When working inhouse I had a supv
Posted By: Evaluations, ugh on 2009-02-12
In Reply to: Evaluations - Happy MT Robin
that one time told me in a French term (had to ask for explanation) that meant I did not join in with the others there. Hmm, transcription seems to be like a 1 person job and how can you socalize and still make your incentive. Always got terrible evaluations and on ongoing eval after 10 years there she gave me an acceptable for attendance. I brought to her attention I had not missed 1 day during the entire year and I wanted an excellent for that if nothing else. She said she had not noticed. Yeh, right! The next job so much different. Very good evals but by this time I was very shy of ever getting them again.
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WORKING INHOUSE NOT ALWAYS SO WONDERFUL, EITHER.
I worked in house for the only hospital corporation available in my rural area. I expected to learn a lot. I actually learned very little with regards to transcription. I learned a lot about hospital politics. They had some of the worst dictators there, and the HIM director did not like confrontation. Also, the main task given to me was to accomplish a line rate equal to 1200 per day with spaces, at which time they would set me up to work at home. Unfortunately, I only had 6 months in which to accomplish this. I was flatly told that if I did not accomplish this production rate, I would be fired. Before that happened, I found a job online, and will never return inhouse again. I also have to say that I don't miss driving 300+ miles per week in order to do that inhouse job. Also, I wasn't thrilled with the prospect of the hospital's tech person visiting me ad lib at home.
Now, I can't say that I'm thrilled with this profession. I have the same concerns/complaints as the original poster of this thread. However, comparing inhouse, with inhome, I do believe that I've learned more and gained more valuable experience through the inhome process. Yes, I have worked many hours and more than 1 job at a time. When I research previous jobs by a doctor, I also notice that previous jobs have been submitted with lots of errors in them. I have shared my concerns with my manager and believe that nothing was done. I have also complained about poor dictators and why, oh why, are these doctors still allowed to conduct themselves so poorly? When I worked in the hospital, I noticed that the HIM director let the doctors do whatever they wished because she was afraid to confront them, like they were Gods or something. It is my opinion that this is a major problem in our industry with regards to the people who are the liaison between the MT and the doctor. Somewhere, a doctor has a supervisor, office manager, director, hospital administrator, etc. If a doctor is in private practice, he may care more about the quality of his product. But, if a doctor is affiliated with a hospital or other facility, he might just be doing a job and as long as he/she can get away with it, he/she will be as sloppy as he/she wants to be.
It is also really frustrating to be told that you have to do 150 lines/hour or more, or lose benefits or be fired or whatever. At the same time, it takes time to really produce a good report, given the deficiencies in the dictations. I panicked about this in the beginning, as I was doing about 50 lines per hour. I'm happy to report that it does get better. I also quit the job with the production quota.
Okay, I'll shut up now.
Anyone CURRENTLY working inhouse in the Atlanta area that can tell me the going rate of pay? SM
I'm really just interested in people who are actually working NOW and what they're making NOW - not speculation from service managers as to what they think they might be making.
I am considering going back in house for the benefits but if there is just absolutely no comparison to what I make now as far as pay, I don't even want to start wasting my time. Thanks to those who can help!!
I'm the opposite.... the pay is okay, but I hate working inhouse. Mgmt. SUX! n/m
:P
Try working inhouse at a local clinic or hospital.
That's what many MTs end up having to do to get their foot in the door & gain experience. IMO, that's the best way to start anyway since you have experienced people nearby to ask for help because those first few months can be very difficult. Good luck!
P.S. Agree with the other posters below that you need to specify you have your certificate in MT, not referring to yourself as a Certified MT which is a completely different thing and can only be obtained after a few years of experience & testing with AHDI. However, that brings up another topic... many MTs choose not to become certified now that AHDI has sold us out & encourages offshoring of our work. I've been doing this nearly 20 years and only once have ever been asked if I had my CMT, so it's pretty much irrelevant anyway. As long as you have experience & test well, that's what they care about.
Positives and Negatives of working at home versus inhouse.
When I first went home to work, I did think it was the greatest thing since sliced bread, but I got so tired of being stuck to my desk all day long and being asked to work overtime with no overtime pay. No incentives anymore either. The money is the biggest issue here and benefits at a good price. .... So I decided to go back in house. and believe that I found a great place to work.
