I cut myself off :) Experience should be considered always in lieu of certification. nm

• What company is Carol from on the job board? - Anyone know? Looking only for CMTs...
  • Wave of the future, thank MTIA! - I'm a CMT
  • I doubt it, since... SM - Big Bucks
  • 10-15 cpl for CMT? The most I've ever heard sm - That's almost funny
    • Because many MTs are under the SM - I'm a CMT
  • I don't know either, but I will never get my CMT. It is ridiculous to want that certification. - hmmmmmmm
    • I just couldn't figure out - OP
    • I cut myself off :) Experience should be considered always in lieu of certification. nm - hmmmmmmm
      • Exactly. Gave mine up years ago. Waste of time & money. - nm
        • Me, too. I figured it cost me about $1k a year to keep sm - nm
      • Read MTIA's statement on SM - I'm a CMT
  • Looking at the ad, from the email it looks like SOS, Inc. nm - Another Carol

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First I would encourage you that if you are serious about coding, do NOT go to a course that does not allow to test for NATIONAL certification.  There are only 2 organizations in the US that do national certification.  AAPC (the first) and AHIMA.  With AAPC there are numerous companies that offer their course.  The cost runs between $1200 and $1600 for a three month course of 8 hour classes plus your proctored exam and membership to AAPC, or you can do the self-study course for the same money (I chose to be in a classroom setting so I could have questions answered on the spot).  You can opt to take the course for hospital coding CPC-H (which few hospitals will recognize as official) or the doctor/outpatient based course - CPC, which is widely recognized.

I don't know the cost of AHIMA's testing but it is as intense as AAPC's but it is mostly taken by people who either already have AAPC certification or are already working in a medical coding setting.  Both organizations offer apprecentice programs if you are not already in a coding setting until you can clock some coding hours.  I think you need references to enter either program as to your character - remember, if you make a mistake the penalty could be monetory and/or a jail term.

Now, can you get a job and is the money worth it.  Most hospitals want AHIMA's inpatient certification and 1-2 years OTJ experience, unless they are hiring for their outpatient clinics and/or ER (which they will then accept the AAPC's CPC).  Most of these positions pay between $15 and $24/hr plus bennies.

It is very hard to get into the coding industry.  It's just like trying to get into MT without any experience, only harder.  I would network, join both organizations as a member and go religiously to the monthly meetings to network and learn.  Both certifications require a high number of CEU's to be earned each year.  It is easier to get into a physician's office setting as a CPC.  Most of these jobs pay $9 to $18/hr depending on geography, but again you'd have to be very, very good and have good references from certified mentors to help you get a job with no experience.

Most jobs are obtained by word of mouth.  If you are very good, you could skip working in a hospital or doctor's office and become a consultant and/or instructor without any working experience (more $$ for the instructor's certification).  It would be like working as an IC.  You would have to hustle to get clients and build a reputation.  I was lucky and got a job with a hospital in their outpatient clinic side at $19/hr with hospital bennies and had an offer with the people whose course I took to become an instructor and consultant for them even before I got the results from my test score (but I had prior coding experience).  My job was basically consulting, doing audits and giving feedback and education to doctors on how to maximize their reimbursement, how to document charts properly and be available for their coding questions.  I loved the respect I got from the doctors.  It was totally unlike what I get directly from doctors as an MT.  They are eager to learn, listen to what is being taught, are interactive, friendly and recognize that you are there to help them succeed.

If your MTSO is also adding a coding department to their company, that would be an easier way to get into coding as it could be done from home with access to electronic medical records.  There are a number of tools available to coders that help to electronically code and flag potential errors, hopefully your company would pay for all that because it can be quite expensive.

I tried to portray a clear and realistic picture with discouraging you.  It's a lot like going into MT without someone being realistic with you, so the fact that you asked is a good sign.

good luck,

d~

organize MTs throughout the country?  It seems like, judging by what I read in MR forums, that part of the problem is that when people first come into the business, they have no idea of what their hard work is worth.  Regardless of the fact that hospitals want to pay the lowest possible price for transcription, the only people who should be settling for less than 10, 12 or more cents/line are ESLs in India, etc.  American workers should be standing up for American wages.  Yes, there are some companies who will say, Fine, I'll contract with India.  Believe me, you wouldn't want those companies as employers, or to work for hospitals or clinics that operate that way.  Heck... I sure wouldn't put my care in the hands of a doc that uses offshore transcription services, that's for sure! 

SO, what I'm saying is, there must be some way to bring MTs from all areas, and of all experience levels together (OUTSIDE of AAMT, which has been in large part responsible for alot of the problem!), and organize for a decent living wage and health benefits.  If all of us were to stop working for 3 days, 1 week max, do you think that work would all suddenly be sent offshore?  I don't think so.  Some might, but then again, it's a good way to week out the undesirable clients & employers. 

