, but got lucky 13 years ago

It would take me all night and pages and pages to describe what a bad person my ex-husband was.  After six years of putting up with his OCD, verbal abuse and alcohol, I left him the house, took the kids (5 and 1) and didn't look back. That was 20 years ago.


I wasn't looking to get married again, but I did.  After 13 years I only complain when hubby doesn't see things my way. :) 


My older kids, who were 5 and 1 when I left, are married and have kids of their own now.  My husband gets the Father's Day cards.  Their "real" father sits alone in the perfect little house I left behind and let him have and he drinks himself into oblivion every night because nobody is "perfect" enough, including his kids and his grandkids that he never sees. 


Sad, but true.  So glad I smartened up and got  out of there when I did.


We have been supporting other countries for years and years now.
What is the big deal.  Look at your clothes, cars, items in your house.  You will see mostly China, India, Indonesia, Pakistan etc., etc.  We have not supported our own people like we should have for years now!!!!
Only 2 in 13 years for me. First Edix for 8 and now Webmedx for nearly 5 years. nm
.
When I trained, back years and years ago
We did not have spell checking nor the internet (Google for instantaneous help). OMG, how did we do it? We used Correcting Selectrics with the lift-off tape to correct errors- you only had dictionaries, both English and medical, to look up things so yes we did have to learn to spell all those big longgggggggggg words.
MT: 24 years. Same company: 11 years same co. after buyout.
x
Grammar Question: 9 years' ago or 9 years ago? *sm*
I have a terrible time trying to remember this rule! HELP!
Worked inhouse for years and years
Inhouse transcription from 1973 to approximately 1992 and we had no downtime for answering the phones and when the physicians came into the room (or others) needing some assistance, just part of the job. I did not feel bad about doing it then and I dont see why you would either. You don’t realize that probably you are making right now more than if you are outsourced, right? You have hourly salary plus incentive. Guess how many of us have that now? Probably inevitable about outsourcing so I would say just enjoy while you can. The pay our here now sinks further and further. I make, for instance, 4 cents a line for voice recognition and 8 for straight. Now, more complaining?
Yes.. In my house! nm
c
DQS in-house
I would think this is a dream come true. DQS can be used/bought by independent companies including hospitals and it doesn't necessarily mean that MQ is taking over the account or has anything to do with the MTs on staff at the hospital. Hopefully this is the case for the OP, because that is wonderful.

Also, regarding the demographic field, she is probably familiar with the little things of the hospital that sometimes MQ MTs struggle with, especially those of us with multiple accounts, like who dictates for whom, doctors who put in their wrong IDs, who gets copies and who doesn't, etc.

I hope MQ doesn't mess with the account too, because she, IMO, has the perfect set-up because DQS is really a pretty decent program and to be able to work on ONE account, in-house, would be my dream come true, anyhow! :-)

Oh, but maybe she should be warned that DQS is a speech recognition platform...
in-house
they are sending the supervisors or "workflow coordinators" (as they are referred to now) to work at home also. Those of us who cannot achieve the line quota are "offenders." I feel like I work for the devil himself. Not a good feeling :(
I do, my house is about as big as (sm)

a bachelor apartment.  It benefits me in the long run.


Get out of the house once in a while.
I get depressed, too, but I've got kids, animals, and everything else running around underfoot making messes.  Do you have any friends or family you can get together with for coffee?  What about puttering around a bookstore for a while?
Is this your first house?
If so plenty of programs available through Fannie Mae or FHA for first home buyers. If not look for a "rent-to-own" deal, usually sold by investors. You pay an "option" of usually about 5K to rent out the house for a year while you work on qualifying for a mortgage. Then a percentage of your rent each month is put towards your downpayment. The house is yours, and after a year if you qualify you have your home. Great program for those who have some bucks but not many of us can afford 20% on anything!!! Good luck.
Yes, but who does them in-house?
zz
House
I think House is very loving. I think he realized that Mark loved and needed Stacy more than Stacy loved and needed Mark, that Stacy really didn't know what she wanted and would regret it if she left Mark. Finally, the fact that Stacy had left him, House, before and now just wanted to keep him in the wings made him realize he had to put it to rest.