Of course, there will be the usual bad side of working an inhouse job... dressing up.... which I honestly miss.. but maybe not every day, paying for gas to drive to work... but it's actually only 10 minutes away, the cafeteria--enough said :D... plus I bring my lunch and have always done so..., office politics--which I have found exist at home or inhouse...., dept meetings--which I have found exist with at home jobs also... of course they are "account" not department meetings and communication! which is a really important thing and was the straw that broke this camel's back--got sick of sending emails to a myriad of people from the top to the bottom and getting no response back... or responses days later...
Can anyone add any other positives/negatives?
The pay will be worth it all no matter what, but I was curious to see what other things there are to consider. 
Please no flames.
Thanks in advance.
My MQ supv told me MQ
I'm here to tell you I felt like I was typing in quicksand tonight.
This report was 3 pages long - only gave me 88 lines.
So I went and decided to count the characters of the first 2 lines.
Counting characters and spaces
line #1 = 73 characters
line #2 = 72 characters
I have her verbal answer but have nothing in writing because MQ won't provide it.
But she clearly said they pay for 65 character lines and pay for spaces.
I'd like for some MQ person to get on here and explain this to me.
I think an inhouse job would be the way to so
as you usually get paid hourly. Working at home is not that great. I found that out the hard way. I am just doing it until I can find an inhouse job, they are so rare. Going inhouse is better in every way. YOu do not have to deal with "Do it this way this day and do it another way the next" as is Amphion's practice, along with many others. Also, the inhouse job would give you valuable experience. You can always go back to working at home. You would only gain in experience by working inhouse. Good luck!
Inhouse
she probably wouldn't be making $41 an hour.
And Inhouse
Inhouse you will type for 2 hours, then get a 15 minute break, then type for 2 hours, get a 30 minute lunch and then type for 2 hours then another 15 minute break, then type for 2 hours and go home. According to my friend who works inhouse they rarely get their 15 minute breaks more than once a day, so even working inhouse they only usually get about 45 minutes and they only make $16 an hour. Being at home on production you can decide how much to make if you use your Expanders and actually type instead of surfing the net, etc.
I did go through that with my last inhouse position ...
and after I quit and went home to work for my present employers, I realized what the most significant factor was for my burnout: Working with the absolutely rancid attitude of unhappy coworkers. True, I should not have allowed them to get to me but they were unhappy over ANYTHING. Nothing could make them happy and all they did was gripe and b****.
I eventually quit going to lunch and breaks with them because I just didn't want to hear anymore negative spin on whatever was going on. Of course, then I was Miss Goody-Two-Shoes because I wouldn't fraternize with them. There was already tension enough over production. I got to where I would drive around and around the block before parking...then I would be late a lot because I could hardly bring myself to drive to work. I felt sick at my stomach as I got up, knowing I was going to walk in that office where such emotional poison was.
On their own, I liked these women - they could be funny, were intelligent, had a lot on their plates. But as coworkers, they were unhappy about anything that happened and just could not leave any topic alone. At lunch and breaks, they so horribly bad-mouthed the superv, the QA person, the management, the hospital policies, the equipment, the software, the incentive plan, anyone who wasn't sitting there's production, other people's dress and how they handled their family life, etc. I mean it was HORRIBLE. When I started back to college, they were mad as h*** because I got "special treatment" in their eyes. They worked whatever schedules THEY set, but apparently I wasn't allowed to do the same. I see now that they were angry because I was doing something different and progressive in my life.
Then, when I announced I was leaving I thought they would cheer because, after all, I was the outsider. Instead, they got angry. They were angry because I was leaving and they were left behind. They emailed and left voice messages a few times after I had left, asking how I was, and talking trash still about that hospital. I never called any of them back.
I'm done with that attitude. I literally cannot take it. The same issues were happening to me but I chose to look at it differently.
Making a radical change of quitting and going home into a completely different setting and controlling my own environment, pay, etc., was the key to recovery for me.
I also know that I won't be doing this much longer...THAT HELPS A LOT...LOL.
I appreciate the advice.
