Along the same line, does anyone do coding at home or only in house? Does it pay well? nm

• Has anyone looked into other work at home jobs (sm) - Wandering MT
  • Along the same line, does anyone do coding at home or only in house? Does it pay well? nm - just me

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I got offered a job in a small neurology office starting at $17/hr with a raise in a few months.  No working weekends or holidays and lots of vacation days.  Low stress.

I currently work at home for a pretty decent company with a pretty decent line rate, but am starting to feel pressure to produce more...my average pay at home is between $13 and $15 an hour.  It also adds stress when there is little to know work available and I am having to alter my schedule to "make up" time.

So, I would be making a bit more money, but I will have to have child care for the summers and for after school, so I don't know if it is worth it. 

Can someone give me some insight as to whether they were faced with this decision...what they decided and why?  I would really appreciate it. 

Help! What do I do?  I currently work for a pretty good national company and I get to stay home and work in my PJs, but then... we ran out of work for a few days and I panicked.  I applied for an in-house position doing radiology, which I have never done before.  I am fairly certain they will offer me the position to work 24 to 32 hours, with many more hours if I want them.  It pays about 18.50 per hour during the week and 19.39 on the weekends, which I will work one weekend day.  So now what???

Do I give up the comfort of my home for a guaranteed paycheck and work in a cubical typing radiology notes for 8 hours a day?  UGH!  Tough to have such choices in this economy. 

Any insight or thoughts on this?  I do have young children, but they spend a lot of time at grandma's while I work anyway.

then you don't have to do anything with the tax depreciation, etc.

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given the chance.  I re-read my previous post to you and I sounded like a b*tch and I wanted to apologize.  You sound like a very positive person who takes criticism and not so pleasant advice very diplomatically.

If your problems with your boss are more of a personal nature, rather than the quality or quantity of your work, I would maybe go over her head.  You already have an adversarial relationship with her anyway, so why not get it on record that you feel she is treating you unfairly?  Or maybe confront her yourself?  I would probably do the latter.  I'm not someone that can bite my tongue which probably explains why I work by myself at a computer all day rather than in customer service! 

Just an FYI, I actually am starting an in-house MT job at a hospital tomorrow!  I've decided that if they try to lay me off in favor of outsourcing, I'm just going to refuse.  I'm going say "nope, I'm sorry, I refuse to be laid off.  I'm going to get back to work now."  I wonder what they would do? 

background and anatomy and physiology knowledge, a transition into coding wouldn't be hard at all.  From what I can tell by looking through my husband's books, an MT would have to learn insurance regulations and legalities.  We've basically got all the medical background down or we should be if we're worth our salt as an MT.

I even contacted AHIMA and found that the qualifications for taking the CCS or CCP coding exams are completion of the a coding program, RHIT program, or RHIA or related work experience.  Transcription is part of HIM, albeit the red-headed stepchild of the HIM department, but a part nonetheless and so satisfies the qualification of having work experience.

The test is tough though.  My husband didn't pass it his first time out and I think I read something like only 20% or so pass it the first time.  So it would probably be best to take some sort of formal coding class, in my opinion.

You can get an idea in the difference using documents you have already created, assuming you're working in Word. Simply open a document and check the properties. Click on the statistics tab and you will see the number of lines as well as characters with and without spaces. If you're currently getting paid by the line and a line is 65-characters with spaces, do the math and see how that number of lines compares with the number of lines in your stats.

One thing to keep in mind: if you have a blank line between paragraphs, instead of hitting the enter key twice, format your document to give the appearance of blank lines between paragraphs.

One on one with a kid is nice, too.

This summer has been absolutely crazy.  I haven't had a moment to myself for three months because all of my kids were home traipsing their friends through the house and yard.  My husband switched his work schedule, too, so he's around more than usual.  However, I like not having to do two loads of dishes and four loads of laundry a day.  There are no toys or clutter dragged out everywhere.  I can clean the house first thing in the morning, and it stays clean until everyone gets home at night.

I even got to relax with a cup of coffee and watch TV for half an hour this morning, something I liked for a change instead of cartoons or kids' movies.  I signed up for an online class that I've been wanting to take.  I can exercise without being interrupted.  Yesterday, I went to the mall and spent all my saved up gift cards.  I got some clothes, books, bath stuff, and a new coffee mug.  My work gets done a lot faster, too.  Call me nuts, but I've never had the luxury of being alone in the house for 14 years.  It's kinda nice.  I love my family with all my heart, but I love having a few hours to myself each week, too.