I think will free House up for someone else - hopefully not Cameron, she really needs someone her own age. It was creepy to see them on their date last year - looked a Dad with his daughter.
No. If in-house - yes! nm
x
We had them at our first house

We didn't plant them, but they were probably about 5 to 10 years old when we bought the house.  We sold the house about 8 years later.  A couple of them at that time had already died, and they all died within a few years after that and had to be cut down.


They are very nice to look at and grow fast. I did not have any problems with "sucker shoots", they all grew upwards.  The trees also do take the wind very well, never any broken branches, etc.   If you need a quick fix, I would certainly recommend them.  Only downside is that they are not very long-lived.   


 


In-house MT job - sm

I would like to take a part-time in-house MT job.  Unfortunately, there a few jobs out there.  The local hospital has an ad for a full-time MT position.  I had applied there many years ago and withdrew my application.  The pay was quite low and the hours were not flexible at all.  For example, one hour for lunch meant one hour for lunch! 


I wondered if I should apply and tell them I am only interested in part-time, not full-time and see if they are interested.  Or should I just assume that they are still very rigid in their thinking?  I don't want to waste their time or mine but really would like to go in-house a few days a week at this point.


What do you think?  TIA


Either it's your house or it's not.
Do not do any work to it at all until it is yours, in your name, and you own title. Period. Until that happens they are free to do what they want with THEIR house. They haven't cared about the condition of it thus far, so why should you until it's yours and you will reap the benefits of whatever money and elbow grease you put into it. They are not giving anything away until someone else's name is on the title. Don't let them continue to manipulate you. If their house isn't worth it than don't bother. If you can afford to put money into their cra!py old house you can afford to put money toward a new one of your own. They sound like truly selfish people and they are not going to change at this stage in their lives, are they? You seem to have the brains of the bunch. Put those brains to use. Get your own game plan to take care of you and yours and forget the rest. I speak from experience. You cannot change the pepole around you, only how you react to them.
I do not want an in-house job
I was only inquiring as to how companies hire employees and those employees may work more than 40 hours/week and not have to pay OT.   I think for the most part the ? has been answered.
She needs to get out of the house...
and make some friends in her new town. Maybe part-time preschool for the oldest, if not old enough for school, and she could meet some people that way. Or check out different churches. Or She definitely needs to meet new people near her. Until she establishes some kind of life where she is, she will continue to pine for the old life she left. Has she met any neighbors yet? Maybe visit a garage sale, even if she doesn't need anything, just to be out with people?
and when she is done with your house
send her over my way!  That is wonderful.  I wish I could get, and stay, that organized myself.   You 






When I am in-house
Yes, I have to answer phones, take care of nurses, reception, billing all bringing me questions or requests, research doctor's addresses, phone numbers, splice tapes back together that have broken (yes, we still use tapes and work on WordPerfect 5.1!!), fix computers when they go screwy, etc. etc. At home it is soooo much more peaceful and stressless!
When I was in-house sm
I transcribed reports on friends, coworkers, people I knew in the community....I tried to keep my mouth shut as much as possible. But when you learn that a friend has breast cancer....it's hard.
going in house sm
Make sure you know exactly what you are getting into and have it all in writing. I had given up a very successful IC position to go into one of my hospitals. As an IC I was treated well, but when I went in house I was treated like I came to steal the silverware. I was promised there was a need for me and they would be pleased to have me. I did not get this in writing. The insiders hated my guts, had the job posted and and all the night shift and weekenders scooped up the hours, leaving me with only weekend hours and holidays. I went through the mill that year because I made such a wrong decision. Be sure you know what you're getting into. I hate to scare you, but be armed with backup in print, in black and white, before you give up your home office. You are used to working alone. I did not know people could be not only so mean-spirited but they were not of my caliber concerning professional behavior. Be prepared to deal with the witches of the world should you have to. I was not prepared for the change. Perhaps you will be more fortunate than I. I made a terrible mistake and gave up a lot. I had to leave and start all over again. It was not easy and not worth it.
new job in and out-house

Well, I did it!  I start with SoftScript at the end of the month.  Although there are fears and all that, I have done the right thing getting out of the unhappy in-house job I was in.  It's a big gamble, but I feel right about it.