OFF TO WORK...
I had one when I was inhouse and loved it! sm
I just wish I could afford to get my own right now. It takes a little getting used to, but not too bad and it's soooooo comfortable.
inhouse work
I am thinking about going inhouse to work for a family practice group. What is the going rate per hour or per line? I have 10+ years experience. It would be working for 2 family practice physicians 25 or so hours per week. Because I have only done IC the last few years, I don't know what to charge when taxes are taken out.
Please advise what a reasonable hourly/line rate is . I am not sure at this point.
Thanks
i used to be a coder inhouse. sm
my schooling was actually a combination of MT/coding so i had the option of either. i started out coding at a local doc office. i didn't have much of a problem with it. the cons i would say was dealing with people b*tching about the bills and medicaid pain in the *ss, but other than that was fine. i slowly picked up MT work on the side to do in the evenings part time, realized how much money i was making and eventually quit the inhouse job to go full time at home as an MT and tripled my money. not sure about coding at home so i can't help you there.
You actually WANT to go back inhouse and having to
?
I have worked inhouse at
made anywhere from the $11.00 range up to $26.00 (counting production bonuses). There is a wide range. The benefits are usually much better than working at home, but I much prefer working at home and will never return to inhouse again.
I think I would stay with the inhouse job, have the
baby and take your maternity leave. While on leave, you can be looking for an at-home job, and maybe even start with them while on leave. Then, after your paid leave turn in your resignation.
Going to work inhouse again
Well, you would have someone to talk to besides your dogs and you might just enjoy the comaradie of other MTs. On the opposite side of the coin, it may just end up being a very competitive, cold and unfriendly place. You could try it and and prove yourself to to be a valuable MT and perhaps they would send you home to work like a lot of hospitals do now if in fact you would rather do that. If you find your home to be a comfort zone and enjoy your dogs, you may just not like working inhouse. It's your call and good luck
pay for inhouse position??
I have an interview in the morning for a part-time inhouse position. What is the pay looking like working by the hour with no incentives? I don't know what a fair offer would be and don't want to sell myself short.
I am going to work inhouse again -
I just took a part time inhouse position to supplement my at home income because I am so short... and this is not the first pay period so I am in trouble.
The inhouse position is only part time, but at least I know it is enough to pay my house payment. It is also a lot less per hour, but I want some guarantees so I can stop worrying so much.
Sorry but I am not going back inhouse.
I do well at this work. I always have. Though my income has varied a bit over the last couple of years, I am still doing very well and I don't plan to join a union or go back inhouse.
It costs hospitals more money to payroll you inhouse because of the capital expense. More and more hospitals will contract their work out as the economy squeezes on them, too.
I agree that those who are new should try to work 1-2 years inhouse first. But to say that going back inhouse is going to "save" this work? No. Completely disagree. It won't even be an option soon for the greatest majority of facility MTs.
do you have 6 years of inhouse sm
doing acute care or doctors office MTing? If you have gone from strictly office stuff to hospital acute care, that is a big transition and one that you are not gonna make a ton of money at starting out. Experience as an IC is not the thing, do you have the 6 years experience doing the same thing inhouse that you are now trying to do at home?
Try Piedmont - they have inhouse staff nm
x
Around here, it's $9.99 per hour with inhouse for the first 6-12 months.
I'd still take it, but I'm not sure how the cost of living is where you are.
i used to but quit it to go inhouse and now am home again without it. sm
i got 2 weeks PTO a year and got paid equivalent to my production for the hourly rate, which at that time was $15.75/hr for my vacation time. had insurance too but can't recall the details. boy, i regret that now as i feel like i am working 24/7 as IC and can't afford to take time off. take off = lose money and get behind. i'm stuck, lol. gotta look for large nationals, acute care, and about 75% ESLs to get it nowadays is what i am seeing. hard choice between clinics/gravy work or PTO/insurance/ESLs/busting tail, lol.
My inhouse incentive experience
When I worked inhouse, our incentive was calculated quarterly. Our incentive was based on minutes of dictation transcribed, not lines.
We had a minimum number of minutes to average daily. Depending on how much we passed that minimum (on the quarterly average), we were assigned an hourly incentive to be paid for all regular hours worked for the next quarter.
