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i am an inhouse hospital transcriptionist who works at home

Posted By: tynkerbelle on 2009-04-27
In Reply to: You have a union contract? - Megan

I am an in house hospital transcription who works at home. I get 19.00 an hour plus incentive pay which is 7 cents a line after 1,000 lines. and 7.5 cents after 1,500 lines.


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my take is that she worked inhouse, not at home, and now wants to find out how to work at home. nm
x
$18 an hour but I work inhouse in a hospital.
nm
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!

P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
i used to but quit it to go inhouse and now am home again without it. sm
i got 2 weeks PTO a year and got paid equivalent to my production for the hourly rate, which at that time was $15.75/hr for my vacation time. had insurance too but can't recall the details. boy, i regret that now as i feel like i am working 24/7 as IC and can't afford to take time off. take off = lose money and get behind. i'm stuck, lol. gotta look for large nationals, acute care, and about 75% ESLs to get it nowadays is what i am seeing. hard choice between clinics/gravy work or PTO/insurance/ESLs/busting tail, lol.
Remote hospital transcriptionist
Hi, I work for a 270-bed hospital in Cape Girardeau, MO and have been with them for 14 years. 9 years ago we went to at-home typing and it's been great. We have health insurance (family plan is only 105.00 a month) and you get 50% employee discount for whatever insurance doesn't pay. We get 11 cpl on a 60 character line. We can work our own hours, just have to meet a 5000 line quota per two weeks to maintain health insurance. We go on-call for a week at a time where we are available that week to type stats should there be any during the night or weekend, but we receive on call pay (an additional 220.00 that week). By looking at what some others offer I feel very fortunate to work where I do. Right now they are not hiring as we don't have a turnover. One of our girls has been there for 25+ years. Hope you find what you are looking for. They are out there if you just keep looking. Take care.
Remote hospital transcriptionist
I definitely will! Thanks!
Positives and Negatives of working at home versus inhouse.

When I first went home to work, I did think it was the greatest thing since sliced bread, but I got so tired of being stuck to my desk all day long and being asked to work overtime with no overtime pay.  No incentives anymore either.  The money is the biggest issue here and benefits at a good price.  .... So I decided to go back in house.  and believe that I found a great place to work.


Of course, there will be the usual bad side of working an inhouse job... dressing up.... which I honestly miss.. but maybe not every day, paying for gas to drive to work... but it's actually only 10 minutes away, the cafeteria--enough said :D... plus I bring my lunch and have always done so..., office politics--which I have found exist at home or inhouse....,  dept meetings--which I have found exist with at home jobs also... of course they are "account" not department meetings and communication! which is a really important thing and was the straw that broke this camel's back--got sick of sending emails to a myriad of people from the top to the bottom and getting no response back... or responses days later...


Can anyone add any other positives/negatives?


The pay will be worth it all no matter what, but I was curious to see what other things there are to consider.   


Please no flames. 


Thanks in advance.


 


 


hospital at-home -vs- national at home

I have an interview today with a hospital...work in-house for 3 months, then go home, paid on production. I don't know as of yet what they pay production, so my question is to anyone who works for a hospital at home AND has also worked for a national at home...


Which would be the best to choose? The hospital offers great benefits, but the national I work for now also has benefits, not as good as the hospital, though.  Any input would be most appreciated!



Wow! VERY well written and said! My husband works for a local hospital and
there is one patient who is an illegal that has been in the hospital there for 2 weeks and has racked up a bill that is now over $200,000.  One of the other nurses on staff there called the police department and explained the situation and they are in the process of deporting the patient back to Mexico and admitted to a Mexican hospital.  We can't cover the cost of every single person in the world.  The US is just so big and sorry, but my family, all American citizens comes first.  Does that make me a cold hearted person?  I don't think so.
the service that works on our hospital account definitely pads
Many of us inhouse have tried to point it out to the supervisors, i.e. tons of spaces after a header, three or four spaces after a period, using spaces instead of tab button, for god sakes, spelling out milligrams and computerized axial tomography and every single abbreviated term that you can imagine and stuff like that. they even make their blanks verrrrryyyyy long!

