Is medical coding a dying profession like MT?
Posted By: Desperate to make a living somhow on 2008-10-14
In Reply to:
My income is in the crapper and keeps getting worse and worse. I love working at home, been doing it for over a decade, so looking into something I can do at home. So what about medical coding? Offshore problems? Technology advances pushing out the "real person" coder? Any disadvantages? Worth learning and getting into at this point?
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I've thought about coding. My DH does medical coding and I think with an MT's medical termino
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.
MT Dying profession
I don't agree with you. I'm betting that MT is good for MAYBE 5 more years. Maybe. Thinking they won't perfect VR is only fooling ourselves....they will. I wouldn't recommend MT to anyone looking to enter the field. Money better spent on something with a better future but what that would be, I don't know. Seems everything that can possibly be offshored is being offshored. Maybe we should move to China Then we can be sure to have jobs seeing nearly everything in the U.S. comes from there anyway. Or maybe, the way things are going we had all better learn to like rice, cuz that's probably all we'll be eating before long.
Regarding MT being a dying profession...
I have actually read in numerous places that MT is a job with future opportunity, in light of the baby boomers beginning to get old and sick. That's going to supply us with a lot of medical reports for a very long time. As for voice recognition taking over...I'll believe it when I see it. I know an MR who does VR and I've seen the gobbledegook that it comes up with. Eventually all these companies will realize that they were sold a bill of goods by these VR vendors, but because they've invested so much in this technology, they're going to stick with it until the bitter end. Just my opinion of course. Finally, outsourcing. I'm pretty confident that something will happen that will put the kybosh on sending private medical records off to Calcutta for transcription. I think that practice will also stop eventually. I could be totally wrong and maybe I'll have to put away my rose colored glasses, but for now, that's my prediction.
MT Dying Profession
Sad when you work for a company that you thought was great and all of a sudden the work is yanked away and you sit with nothing yet you see the company advertising multiple times. When you look at what many posters say, that seems to be one major problem with this profession. The companies have no loyalty to transcriptionists. The best places to work are small local services, if you can find them. I don't recommend to anyone who asks me that they get into this profession. I used to, but not any more.
MT dying profession
I totally agree, Dano. They have absolutely no loyalty to MTs OR QA for that matter - we are nothing to them. I don't feel like a respected professional who is rewarded for her expertise and hard work anymore; I feel like a factory worker in an assembly line (no disrespect to those who work in factories, BTW)who just has to pump out the work as soon as possible - it's all about numbers to them. That's why in addition to working in this field, which I have been doing for 10 years (and would have quit by now if I could!), I am going back to college to get my degree in dental hygiene. I can't wait to get out of here. Used to make good money - no more. Used to be respected -no more. They only want cheap labor. Anyone looking to get into this profession - don't be fooled by the lies - do something else!
MT is a dying profession??
Hmm...
This is our profession -- a profession which is dying, I might add. SM
So I should get a hobby so I won't care, like you? A hobby isn't going to pay the bills. I can't afford a hobby because in addition to working for a living, I also have to study in a different career field in my spare for fear that eventually transcription will be strictly an offshore operation!
Not just in the medical profession
I've seen the same thing with executives and non-execs in many fields. I've had to listen to dead space, too, and yes, it's a waste of my time. Unfortunately, there are lots of time wasters for everybody, and after the post on turnabout is fair play, I can't seem to have such animosity about it. I can speed the dead space up and chat on the board or do some of my correspondence, etc while I'm listening to the dead space.
Not about ME, about OUR profession, you know, MEDICAL TRANSCRIPTION?!?! SM
I haven't been talking about ME! You're the one talking about me. I'm talking about something that concerns us all. If you can't see that, then you are blind. Obviously this is a subject you are uncomfortable with. You've yet to contribute anything of substance or intelligence to the discussion. You've just wasted space insulting me. You're a big part of the problem.
Medical coding
Use the link below that I wrote a few months ago. It is a very honest review of today's coding needs and environment. Good luck!
http://forum.mtstars.com/company/v/1/13589.html
Medical Coding
Hi, I've been an MT for 9-1/2 years working at home and am in need of a change. Am looking for a good coding class that won't send me to the poor house and that you can actually FIND A JOB when certified. Is that possible? Does anyone know some good schools and how much experience you must have before you can work at home doing coding? Thanks to anyone who replies.