Example: If my 1st quarter average production put me at 180 minutes of dictaiton, then I would receive an extra $8.50 an hour (in addition to my regular hourly wage) for all regular hours worked for the 2nd quarter. If I took paid time off, had a holiday off, or had overtime, it was not paid for those hours. Only for regular hours. So, if I worked my regular 40 hours weekly, I received an extra $340 a week in incentive.
Now, incentive started low, at $1.00 an hour and worked up to $10 an hour.
Last time I worked inhouse with per-line incentives, we literally got a daily line count and had a tiered set up with lines/hour average daily.
My inhouse experience was almost identical! (nm)
.
I would love to work inhouse, but...
those jobs are getting scarce. I would like to know how all us newbies are supposed to start in-house when those jobs have all been outsourced.
Wahh Don't give up your inhouse job! sm
They are so few and far between these days... it makes me sad :(
Trained inhouse 25 years ago. LOL :)
Never been without a great work situation. Job changes to meet new circumstances in my life.
I worked for over a year inhouse
and my boss corrected all my work, every day from the time I started until I had less than 3 errors on a page and then I was ready to be doing transcribing. It was a good learning experience.
Input wanted re inhouse clinic job
I responded to an ad in my local paper for a PT poss. FT Transcriptionist for GI group. I've been MTing for about 4 mos now with a smaller national (not one of the better ones). My accuracy is good but I find it hard to get any decent lines with the crap dictation I always get, not to mention the crappy newbie cpl I make. Have also been hired by a big national but have been in limbo in their onboarding process for way too long. While I don't need big money to survive, I'm going broke pretty fast between low cpl and crap work. Forget about benefits.
I do need benefits (was hoping to get them with the big national). While I love working at home, it seems like it's always going to be the chasing lines game and also having your benefits contingent on making lines. This may all be moot once I call the GI practice back and see what the deal is, but does anyone have anyone have any pointers as to what to look out for in a practice? I'm just wondering if there would be too much work for 1 person or if the job would seque into some kind of secretarial thing, which I really don't want.
On the other hand, I'm also thinking if I took an inhouse job now, that would ruin me for future acute care work for nationals, if I really needed to work at home again.
Comments and advice appreciated. Thanks.
We not only got the "hate-mail", but as inhouse employees, (sm)
we got hateful face-to-face confrontations, reviews, and meetings. Pay was good, but the horrid atmosphere is killing all the great people that worked there. I left in order to save my sanity. No worker deserves to be treated that way. If a job is worth paying a person to do, it is worth treating them with respect for doing, as well.
$18 an hour but I work inhouse in a hospital.
nm
I now work for an MTSO, but when I was inhouse we did tend
to send the difficult dictators out (our supervisor did this). That is just part of working for an outside service. We do not get to pick and choose we get what they choose to send.
Try an inhouse position for more intensive mentoring
I typed my first 3 years as an MT at a hospital and I found the mentoring I received from seasoned MTs, and being able to talk to the doctors and other staff, a really big plus. I also found it better when you're at the beginning of the learning curve to have an hourly position vs a production position.
You might want to consider inhouse as well to help you see the big picture as to why the doctors won't dictate more clearly, why nobody has the manpower to scruitinze every report, how sometimes the mistakes found in reports have been edited and put in there BY the doctors, and the low respect in general MTs get compared to the rest of the health professionals out there. This might help you gain some perspective as to some of the "whys".
You might ponder that MTSO's are not going to scold their clients to learn better dictation habits in order to make the MT's job easier - that would just alienate the client. Inhouse, should you personally want to scold the offending dictator, they will often laugh in your face and tell you to deal with it. In general, doctors do as they please and our jobs exist for their convenience, not the other way around.
You're right. Unfortunately, in some areas inhouse work is
I keep hoping some sort of changes in U.S. laws may come to the rescue before it's too late, and the whole industry becomes offshore and automated. Because if that happens, there will be less and less reason to want to entrust one's care to an HMO.
Inhouse only lasts sooo long...
I bet if you asked around, the outsourcing rate is moving faster than we think.
There is always the nationals to go back to in case the inhouse job sends ya' packin'....
