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in-house hospital pay?

Posted By: kms on 2006-07-19
In Reply to:

After working at home for approximately 7 years, I decided to apply for an in-house (but work at home) hospital job.  No more companies.  To my surprise, the starting wage was 10.31.  They offered me 12.00 an hour with a very small incentive, maybe 100 dollars every 2 weeks or slightly more.  Okay, does that seem extremely low to anyone else?  I make 10-11 cents doing IC work (yes, there are plenty of downfalls to IC work that can be made up by getting employee benefits)  The insurance is decent and cheap at this hospital for a family and the benefits are excellent, but still, 12 dollars an hour?  Is this the going rate?  Are they trying to give me the next-to-lowest wage after the 10.31?  Help!

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In-house In-hospital
Ive been in medical records when someone tried to force us to release records to them (not the patient.) I am saying people are sneaky when they want information.
Hospital pay was 7.5 cpl when I was in-house sm
and with shift differential, you could make a maximum of 8.375 cpl. When I went to MQ, I was started at 8.75 cpl and now at new company can make up to 10 cpl with shift differential and other incentives. It totally depends on the MTSO/hospital as far as pay. In-house work only would not necessarily make pay better across the board.
i work in-house for a hospital and they
did. the bonus was the first to go, then outsource our work so that the 'chosen few' would be the only one to qualify for what little bonus was left. doubled the lines to qualify for bonus but also cut the pay per line of the bonus.  they cant keep emps now except the ones that are too close to retirement.
in-house hospital is the best learning experience. sm
and is accepted with anyone. at least a year or more. there nothing like having someone right there at hand first time out.

good luck, you'll do fine.
How do I find out if a local hospital's transcription is done in-house or not?
Can someone please give me some advice?  I am trying to find out if one of our local hospitals has in-house transcription or what company they use for their transcription.  I called the MR Dept. and the lady acted like she did not want to tell me anything.  She said some was done in-house but most of it was done electronically and would not elaborate as to what company they used.  How can I go about finding out who does their transcription for them.  I never see any actual job opening in the MR Dept. or for transcription for them, so I am assuming they outsource most to a transcription company.
Before I started my own business, worked in a hospital in-house with taxes taken out & then went hom
was getting with shift differential 23.80 when I left. Your pay seems extremely low, you could make more as an IC seriously.
Started in-house at a hospital, medical records department, on a typewriter in
1983, earning $6.00/hour, eventually moving up after 7 years to $10.00/hour. All hospital work was then outsourced to a national service in 1986 (beginning of our downfall), went to work for the service and made $2.10/page. Service was bought out by another service, rate changed to $1.90/page. Rates changed again to $0.08/cpl. After many years of experience in all services, found my first account in 1992, charged $.09/cpl/gross lines but blank lines not counted. Business has grown steadily through the years through word of mouth. Now charging $.16/cpl or $25.00/hour or $6.00/page, and having to turn down work at this point. If you have the experience and are detail-oriented, you can find your own accounts eventually like I did. But you have to pay your dues first and be able to transcribe all ESLs accurately. If you learn how to transcribe ESLs well, those doctors are the ones to target for work. I do work an ungodly number of hours, only because I am trying to save at a faster pace for retirement because of all the uncertainty in this line of work.
Most in-house hospital jobs allow only 30 minutes for lunch! So I wouldn't call an hour lunch
"rigid."  If you are an employee, there are rules, set schedules, etc. that you have to expect. 
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. 

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.
Yes.. In my house! nm
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...
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?
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
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. 

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.
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!
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!
When I bought my house....sm

one if my requirements was that there had to be a room that was decent enough to use for my office.  In order to qualify for the IRS home office deduction  you can't use your office as a bed room or anything else.  

I have the best view in the house in my office - I can see outside to the flower garden and also see the road so I can watch the people and cars going by during the day. 

It is HIS house, I do the moving

He owns this house. It is too expensive for me to live here. It is an older home, needs work, expensive to heat. I work 5 pm to 2am. So evenings and nights. He puts kids to bed. I and kids wake up at 9am. Kids go to bed at 10pm.

And, there is nothing...I say N O T H I N G to rent in my daughter's school district (I've already moved her twice) and I am staying in this district til she graduates or if I am settled, for the duration of little kids' schooling.

Nope, don't have any interest in being Radiology Director of a 300+ bed hospital. Sorry.

Thanks for post.

Me too! It's so gratifying, fun, and gets us out of the house!
It has not been long since I was in house
There were five day time MTs, all female. Two were Jehovah's Witnesses, one Seventh Day Latter Saint, one wild N crazy seeing a married man, one living with a guy who was cheating on her. The air was thick with gossip. Each of them looked at each others numbers and concluded they were goofing off or chosing easy work. Some refused to take part in collections for b-day cakes and xmas holidays but would snack on the food when no one was looking. The paranoia was unreal. The meetings were finger pointing. The only happy time of the day was when the 5 o'clock whistle blew. Until then, your coworkers listened for your keyboard to stop making clicking sounds, watched the clock while you took a break, monitored how logn you were at doctor's offices. Any failure to do somethign or appear to not do something ended up with somebody going to the supervisor anonymously. It was HELL.

I wish kids came to our house...
but we are at the end of the road, several blocks from the last house before ours.  For many years I bought candy, and the kids just didn't come.  :(  I love to see them all dressed up cute - especially the ones from about 4-8 or so.  I never even buy candy for Halloween now.
Does anyone pay someone to clean their house? sm
If so how often do they clean for you and how much do you pay them?   What size home do you have? i.e. 3 bedrooms, 2 bathrooms, living room, dining room and kitchen?
cleaning house

We have a 3 bedroom and 2 bathroom house, about 1600 sq. ft.  and I have my girl come every other week and pay her 30.00, she's here for 2 hours  I've had her for about 8 years now.  She's like a daughter to me.  Hope this helps.


selling house

You need to document all of this and write her a registered letter recepit requested ahd outline all of this and inform her that you are going to send a copy to the Stare Board of Real Estate licensing and do a formal complaint unless either release you from your contract with no fee or to start doing her job. Whichever you prefer.    If she is with a large company, I would also cc a copy to the broker/owner of the company.  You do not need to take this nor pay for cancelling her contract if she is not doing your job and that should be stated somewhere in the contract.   Also the state will investigate this and it will be a mark on her name.  You can always call the state board and see if there are any complaints against your realtor.   But you don't have to take this kind of service.   But forewarn her of what you will be doing.   And like I said if she is working for a large company like Century 21 inform the broker -- call her office and ask who is the manger/broker and talk or just send them a copy of your letter.   They do not want any investigations believe me as it ties them up too much.



We felt that way about our house, too.
I absolutely hated living here because it was older, shabby and way too small for us. However, we've been working on it for the past year a little bit at a time. We're regulars at the hardware store now. The only big thing we did was to build an addition on the back of it because we came into some cash, but we've doubled the value of the house. You don't have to be that drastic, but a nice coat of paint and some reorganizing does wonders.

I hated renting. It was overpriced, the landlords were unreasonable, and we were always stuck with 6-12 month contracts.