Except now the cat and dogs have been acting weird since the kids went back to school.  They must think that I need someone or something to clean up after and correct behavior on.  They're getting into everything and racing around the house behind me.

I have been thinking for quite a while about getting into coding.  Are there any MTs here who are also coders?  Are there any reputable "on-line" coding schools?  I really would like to do this.  27 years is enough.  If anybody knows about this, feel free to e-mail me.

Thanks

I used to work in a Doctor's office and do coding, electronic insurance billing, statements.  I loved it, but I had to quit because of my kids.  If my kids were older, I would still be doing it now.  I fell into coding when I was a Medical Assistant and it lasted 16 years.  Maybe I will get into it again when the kids get older. 

As far as any online schools that good, I don't know.  But what I can tell you is from my experience, working from an office or hospital is the best place to be for coding!!

I will try to be brief (please don't think me curt but there is much more I could say that I just don't have time to go into).

First to be a professional coder, you will need to be nationally certified.  There are 2 national organizations that provide proctored certification.  The first was AAPC and has an excellent program for both office-based and hospital-based coding certifications.  You can do the home program or find a company who provides classroom instruction and testing.  Either route will cost you about $1500 and about 3-4 months investment.  The other national is AHIMA.  You would need to look at their website to find the details for them, as I did not utilize them.  They cater more to people who are already in the field and need certification.

Because AHIMA's umbrella covers more than just coding, hospitals tend to give more credibility to their credentialling, but since AAPC set the standard and has the largest number of members, they have to be doing something right.  Both companies require prior coding experience, personal recommendations and membership in their organization.  If you have no previous experience, they have apprenticeship programs.  The CEUs to maintain your certification is about 20 per year with each organization.

Your investment in resources to perform your job is greater than in MT.  You will probably need a lap top and several programs to perform your job if it is not provided by an employer.  You can be a consultant if you can't get a job as a coder.  You could get additional certification and become an instructor and teach.

The next issue is home versus on-site work.  Some MT companies are beginning to combined MT and coding into their at-home programs; however, if you have no experience and no liability insurance and no support network, you could find yourself out of a job if you cannot produce quantity and quality quickly.  Finding a on-site coding position is difficult without experience unless you get lucky and find an office to give you a chance.  Many, many times your best bet to find a job is by networking through your local national's chapter or showing exceptional talent in the classroom setting and getting a referral from the instructor.

Coding is different from MT in that you are held liable by the federal government if you make a mistake.  Yes, the doctor is ultimately responsible, but the wording in the law states that the person who submits the bill is as guilty as the provider.  There are monetary and jail time penalties - and how much of each depends on how well you can prove it was accidental because the government assumes the fraud was intentional unless proven otherwise.  Better have insurance.  Because of this law, that is why you are seeing a greater need for certified coders...hospitals in particular do not want to expose themselves to the liability of the Office of Inspector General with unqualified personnel.

I got a coding auditor position on the outpatient side of a hospital.  I went to the clinics and performed audits of the previous quarter for every doctor at each clinic.  I scored everything, compiled reports, provided education to the doctors who failed the audits, provided monthly ongoing education and a coding hotline for daily unusual circumstances.  I was paid about $20/hr which was the low end of the spectrum for a hospital employee.  Physician offices tend to pay $12-15.  When I relocated to a different part of the country, I could not immediately find a coding position, so I went back into MT.  It took another year before I found a management company where I could code, but by then I needed to return back across the country due to family issues...and I let my certification lapse and continued with MT.

what is the best way to get into coding?  I have thought about an online course. 

I have experience in medical billing for 12 years and transcription for four years and I am also going back to school to pursue coding and take the national exam to get my CPC.  Coding is the new future as this transcription business is falling apart everyday.  It is so hard to make a decent wage.  These National companies are indeed a sweat shop taking advantage of the DR’s and paying us a pathetic price.  I make 12 cents a line working for a local physician, but I have lost 4 doctors already due to outsourcing.  I am running fast back to school because I think in the next couple years there will be VR everywhere.  What a shame to such a good profession.  This is just because someone was a little bit too greedy.

Good luck with coding. 

I am taking a continuing education class through my college for 8 months with medical terminology, which I really do not need as I have enough of that, but I am sure it will not hurt, and anatomy and physiology plus the coding.  I have also heard of the Carol J. Buck books and I am also going to purchase them once they come out in the first of January.  I heard these are good books.  I am one of those persons that needs someone to teach me and do better than trying to read out of the book and doing it on my own, but the Carol Buck book would not hurt as an addition.  This is the way to go for me as I have been burned too many times in this transcription industry in the last four years.  It is a shame it is like this way.  There is too much negativity.