I am afraid the medical profession is in real
trouble if doctors take as much time caring for their patients as they do with the dictation concerning their patients. I realize they are busy, but, my goodness, some of the dictations are almost unitelligible. They either talk so fast that nobody could possibly understand them or they speak so quietly, put the dictaphone on speaker and pick up all the background noise, etc, etc, that the transcription is next to impossible to do. It is no wonder there are so many medical malpractice suits these days. Sorry, just had to vent a little. 
There's medical coding and billing.
nn
Are any of you familiar with medical coding? - sm
Needing a better job than the one I've got, I've been spending my late nights searching the far reaches of the internet. It seems the only MT jobs that will actually support a person are in-hospital jobs, and the few that still exist are rare, and difficult to find. They're definitely not listed on our Job Board, that's for sure. When I do find them, they all seem to be part-time, or too far away, or involve heavy phones. Answering phones and transcription are NOT compatible activities!
So I keep seeing LOTS of ads for Coders. Obviously that would mean school. Ick. Being the hater of school that I am, I would want to be sure that's what I wanted to do, so I thought I'd see what all of you think of Coding as an alternative to MT work.
- Have any of you worked in coding before, or are you currently in school to learn that profession?
- How hard would it be for a late-middle-aged MT to learn?
- Do you think coding is worth spending time in school to learn? (i.e., Decent pay, not about to be offshored, etc.)
- If you've done it or are learning, do you LIKE it? Is it interesting? Tedious? Stressful? Boring? Rewarding in any way?
- Are you learning it on-site, or at home? How many hours per day are you devoting to your studies? How long does it take to get credentialled?
Thanks in advance for any input you may have on this subject!
medical billing or coding newbie
alliedschools.com
Has anyone tried either their medical billing or coding training courses??
Did you like it, would you recommend it?? I'm tired of working at a restaurant and would like to learn a career but I just want make sure that I am learning from a school that will actually lead me somewhere(specially that it cost 1600 dollars)
So please let me know what you think about them and if there is other schools that you will recomment over them!
Thanks
I am completing a medical coding course with Andrews right now (sm)
and I highly recommend them. The tuition is steep, but they allow you to pay in monthly installments, so that makes it a lot easier. The quality of the course is excellent, and I really think I'll be able to pass the certification exams once I finish the course. The only complaint I have is that they are slow in responding to emails about tests, questions, etc., but other than that, I would recommend them. Good luck.
Go into coding more ## or the legal end of the medical for an attorney
JMO
Future of medical coding is good
Medical coding is very lucrative career. Medical coders are not only required in hospitals but also in pharma industry and clinical research. Know more about coding ..
http://medicalcodingindia.blogspot.com/
Not-so-good news re: medical coding,
I was watching the news tonight (Sacramento, CA area), and there was a story about a lady who was looking for work. She had spent $10,000 on a coding/billing education, but can't find work. Apparently that field is "saturated", as the newscaster said. (Maybe from lots of MTs trying to get into that?) Anway, I had sort of been thinking about going to school to learn coding, but now I think I'll pass.
Does anyone know of a website, like this one, that deals with Medical Coding/Billing..sm
My husband is curious and wanting to get into Medical Billing/Coding and work from home like I do with transcription. Does anyone know of a website, like this one, that offers so many jobs from home and information regarding coding and/or billing? Thanks. Also, if anyone has input on this please let us know. Would love to find out which course is the best, etc....thanks!
I will quit also...I'm hoping to get into doing something else, such as medical billing/.coding
n
I should have specified, hospital inpatient coding and doc office coding are very different.
They follow different coding rules and an entirely different set of codes. I learned both while earning my B.S. in H.I.M., and both are challenging, though inpatient more so simply because there are more codes.
Honestly, you could get a job in a med rec dept without ANY certificate; some computer experience and your experience as an MT would get you in the door. It might just be doing chart assembly/completion, filing, etc., but there are certainly jobs in MR that don't require specific schooling. Then being in the dept you can really learn more about all the functions and pick the one you REALLY want to spend time, money, and effort on for additional schooling.
