Working inhouse for hospital, sm
Posted By: paid on salary on 2006-11-27
In Reply to: QAers - myopinion
There's 2 of us for 25 staff MTs plus monitoring the outsource vendor. We're both paid salary. Works out pretty well for my budget. Living in Florida, salary range for our jobs I believe is $35K to $39K annually.
I worked for a national company previously, we were paid on production, at about 4 cents per line. It was a horrible way to make a paycheck. Would never go back to that.
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That is true. If the hospital has inhouse
people, then they have first priority on work. If they can do it, then the hospital will not make it available.
When I MT'd inhouse in a hospital medical records dept.,
the hourly pay was around $9/hr. I had plenty of experience too. The lady there who had about 25 years of experience made around $12/hr.... I have no idea why it was so low. That's why I ended up working for a service at home. As low as VR pays, that $9-$12 is starting to sound good though. What a shame this profession is.
The hospital I work has no intention of outsourcing...physicians and administrators want inhouse tra
and Medquist hasn't bothered us at all. Our reps are still the same personable guys they have always been.
Working for a hospital
Most of the hospitals like for you to be in a certain radius so that you can attend meetings, etc. The last one that I checked out said you had to live in a 50-mile radius. They are out there. Just keep checking.
Actually, it is much like working in the hospital
snarling and ignorant comments. I don't feel like I have left the hospital at all.
Jeannal, were you working for a hospital that
decided to outsource, or did you decide you want to work at home and so you are leaving the hospital?
Its been my experience, even when working in the hospital sm
that MTs with seniority usually get the worst work because it is the more difficult work and newbies usually cannot handle it. Unfortunately, thats the way it works in this field...the more experience you have, the more likely you are to get the crap work. That work has to get done too!
Once, while working for a local hospital
I was also working PT for the service that the hospital used. The only conditions made for that were that I could not work on my hospital's account as that could be considered a conflict, i.e., less work for the hospital so more was available for the PT job. I have yet to have a problem working for 2 companies. Currently I work for a national company FT and a local company PT. They do not have the same accounts, so therefore no conflict.
i just started working for a local hospital. sm
They pay for the entire phone bill and internet for an extra line to do their work.
Probably each company has their own rules, but when I was working in a hospital sm
generally, it was 7a-3p for first, 3p-11p for second, and 11p-7a for third, not including lunch breaks.
Hope this helps. 
I make twice what I made working at a hospital.
And I even work for MedQuist, no less! 
12 cpl editing; 18 cpl transcribing - not working for a company, but a hospital. nm
x
I remember working for a hospital on the new IBM word processors - boy
didn't we think we were hot stuff using those!? Then I discovered this little feature on one of the menus called Stored Text and come to find out, you could actually type some text there and then call it back up?!? So I did that with one of our docs who would rip through the physical exam so fast you could barely understand what he was saying BUT he always said the same thing (everyONE had a blood pressure of 120/80) so I typed up his spiel and then called it up and read along with him every time I had one of his reports. Then I figured it was so clever I showed it to the supervisor and was told we can't do that! Because it might lead to errors if you don't type it from scratch every time.
and how about those impact printers! Remember they were so loud you had to actually have a special plastic box to put over them and dampen the noise so they didn't sound like machine guns.
and here's the lil whippersnappers spouting off about ALL the files they have had in their entire CAREER have been .wav files LOL too too funny
Diskriter - Working for the largest hospital system in FL.
The benefits look fabulous! Strict schedule? Good PTO?
Thx!
Curious, can you make more money working for a hospital rather than a clinic?
I've never really did acute care and curious?
I have a friend working in a hospital and she is looking for a company from home as an employee.
Would anyone care to recommend a good company?
You're extremely lucky. I bet there aren't 10 of us out here employed by a hospital, working f
c
There's no comparison in being a hospital employee with benefits working rotating weekend and IC
Initially what made being an IC worth sacrificing benefits was having a flexible schedule. I have read the laws and have done research. An independent contractor is not obligated to a set schedule and this definitely includes holidays and weekends. So what if this is a 24/7 business? How many hospital workers do you know that work every weekend with no benefits?? Nada! I knew student nurses who chose 24 hours every weekend so they could go to school thru the week, but they were compensated quite well at 40 hours with full benefits.
A company may hire a lot of misinformed ICs for Sun-Th and Tues - Sat schedules, but by law they are pushing the envelope. ICs need to remind these companies what the legal definition of an IC is. I'm sure they remember that we don't receive benefits. They want it both ways. If I'm going to be an IC with the only benefit being flexibility, there's no way I'm giving that up!