Thank goodness the contract with them is going to be coming to an end by March. It just burns us that we get monitored for it, and the outside service does not. They also do not get penalized for mistakes either.
And the dad works from home!!!
Scotty's dad works from home!! How is his work more important than mine. Also the wife supports him and he barely works but only a few of us know that. He is just LAZY and figures I'm going to drive anyway, why not help his lazy butt out.
Not OP, but how does one go about getting an at-home hospital job..sm
I have 30 years MT acute care experience and think I would like working at home for a hospital (currently work for a mid size MTSO). I don't recall seeing those type jobs advertised. Can anyone give me advice on where to find those kind of jobs? Thanks for any help!
Anyone who works at home with little ones is an angel. sm
I always wanted to try it when my kids were small, but knew it wouldn't work. I have to laugh at the "he said, she said" comment. My boys are now 28, 22, and 19. All three of them at home when they were small was like a lesson in mob action. Add to that the neighbor boys-5 of them-all the same age as my children and our neck of the woods was a war zone. I was lucky I could go to the bathroom without courting disaster and that was a big IF. I look back and wonder how I lived through it. We have good story telling time now, though........... So, anyone who manages to work at home with their children gets the halo of the day from me.
Poster says she works from home
I bought my condo where I have a home office (35 y/o bldg) at one price and it has nearly doubled because of the area I live in. As I read it, the poster stated her house......
Hospital at-home job vs. service
Here is the scoop:  I work for a service now, but was offered an at-home position with a local hospital at $14.70 per hour with benes.  WHAT SHOULD I DO???????
hospital work at home
May I ask if it was easy for you to get the at-home job working for the hospital? I have a hospital very near my home and have been contemplating going there to see if they have at-home transcription jobs available, but haven't done so just yet. I would love to be paid hourly. I'm so tired of having to type my fingers to the bone to make good money. Hourly should would be nice, even if only temporarily. Thanks for any advice.
I work for a hospital but am home. nm
nm
Home versus Hospital - sm
Speaking as one who was a unit secretary for many, many years, and now an MT working from home, I personally would NEVER, ever go back...but, the benefits of working in-house are much better than most MT companies offer. AND, your point of steady paycheck is a valid one. This is something you would have to sit down and write all the pros and cons, with your feelings included, to make a decision based on what is best for you. Good luck.
When I worked at home for a hospital
I had all of the benefits, but the hospital I worked at did not go by production.  They just basically paid per hour.  They did not expect a certain amount of work be done in a certain amount of time.  I had access to the software the hospital used.  This probably won't help you, but it has only been 2 years since I left the hospital.  I make way more with my own accounts.  If the benefits you are seeking have to do with retirement, then you may be better off setting up your own retirement account because if you are older, you will need to be vested before you even begin to think about a pension. 
MT working at home for hospital
I just recently was sent home from a local hospital where I work. I make $15.80/hour, no incentive, and we are required to type a minimum of 1200 lines per 8-hour shift.
I work at home for a hospital
differential, average around $18 to $22 an hour. I am not paid hourly, but totally CPL. I don't use any benefits because I am on my husband's.
Missouri hospital at-home MT..........
I have worked for a hospital for 15 years. They moved us home about 10 years ago. I make 11 cpl on a 60-character line. We have to maintain a 5000 line per two week pay period quota for health insurance which is free for employees, but I carry family plan and it is 110.00 a month (hard to beat that). We can type whenever we want, no set hours. We also rotate weekly on call schedules where we go on call from Midnight Sunday morning to the next Saturday at Midnight. Just for being on call, we get an extra 220.00 that week regardless if we receive any calls, but if we do get called, we still receive our 11 cpl pay as usual. This is a 270 bed hospital with all fields and specialties and pretty well all of the dictators are great. I am very happy with my position at this hospital.
I am, but I work for a hospital (at home). (nm)