Anyone know if coding would pay as well as MT? Is coding being outsourced too?
xx
MT dying
I have been working as an MT since 1992. I started at $7.50 an hour - no incentive - just a flat $7.50 an hour - that company was gobbled up by another bigger company - and the gobbling has continued on. I went to work for a smaller MTSO and at one point was making $80 an hour transcribing a very easy radiology account that was mainly normal reports - everything was a template and the template was the whole report. I now make no where near that - and have trouble getting up to $18 or $20 an hour. I am thinking of going back to school to becomeo a pharmacy tech - besides - it gets depressing working at home all the time and never having interaction with co-workers, etc. The school is just a thought at the moment. I definitely would not encourage anyone to go into MTing at this point in the game - not with voice recognition and outsourcing to other countries.
Is transcription really dying?
I have another question for all of you...is transcription really dying out?  I haven't seen that where I'm located, we are pretty much in high demand. I didn't even go to school and I got a job in-house at our hospital starting at over $13.00 an hour. But, now that I am reading all of these posts I'm starting to wonder what the chances are of me being able to continue this profession, esspecially since we are thinking of moving to a big city in the near future. I am really considering going into coding school starting in September so my husband and I will both get our degree at the same time. I'm just wondering if I should get out while I'm ahead. Any advice is appreciated. Thanks!
Not dying, just growing!
First of all, HIPAA does not require EMR for all records by 2009. If that were the case, you would have known about it several years ago, because most physicians do not use EMR and have no plans to use EMR at this point. Most HOSPITALS don't use them, either. Even if they wanted to, there aren't that many viable products they could use!
He may be thinking of other HIPAA requirements which have affected his practice and which he doesn't like. HIPAA did require some privacy and security things which he no doubt found irritating. He now has a need to transmit his claims electronically, which probably annoys him.
I would guess that the concept of paying an MT annoys him, too, so he took it out on you by terrorizing you during your recent visit.
Second, nothing about an EMR means you can't dictate and transcribe.
If you're currently doing only small-office dictation, you might want to expand your capabilities so that you can do hospital acute care. I think that job prospects have been better there since internet-based voice file transfers became possible. There are a lot of jobs available with national services and even with large employers who will let you work from home.
I don't think it is dying, I think it is changing sm
There will always be a need for a hand typed medical narrative. Having said that, how much need is anyone's guess. FOR NOW, many companies are moving towards at least some VR. I have watched my company ramp it up and now ramp it down again. Why? The quality isn't there and part of that is the MEs who are doing them.
Being an ME usually only appeals to someone who can't actually type the report with any speed and accuracy (not a real MT in my book) or an MT who can longer tolerate the wear and tear on her hands (a real MT). The pay is less, which might not be a problem IF the software didn't require so darn much editing! Either the software needs to be a LOT better or we need to be paid more, if they want to the best quality, so that real MTs are doing the ME thang.
What I see happening, even now, is that companies who will hire a traditional, old-fashioned typing MT want the very best they can get at the best price they can get her. It is and will be increasingly a buyers market for our services. It will edge out any MT who is marginal...in speed, in accuracy, in attitude, in work ethic. That is to say, those of us who can stay glued to our desks and produce 99.5% or better accuracy AND do it with speed, will still be around for quite a while yet. The tolerance that some companies for not showing up on time, not getting your minimums, not producing very good work, is decreasing. I see this as a trend.
Less work? Not for some of us. No work, as in we don't need the chaff of this industry? You bet, and it is happening already.
The truly top-notch MT will always be needed. Do you have any idea how very few of us there are? I have not talked to a company who has more than 1 or 2 of us that they consider the cream of their crop. If you want to stay, look at what you need to improve, be it work ethic, speed, accuracy or scope of knowledge. If you don't, you'll be in one of the first groups out of this business.
Anyone else dying for school to start? (sm)
Grandchildren had been going to the LatchKey summer program, but they closed for the last 2 weeks before school starts to get the schools ready. So guess what? You got it. Memaw is trying to type with children. I have to totally admire those of you that do this on a regular basis. My hat is off to you.
My monitor is slowly dying...sm
I have a Dell computer and monitor, but my monitor appears to be on its last leg. I'm already looking for its replacement but instead of ordering another Dell, does anyone know of any other brands that are compatible or not compatible with Dell? I'd really rather not pay the shipping from Dell, but I do remember when I originally purchased the computer my printer was not compatible. Thanks for your help.
So, if you were dying in the bed and needed a STAT
You wouldn't mind that the person behind the document only cared about the money? You wouldn't care they put a post on this board like "why does anybody do this?"
Patient would feel slapped in the face.
That would be dying you slapped in the face.