A national I worked for, which I won't name (squid)tried that on us after taking over our company. They even used scare tactics. We still didn't get on every weekend. There was nothing they could do and they knew it.
Anyone happier working for a national versus local clinic or hospital? SM
I'm with a national but from time to time, openings come up with areas places. None are in my own town, but would be 30 to 45 minutes away from home. In the case of at least one of these places, you are required to work in-house just to get used to their system, which I understand, but they say it usually takes a year before being set free at home. Now I can understand that if you are a brand new MT, but as far as just getting used to how they do things, that seems excessive. If you meet the criteria sooner, you can go sooner. It worried me about the length of time. That would put me in a bind with little kids and being away from home on certain days after they got off the school bus.
On the flip side, they pay hourly so I might like that, rather than make next to nothing on some days where the dictators are horrible on my current account. On the other hand, on a good day the lines are worthwhile and I'd come out ahead by LPH rather than hourly rate.
So many things to think about...oh, and another biggie...with this local place I'd get health insurance free for myself (not the family, but I have the kids covered on a plan I'm already paying for myself, along with me on the plan, which I could then drop myself from).
Anybody worked both scenarios and decided the national really was better? I actually interviewed here a year ago but didn't have to decide because they offered it to somebody in-house so I never got an offer. I have 3 years of experience but I still worry I would take forever to meet the criteria to work from home. I guess there are a few that have been there over a year and haven't met it. I don't want that to be me.
that was working for a hospital direct, honestly calibrated line count...
11 cpl, easy, easy dictators on a pull up a number, type/type, save and repeat system.
those days have been discussed on this board before, and those days, unfortunately, are over.
It's a buyers market.
When I was an inhouse MT, I used to use -
the 'flu', rather than go into detail about whatever personal issue was causing me to need a short-notice day off. After all, everyone knows what the flu is, and how contagious it is, and they don't want you to give it to THEM.
inhouse MT
I would take it. I have been working 25 years at my inhouse job and only getting $14 so that sounds pretty good starting out.
Most of those are inhouse positions so just
NM
Perhaps you need to work inhouse somewhere sm
there is communication and lots of it, or quite possibly, none at all. Like when the mangager closes the door to avoid avoid the staff, or doesn't return your voice mails or, better yet, takes a 3 week vacation just when the staff's tempers are burning hot over one issue or another. How about this scenario? You go in to talk with her about an issue you have and the next thing you know, it's all over the office and you are the one at fault? Or, how is this for communication (*&()^&^%&&$-get my drift? My manager was like that with 1/2 of her office staff. Quite a witch-which is why I left. She is still there turning over MTs left and right because of her communication policy. TT is not like that in my books. TT responds to my emails nearly every time. They don't respond to my calls because I never feel the need to call.
When I was inhouse the rad docs liked it
And at that hospital those same docs were pushing for VR. Most of 'em liked to goof off for hours wandering the halls telling jokes, then wanted to read like mad when our MT staff was down to a couple night people, and whine that we didn't get it all typed for them to sign off before they went home. So I think its fitting its going to bite them in the butt.
This was years ago, inhouse-
anyone remember those days? I made $$$$ then and surely did not want to lose that job so I was an employee, still got the days off planned as per her but had to take without pay. I would have never quit that job just on something like that, too much money involved.
I did go home from an inhouse MT service
5 years ago where there was no flexibility whatsover, we worked every stinking weekend if we got hired for that shift and after 5 years of weekend and holidays they told me it would always be that way for me. Now with this company 6+ years I am going to be forced to work my holidays again? Just for insurance? Blood money I say. There is no flexibility in this new play either. Why are we home then? I would rather be in house, at least when I walk out I am done with it.
There are quite a few hospitals in NY that are hiring inhouse and
also at home. What part of NY do you plan on moving to?
AIDI in DE also hires inhouse
Plus they have transcriptionists who work at home just like Christiana Hospital. Both are in Delaware
You are correct - inhouse pays much more
But when comparing MTSO's its often better to accept a little less for a quality company, less badgering, better dictators in return.
Does anyone using these boards work inhouse? - sm
 And if so, where did you search for the job? I've noticed that on the job boards here, it's not only all national companies, but also pretty much the same ones, too. And of course the pay scale is the same old crumbs, as well. Is there any one place that hospitals and clinics go to recruit for experienced MTs, or do you just have to slog through the job-lists on each separate institution's website? There are a few where I'd post my resume tonight if I could, just so they could have it on file, but frequently you can't do that unless they're actively recruiting. Anyway, for me 2008 is hopefully going to mean finding gainful employment again, and any ideas you might have would be greatly appreciated!