Former MQ here. I finally got a home-based hospital job.
Less flexibility, as in having to work set shifts, but the pay is great and I have all the great benefits.  I know there are so few hospitals that have their own department, but if you're in a populated area and can find a job, it will TOTALLY renew your opinion of this job. It has for me.
18 cpl straight from a hospital working at home. nm
x
24-yo female Missouri, PT at home, FT hospital
sm
i would never give up my home-based hospital job....go for it
s
need advice /home-based hospital job

 I was offered a home-based MT job as a direct employee of the hospital with an extremely good per-line-rate.   But yes, apparently it was too good to be true!  Apparently on further consideration, the administrator now says it is too costly (technically) for home set-up; mentioned something about the Lanier DVI desktop and how costly etc. etc.  and some other MT has the license (?what's that about?); also mentioned "Cquence" transcription software program.   They presently already have 5 other off-site MTs.   Anybody out there with opinions and/or constructive advice...please.     Thanks in advance. 


I worked for a hospital at home for 4 years. sm
We had to work set hours. My advice is allow youself 1/2 hour for lunch, and at least two 15-minute break periods. Work 2 hours, take a break, work 2 hours, take a lunch break, etc. Otherwise, you may find yourself having back, shoulder and hand problems. Working 9 hours may seem like a drag, but not being able to work at all is even worse. Remember, if you were working on site, you would not only have to work 8-1/2 hours, but would have travel time on top of it. Just my experience.
I worked at home for the local hospital here.
It was fine. They paid hourly and provided equipment. We had plenty of work and had to stick to a set schedule. They do use a service or two for overflow, but it is strictly overflow. The hospital still has employees working at home. They don't ALL outsource. (And ironically, some hospitals are taking back their transcription and hiring in-house and at-home MTs!)
I work for a hospital from home on my computer and they do this too. sm
I was told that it is becoming more and more common to see this happen as the internet can open the hospital to too many vulnerabilities. It's my computer but I am on their clock, so I am OK with it. I prefer my books to internet research though so it is not so bad for me.

Good luck with this.
PLEASE! Let's suppose a supervisor works an 8 hour day on and off. At home.
What does this supervisor do? So I have a supervisor now see. Every now and again I will get an e-mail that tells me account is behind or caught up. Not on a daily basis and sometimes not even on a weekly basis. Now besides looking into the computer to see account is behind or up to date, what does this supervisor do in the course of an on and off 8 hour day?

I am assuming this "supervisor" is not doing QA or anything, just supervising an account. So any questions regarding QA are sent off to QA personnel. So what questions can a supervisor have that would tie up their day? EIGHT HOURS of a working day doing what?
Hospital job is "work-at-home" paid hourly
Thank you for well wishes.
Key words: Utah and Hospital. Different from working at home and different SM
from working in a state that has low tolerance for drinking.
I disagree. The best place to work is a hospital that has their MTs at home.
x
Why not work fulltime at home for a hospital with bennies?
Or look into the state children's medical program. Check into foodstamps and utility assistance while you're at it. The states also usually have a program to enforce child support, which can't be arbitrarily reduced if someone just decides to be self-employed and hide their income one day.

As for the savings and retirement, relax, you'll get there. As for life insurance, you can get a term or universal policy cheap. I can relate about the job situation. I'm teetering on bankruptcy myself now because I lost my steady job in October and have had two other jobs with no work or lousy platforms since then. I keep waiting for the utility companies to shut everything off because I can't pay.