I am really shocked and saddened to see who we serve is forgotten for the sake of money. Yes, we have to survive, and we do well. I have 3 jobs, am exhausted, but proud to say I am behind the document to help a very sick child or dying person, or recovering person, or person who was saved from suicide. I guess the idea of self rather than others is prominent around here, but not where I come from. After 27 years in the business I am proud to say I work behind the scenes and give the best I can for the patient, the doc, the nurse, my boss, the patient's family and so forth. After all, I would expect the same for me and my little boy.
Not on my budget. I usually can find something on if I am dying to watch T.V.
(NM)
Call, please. The rest of us are dying to find out something. nm
.
The main problem with this field is it is dying
And there isn't anything that we (as MTs) can do about that.
how did you give up cigarettes, I am dying to quit.
nm
Over 100. Burnt my bare feet on concrete. Plants are dying.
dd
I am feeling so stressed by changes at my company, holidays, friends dying,
not sure where to turn next. I really feel like I need to dump my whole situation and start from the beginning by doing a job where I am around people during the day instead of the curt phone calls from the office, and not having enough time to even talk or go out of the house to do anything. Why can't these companies have a little time to just say hello, thanks for a good job, or just something nice once in a while. Everything in the communication is negative, negative, and more negative. Team leaders are the pits, too. It is jusd do more, do more; they don't care if you are sick, and it means nothing to them to pile on more stress and more demands so they look good. They want you to work every day of the week, but they sure do take their days off, don't they.
Dogs dying from 'miracle drug'. Heads up, doggie owners
Marketed as a miracle drug for man's best friend, Rimadyl is one of the most popular painkillers available for dogs. And it's killing dogs by the thousands.
Vince Sharkey was faced with the decision every pet owner dreads, whether to euthanize his beloved dog King Billy.
Arthritis and deteriorating bones made it too painful for the 8-year-old golden retriever to walk.
His veterinarian recommended putting the dog down.
"He had so much life in him. I said, 'I just can't do that'."
Then Sharkey discovered Rimadyl, a prescription anti-inflammatory drug heavily marketed to owners of older dogs. Sharkey says Rimadyl saved his dog's life.
"Before I had him on the Rimadyl he was not even able to walk. He would drag his back half of his body. The moment we got him on Rimadyl, he was back to being his normal self again.
But Lynne Bradburn tells a very different story.
Her Saint Bernard, Honor, was just 22 months old when he died after taking Rimadyl for a sprained knee.
"He'd been sitting in my lap. And he looked up at me, and he died," Bradburn said.
Honor died after taking just four doses of the drug.
"They tell you it's as safe as aspirin. But it's not. And yes, I'm angry. And I will always be angry," Bradburn said.
The FDA reports some 12,516 complaints about Rimadyl dating back to 1997, including more than 2,300 cases where the dog died or had to be euthanized. The largest number of cases involve liver or kidney failure or internal bleeding.
Rimadyl's manufacturer, Pfizer, maintains the drug is safe, saying some 10 million dogs have taken over a billion doses of the drug, with less than 1 percent of them experiencing any negative side effects.
"There are side effects just as there are benefits with all medicines, with all medical procedures and certainly with Rimadyl. The good news about Rimadyl is that for the overwhelming majority of those 10 million dogs, plus, it has provided safe and effective pain relief," said Pfizer spokesman Robert Fauteux.
But the FDA approved Rimadyl after it was tested on just 549 dogs, raising the question, were the rest of the dogs that took the drug acting as guinea pigs?
Retired veterinarian turned attorney Paul Mabrey says a drug for humans would never be allowed on the market with such a small sample.
In response to continued concerns about the drug, Pfizer sent a letter to veterinarians across the country warning them that some side effects may "occur without warning" and, in rare situations may result in "hospitalization or even death."
Still, veterinarians continue prescribing Rimadyl more than any other drug in its class. But they're careful to warn dog owners looking for a miracle cure.
"There's a lot of people that want the medication not fully aware of everything that's entailed with that but we make sure to do everything we can to educate before they go on the medication," said Dr. Deborah Feltz, a the Elliott Bay Animal Hospital.
It's a warning echoed by those who know first hand what happens when a miracle drug proves imperfect.
I would buy new a Dorland's Medical Dictionary, Stedmans Medical and Surgical Equipment...SM
and Tessier's The Surgical Word Book, 3rd edition. Books you could buy used I would say would be Stedman's Pathology and Lab Medicine and Cardiology/Pulmonary word book. These are all the books I use the most during my day. You could buy other speciality word books as you need them and could probably go used with those.