It's common policy. If you want pay, go inhouse or
Usually, you get holiday differential if you work a holiday but workers paid piecemeal production don't get hourly compensation for work not produced, unless it is their own earned PTO.
Anyone here work inhouse at Stanford University? - sm
Or know someone who does? If so, any comments, pro or con, about working there? I'm moving to that area soon, and was wondering if they're hiring.
guess again, i'm inhouse and my sup would rather send out work to the agency
yep, to meet the TAT she will send it out, even if it means no work for the real hospital employees.
I'd love to be back inhouse, paid hourly, and
a bad dictator or a report that's interesting, but slow to do. I'm tired of never having money for food, gas, clothes, fun, or anything else. I'm tired of no holidays off, and having to work a 12-hour day to make the minimum line count. And no, I NEVER get overtime, cuz they don't pay it. I think the hospitals should not only first give work to it's HOME BASED employees, but I think they should hire more, instead of farming it out to god-knows-where all over the world.
When I worked inhouse, we used Chartscript, now that I work from home for a different company, we
use Docuscribe. In my experience, my line counts were much higher with Chartscript, but I think any program can be told to count lines a certain way, such as weighted lines with Chartscript for difficult dictators, which made your line count higher.
Con: Overflow work is cherry-picked from the git-go by the account's inhouse MTs. nm
x
We could check our line counts up-to-the-minute with CTRL I inhouse n/m
b
Diskriter off off offshores - and on some hospital accounts - they have not informed the hospital
x
Jewish is the main hospital, St. Mary's is another hospital under their management. (nm)
x
If anyone works inhouse in the Atlanta area, pls see question on Main Board. Thanks. nm
First for hospital, then outsourced still on same hospital work
and believe it or not, the hospital was so much easier. Had worked at the hospital for 11 years before they outsourced and then worked another 3+ years for the company they outsourced to. What a difference! The company had so many rules and regulations you could hardly keep up with them all, thousands of them, on the same account, mind you. The higher ups would not leave you alone, constant IMs about any and all. I have gotten to the age where I do not need all that and walked the other week. Have scheduled testing with another hospital for this month. Hope I make the cut, love the hospital work 1000 times more than a company.
Ditto.. Over 13 years experience working in hospitals doing all types of reports, currently working
for a national etc.. and Spheris told me I didnt have the qualifications. What cracked me up was the hospital I was working at at the time contracted some of our work out to them.. What a joke..I was good enough to work for a hospital and gave them work, yet not qualified enough for them. What is wrong with this picture.
MQ same situation. No pay for working holidays, no pay for working weekends nothing. Now noone works
much anymore and so they jerk the work out of the accounts to some place that throws it back with a lot of bad bad quality. This is the NE region. I dont know what the others are doing.
working from home is awesome but working for DSG is not...
horrible dictators, sound quality is bad, no answers to emails and they run out of work consistently...that is just my experience though...
11 days is more than you would get inhouse...usually 10 days.
We have the convenience of working at home and yet you want MORE than what inhouse positions offer?
Thank you!!! The hospital I am ..
with is going to be switching over -- don't much about it so this is encouraging!
my hospital uses it also... c msg
just a little bit of demographics need to be put in every now and then, but overall, i really like it.
Hospital MT
I am so sorry that is happening to you. Are you a single parent? I know how scary it can be to default on a mortgage. It happened to me back in early 90s before I started work for the hospital I am currently at. Your supervisor is not a very thorough supervisor. If she checked with most large hospitals, she would see things are done very differently for their at home MTs. My hospital pays for internet connection, provides equipment, and pay is very good. We don't have to do all that extra stuff for HIPPA either.
Your best bet now would be to try and find a national to work with, but that is scary too.
My thoughts and prayers are with you.
Hospital MT
Hey. Does anyone work for a hospital, but work at home?
Hospital MT
Sorry. Should have been a little clearer. Looking to meet some other hospital MTs out there. Curious to know... Do you find the same problems with your employer as MTs do with national companies? I have had some may MTs tell me they wouldn't work for hospital, but my hospital doesn't have a third of the problems nationals do. Fortunately for me, my hospital hires within a 3-state radius. For those who are more than 1 hour away, we have conference call meetings.
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