I'm posting here to tell you if you want an in-house job, check the job board at a certain hospital in Central Illinois, near Morton, IL.  A big, Catholic hospital.  I think there are actually 2 Transcription jobs open.  The benefist are great.  The rest of it is OK to absolutely unbearable.  You'll see.  I don't think I'm allowed to name the hospital.  But the job is on the job board of the hospital web site.  Good luck, I guess.  Pray for me, as I will for everyone who gave me advice. 



in-house
I have found that working in-house for a hospital usually pays better than working at home for a service.... in some ways.  The hospitals I have looked at pay a decent hourly wage, but if you are a seasoned Transcriptionist and work on accounts that you are familiar with you can make more being paid by the line.  I have always worked by the line and when I first started out I didn't make crap.  I expected this though.  And now I don't do too bad.  I actually make more than I would if I worked in-house at one of the local hospitals and I have the benefit of being at home.  I save money on gas, "work" clothes, etc..  So I guess what I am saying is that maybe you should try to find something in-house for a while to have that guaranteed hourly wage.  Just a suggestion.
in-house
You're right - in-house is wonderful pay - but the downside is giving up the comfort of home. I made $19.00 an hour at a hospital job, but don't like working in the same room with other MTs - usually can't get your work done unless you are a die hard. You get the urge to chit chat and the hospitals do require a quota. Don't get me wrong.. it does have its good points.
in-house pay

It depends on so many things.  I worked "in-house" (was actually working at home for a hospital that had in-house MT dept).  Got paid by the hour, so depending on your production, you might make more by working in-house (if you produced less), or more at home (if you had higher production).  It depends, too, on the hourly pay scale -- the hospital I worked for I think was pretty much known for lower pay, in all professions, at their hospital


However, with working at home, I always factored in $$ I was saving by not spending $$ for gas, etc., and since I did not drive, I did not have a separate car either (insurance, etc.), so this helped "raise" my salary.  Also, at home did not have to spend money for "work clothes", could wear my jeans, etc., again saving $$.


Also, even though I worked at home, and had "set hours", there was some lee-way in there, so if I felt tired, I could easily take a break and rest for a while -- much more relaxing.


 


Actually ,yes I do own a very nice house and car.
because I'm good at my job and make good money. Why is that so hard to believe?
Not at my house it isnt!
lol
any suggestions how to get them out of the house?
We've had our house professionally sprayed inside, outside, and entire yard 2 times already this month. This morning I got up to about 80 ants in my shower, and the other day I killed well over 200 on my desk while I was trying to work! Anyone have any ideas?
Well, I am the parent and I run my house sm
My kids are told to speak only when spoken to, and if they talk back in anyway, I smack them in the mouth. Granted, they are teens and not toddlers. In their teens, they try to push it to the limit no matter what situation. My kids know not to push!
Let them live in YOUR house then (sm)

I don't want them in mine.



In house transcription
A friend of mine recently left MQ and went in house too with benefits paid by the hospital and starting at $17.00/hour, however, in my area there are no hospitals that have in house transcriptionists, so I either have the choice of traveling more than one hour each way on heavily traveled freeways each day or staying at home and working.  I choose to stay home.  If the two hospitals in my area ever go back to in house, you bet I will be the first in line for an interview.
I do now and then, mostly stuff about the house but have been looking
for additional $$. Know what I want to do and currently researching finding suppliers, preferably here in the U.S. I'll be happy with an extra few hundred, but if it takes off...... I'll take that too!
I wish I could go back in house
I worked in-house in Florida and we made a base of 14 (this was back from 1997 to 2000), with $1 per hour more for everything over 500 lines per day to a top of 18.00 per hour PLUS 8 cpl for anything after 1000 lines per day. I made 1300 biweekly take home plus another 1500. monthly bonus. You could get up and stretch, talk to coworkers, etc. Now the circulation in my legs is shot, my hands are nearly non functional, and for nothing!
sounds like my house
I have a lab, husky and shepherd mix.  The lab would be sitting on my lap if I let him!