I think we our often our own worst enemy when it comes to wages.  If we continue to accept less than what we're worth, then that's all we can expect to earn.

Also, I'm surprised that some entrepreneuring MT company hasn't cashed in on all the newbies and in-school MTs out there who just want experience and a chance.  Imagine if one of the larger, more respected services were to open an MT SCHOOL as well.  They would receive an income from instruction fees.  MTs could gradually cross over from student to trainee.  MTs could earn extra money as teachers.  (And should be paid well for it, too.)  The company training the MTs would have first pick of the best and brightest for work in their own company.  Beyond that, there would be more money to be made when it comes to referrals. 

The healthcare industry needs to be more educated in the fact that transcription is a vital part of their work, and how well their reports are done is a direct reflection of their competency.  If you look at how much money is wasted in these establishments on FLUFF -- excess management, inept management, some community programs, and in some cases excess in building glitz and glamour, one has to wonder why they feel transcription is a less-valuable service than those provided by their janitors, groundskeepers, or food service personnel.

One way to fight the low-wage problem is to continue to lobby for an end to offshoring of personal information, not only in the healthcare industry, but in ALL American industry.  NO personal data: phone numbers, credit card numbers, etc. should EVER leave American soil without the express written consent of the owner of that data.

Another way to fight low wages is to do as much research as possible on prospective employers.  Remember, they are not just interviewing you, you are also interviewing THEM!  Go with the best-paying company you can find.  If you are new to the field, that will be harder, but in your case finding the best learning environment is your best bet, and then work hard at getting proficient enough to be able to LEAVE a low-paying employer ASAP for a better-paying one. 

In terms of being an IC, I know it's difficult to deal with people undercutting you.  But once again, don't forget that when someone turns down high-quality transcription and goes with the lower-quality provider, simply because of a couple-cent-per-line difference in cost, the way to look at that client is Good Riddance!  I used to have my own, non-MT, service-related business.  I had two ways of weeding out the undesireables: 

One was a waiver of liability.  If they squawked about signing it, or started picking it apart like they were big legal experts, then I knew right away they were a future legal liability.  (Of course, that is less of an issue with MT... I don't know of MTs that make clients sign waivers!  It's just a 'fer instance.)  But the best way to weed out the cheapskates and nit-pickers was to charge a slightly HIGHER fee than my competitors.  I offered a higher-quality, more personalized service than my competitors.  So I stood firm on my prices.  And you know what?  There are clients who will actually LOOK for the higher fee, knowing that if you can command and get a higher fee, you are probably a better service provider. 

Also, steer clear of new clients who want a special deal or discount right off the bat.  They will NEVER be satisfied; give them an inch and they'll take a mile.  I believe that discounted rates are EARNED, not given out on demand.  A long-time client who is honest, pays on time, tips, is slightly flexible, etc., who gives you steady, reliable work that is easier to do, should be rewarded with a deal.  But that deal should only be between you and them, and not broadcast to other clients.

Some of my BEST business clients turned out to be people who at first pooh-poohed my fees, and went with the cheaper provider.  Quite a few of them came crawling back on their hands and knees later; sadder but wiser, and more than willing to pay what I charged.  And often they had such a big mess that needed to be straightened out (usually caused by the cheaper provider) that I initially had to charge EXTRA, on top of my normal fees, to straighten it all out!  These people often came to be my biggest TIPPERS, as well! 

 I think we have all been conditioned to believe we are lucky to have a job at all, and we need to start rethinking that.  MT's need to stick together, network, lobby against offshoring and unfair pay, UNIONIZE if at all possible or beneficial, and be far more VOCAL.  The normally quiet nature of most MTs and their behind-the-scenes work usually works against them when it comes to fair labor practices!  Those of us with many years of experience & skill need to TURN DOWN job offers that are insultingly low. 

Anyway, that's my take on the el-cheapo employers & clients, and the low pay they think we'll get down on our knees and thank them for!   

Happy 2007!  

P/T and F/T with this company and required lines.  Thanks in advance :)

experienced?

I had that happen a long time ago.  Fortunately, at the time I didn't need the money. She had called me and was panicked because she was snowed under and wouldn't be able to make TAT.  I worked myself to death all weekend long, but when it came to pay me, there was one excuse after another, and finally she gave me a check ... and it bounced. 

On a happier note, or at least I hope it turns out happy, I wrote to the woman in Virginia again and she finally answered me saying that she had taken care of it and not to bother her again as she had clients to take care of ... whatever.  Maybe this time the old squeaky wheel theory works.

I am sure that not all people without direct deposit are cheats, and I am glad you have found someone you can rely on.  It will just take awhile to get this bad taste out of my mouth and learn to trust again.