We'll survive. I can't wait for tax refund time myself. You'll survive, too. You can do this. The best part is that you can do this without his help, and your kids will love and respect you for being the responsible parent.
I turned down a hospital job to stay at home and regret it. sm
The hospital jobs are much more stable, and you have the same docs over and over. Even if they are ESL, at least you can get good at them. Take the hospital job - the PTO and benefits are worth it.
I surely lost out on that, worked from home for a hospital
for 2+ years and required to come in house for meetings and never, never paid for my gas nor my time down and just asked to make it up. After that we got outsourced to a company and guess what again? Meetings at their place and again no pay!! I bet others who see this probably have had the same thing happen to them. Your place exceptional.
Take at home transcription job or unit secretary job at hospital?
I've been an MT for 12 years and have worked at home doing MT for 10 years. Recently got replaced by EMR so had to find work elsewhere. I took a job at a local hospital as a unit secretary working 3-11 now I have been offered a job with a national transcription company. I'm not sure if I should go back to transcribing since the line count/money making potential has me worried. I've been assured that I will never run out of work but I'm worried that I will actually be working longer than the 8 hour shift in order to make the amount of money I need. I would love to be back home with my kids typing again as I miss not seeing them as much as I used to and they want me to be home. I am just not sure if I should stay in a job at the hospital which has a guaranteed amount of money per pay period since I'm being paid by the hour and not by the line where my paycheck can vary. Any thoughts/suggestions/opinions, recommendations out there? Any and all would be greatly appreciated!!

Thanks!!
It is nearly essential to be a computer tech when one works at home. Sorry. Can't help. Feel your
dd
I think I misstated it - the at home people live within an hour of the hospital - sm
this is what the hospital is absolutely positively trying to avoid - having people all over the country doing the job. If the equipment breaks, if there are meetings, etc. - these cannot be done with transcriptionists all of the country.
great post - we have people that work at home in our hospital - sm
but getting them to work is like asking them to do a big favor. They constantly have the excuse "oh my kids are here, I have to play with them." "I can't work because my kids have a cold." "I can't work because my kids want to go outside and play."

I could go on and on and on. Those of us that work inhouse and have kids don't seem to have "the problems"
$15,000.... Hospital employee, telecommuting from home, working less than full-time.
c
I'm a hospital employee, working local at home, so I get a raise every year.
x
I work four 8 hr shifts, home based for hospital.. hourly plus incentive.
sfg
I have 13 years experience and just started a hospital job working from home making $16 an hour

and with a really good incentive plan.  I live in the Kansas City area.  $10 seems like a low starting point even with only two years experience which is the usual benchmark for hospital MT jobs. 


It's been my experience that the low end of the pay scale for hospital employed MTs was around $12 an hour.  Also, it's been my experience that the pay offered is usually based on years of experience and how well you perform on the transcription test.


I would say if their pay is that low, they should at least be making it up with incentive and it doesn't sound like they are.


JMO


When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
When the kids started school I wanted a job in my home town. A hospital clerk position (sm)
came open. You started compiling charts, making copies, etc. Then I was promoted after a few months and began learning transcription and did that part of the day. Then a few months later they taught me coding and abstracting and I did that part of the day. It was a great learning experience to learn things from the bottom up. Needless to say, I am an old dog here who has been doing this more than 25 years now.
Depends on what kind of hospital? Large urban hospital or small community hospital? SM

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. 


Working full time at home with small children is hard but part time works great
is almost impossible. You will either have to work when your spouse is home or for only a few hours during the day and then more when they are asleep. I work part time at home and my kids (2&5 now) have done very, very well. They are great kids, very well behaved, don't get into much. I stop working to check on them/give them some attention every hour or so while I work (5 hours each afternoon or so) and they get all my attention in the morning and at night. It has worked out beautifully for us.
Help! Have face-to-face interview for at-home hospital job tomorrow and ....SM

I want to ask the most comprehensive questions I can so as to make the best decision possible.  I work for a small national right now, pretty happy but would like better benefits, especially more affordable and better insurance.  I already know this hospitals pays .09 cpl and .11 if you do more than 1200 lines per day.  It's been so long since I've been interviewed in person.  I need you guys to help me make a list of questions to ask so that I can just get it all down on paper and make sure I'm not missing anything.  I know they use ChartScript and Lanier and that they provide the computer.  What else exactly should I ask?