I wouldn't bother with buying a drug book, new editions come out every year and I just stick to the FDA website and RXList as my drug references.
Also FYI, not a book, but I use my Stedman's Electronic Medical Dictationary a lot. It's easier to open the program than it is to pick up a huge 30-pound dictionary.
Medical Transcription In The Era Of Electronic Medical Records
EMR has revolutionized the healthcare industry in recent times. Many experts felt that EMR & Voice Recognition would totally replace Medical Transcription - however; the industry soon realized that transcription has certain advantages over point & click charting and many physicians preferred to dictate notes rather than document the data at the point of care themselves.
Welcome to the profession. Get used to it.
x
Consider another profession?
To standardize testing you have to have every single company use one lone resource. What if company A is more concerned with ESL skills, company B is more concerned with oncology, and company C would like to know whether you rock at op notes? How do you standardize testing to cover every area that a given employer might want to concentrate on?
Definitely a profession. This is a
you will get a lot of pessimism and negativity. I definitely have made tons of money in my own business. Sounds like low self-esteem on the posters below, unhappy, depressed.
This is not just in this profession but
all over. I sat and waited on a call yesterday (my off day) regarding a piece of property I have up for sale. No call at all. I really hate to leave a message on a recording because most of the time you are ignored. Times have changed and not for the good. I think the majority of my family including my mother and my grandmother who are deceased would probably be shocked at today's life as we live it.
which profession
would you let us know what you decided to do? I'm wondering what I want to do next.
re: which profession
Dental Hygiene...usually takes 2 years but have to do it part time so I can still earn a living so is taking me 4 - I'm more than halfway done though, so can't complain...
our profession
 This is old, but has anyone read this?? I must research further what the final outcome was. While I totally agree with what they are doing and why, I totally DISAGREE with their final recommendation for standardizing line counts. VBC is not the way to do it.
You ask anybody in any profession
They will say they are worth more than they are being paid. That's the way it is everywhere. I make good money sitting at home. My local hospital pays their transcriptionists 9.40/hr. Big deal! I'll rather stick with a MTSO any day.
Our profession/New job
About three weeks ago I began a position with a local health care company (transcribing for local acute care hospitals but part of a national chain).
We are not really transcribing, at least not by my definition (21 years of experience). Rather, we are recording medical ShortHand (abbreviations [even in DIAGNOSES section], shortened medication names, slang, contractions, etc.). On the one hand, they claim they want you to type it verbatim (no expansions, additions, etc.), yet OTOH they say to delete redundancies, repetitions, etc., which is hardly verbatim. We are not allowed to expand, add to, or correct ANYTHING except number and tense dictated by ESL docs, who comprise about 60% of the dictators. In addition, certain dictated terms are to be abbreviated (e.g., "emergency room" transcribed as "ER").
The supervisor had the gall to look me right in the eye and deliver a harangue about how these are "legal documents, and we have to transcribe EXACTLY what they say." (Conveniently disregarding the bit about deleting redundancies and the other "allowed" changes.) So ALL of my previous employers, AAMT, etc. did it wrong, and THEIR crackerjack legal department is smarter than everyone else?!  Don't think so. Cutting costs is the game they're playing; everyone can see that.
Excerpt from a typical report looks like this: Wrote scrip for vanco 100, patient also to take aspirin 81 and will return next week. I don't think .... [blah blah blah]
AAMT taught me to create a complete, coherent, grammatically correct document that doesn't look like alphabet soup. Needless to say, I don't feel good about what I am creating and HATE THIS JOB!!
I'm just curious if this is happening elsewhere. With all of the emphasis on "cutting costs," I have to think that it is.
Thanks for listening to my splenic venting. 
A - No future in this profession.
Get a 4-year degree and open up your options.
Is our profession drying up?
I'm an independent contractor and have just lost an orthopaedic clinic account to EMR. Also, I've been sending out hundreds of letters for new accounts, and I'm hearing nothing back!
Is our profession (clinic work) drying up? This is getting very scary!
Could someone either (1) comfort me with "it's not true" news and there's more than enough clinic work out there to go around, or if you find that it is, indeed, drying up, write back and tell me of your experience.
Thank you `` Nancy in Alpharetta, Georgia
Good for you... and for our profession.
x
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