I always got up every now and then when I worked inhouse. When the manager complained, I just told
nm
anywhere specifically or just what inhouse folks in Atlanta are making?
x
FYI, i TRIPLED my income when i quit inhouse and went on production. sm
Yes, it can be a scary thought but you know how much you want to earn and how many lines you need to make it. i only went on maternity leave, picked up temporary work from home, saw how much more i was making, and never returned when maternity leave ran out. i'd take the offer with the national in a heartbeat. just prepare yourself to stick to a routine as there are always other things to do when working from home so production can lack if distracted easily. everyone thinks working from home is easy but it is rather hard in my opinion as the phone is always ringing, surfing the net, the house always needs cleaning, laundry, kids, the BIG kid, and on and on. so you have to be dedicated to make good money.
If you cant get a job inhouse, go to a local company and work in their house.
A lot of people who I went to school (college) with ended up working for a local company to Jackson, MS, MidSouth Transcription. They worked with you and got you ....further trained shall we say. We had school, real college courses, so we were very well-trained (had to take an anatomy and physiology class that was the same as the premed students) - we knew a LOT but Ms. Torri got us employable. Try a local transcription company for a while. It will help, I promise.
I think she was leaving an inhouse job and of course would retire rather than lose her benefits by j
x
So true, when I worked inhouse, the doc fell asleep
while dictating and actually continued to dictate while asleep "we packed the leg wound with BBQ sauce and grilled it". The service typed it as such and flagged it. Boy, was doc ever embarrassed. His fault for doing 50 charts at a pop.
i am an inhouse hospital transcriptionist who works at home
I am an in house hospital transcription who works at home. I get 19.00 an hour plus incentive pay which is 7 cents a line after 1,000 lines. and 7.5 cents after 1,500 lines.
It is, but doing a Monster/CareerBuilder search shows that inhouse jobs
s
You get more working the evening or night shifts and working w/o benefits. And producing like a mad
,
Ditto....granted I am not working much these days, but am currently trying out a new way of working
when I do work which seems to be helping. I am timing myself and keeping a log of how long it takes to to type however many minutes. I am averaging anywhere from 13-18 minutes of dictation an hour now doing this. Granted the time fluctuates between who I am typing, and if I have to look up names, addresses, etc., just depends on the division I am doing at the time. But work that used to take me 3 hours to do is now taking me under 2 hours, I am also trying to put in more macros as I go along, which slows me down initially but pays off in the long run of course. I was working "all the time" before but took forever to get done since I was not applying myself. This new "attitude" has helped me a lot. My goal, in the Fall, is to do 90 minutes a day consistently at 6 hours, and then maybe get up to 120 minutes a day at 8 hours, still while having at least half of the day free (do 60 minutes at night, and the other 60 by Noon). Thereby doing 1200-1400 lines a day. I have never really buckled down and done more than 8000 lines per pay period, so it will be a nice change. Maybe you can do something like that and have a specific knock off time as was suggested below. 
Working holidays? Out shopping in stores where someone IS working
that holiday you refuse to work? Grocery stores, food joints & seems any store is open on holidays and you expect them to be fully staffed, so why shouldn't we?
Yes, I took off for the first time on Christmas day, in 18 years and it was great, but I worked Christmas eve and this whole past weekend.
Someone has to do it!
working IN A HOSPITAL is different than working at home.
Someone can steal you identity from the internet if they want to. Why would you go to the time and trouble to jeopardize a job that requires some level of skill to steal someone's identity or medical records? You could get a job as a retail clerk and get info easier than going through the testing required to become an MT.
Somehow working at home translates into not really working
My in-laws are the worst. Whenever they plan something last minute and my husband says that I had to work, they say, "but she works at home!". When I one time mentioned I had a "schedule" and basically punch a clock and work full time, I don't think they believed me. They will sometimes call mid-day during the week if they are in the area to see if I want to go for lunch, etc! The best is, my husband doesn't make all that much money, so where is it coming from, the money fairy? I am ready to strangle someone! So I know how you feel and I'm sorry it upset you. You are not alone.
Several jobs on Monster & CareerBuilder for inhouse office jobs down there through an
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