A community of 30,000 US Transcriptionist serving Medical Transcription Industry

A trend I am seeing - sm

Posted: Mar 15, 2011

I have noticed over the past few weeks that the majority of transcriptionists wanted ads (not on here) are in-house only. I saw 11 job postings today looking for such and all were for in-house in different areas - and that's just today! One of the companies I have a contract with has lost an account in the past month due to their hiring in-house staff instead.

Anyone else notice this?

Yep. I have been saying this for a couple months. - sm

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Go to indeed.com and type in medical transcriptionist, but leave the location blank. Look at all of them that are in-house. It's amazing. I think the tide is turning somewhat, but I do think that the in-house jobs may be for SRT.

The trend I've been seeing in a lot of those ads - is that in many cases, its a move back - sm

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towards the jack-of-all-trades type of MT. Who is also functioning as an office secretary. In some instances that would be good, if you were wanting to learn other skills. Might be a way of hedging our bets when it comes to our job not being outsourced or offshored. Still, I for one would rather do straight transcription than answer phones. But I would rather answer phones than do straight VR.

been watching ads for years - and it's been that way for years. - many many sites. not new to me

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/

inhouse trend - cr

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Do you mean there's a trend away from outsourcing and back to hiring inhouse transcriptionists? If so, do you think it's because of the poor quality of transcription work turned in by services?

I think so. It's not that their MTs are low-quality, - but its hard to type 99% - s/m

[ In Reply To ..]
to 100% error-free reports when you're trying to keep a handle on 5 or more different institutions, all their quirks and rules, and several hundred to a thousand different doctors. You never get to really learn the accounts they way you'd like to know them, and there's no institutional memory for all the peripherals - geography, other local clinics that refer to them, other docs in the area, town names, street names, etc. Different areas, even within the same state, sometimes have a slightly different accent or lingo they use. ESL transcription quality would go up, too, if we had the time, and exposure to each of them, to really learn them. When I worked inhouse for just one hospital, I got very good at their most difficult to understand ESL doctors. But at an MTSO where I'm doing so many of them, sometimes weeks will go by between transcribing for a doctor one day, and the next time you get his work. There's no way you can remember the nuances of his speech under those circumstances. Sometimes I even forget which hospital I'm working on, when I have to keep bouncing back and forth between 5 or 6 of them in a day.

When I worked inhouse, we also sent some of our work out. Whenever they fired one MTSO and switched to another, it was never about who had the lowest price, it was about who had the best quality.

I think it was because some MTSOs contracted not to send work overseas but did anyway - sm

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Some MTSOs were sending work overseas even when their clients had specified that it not go overseas. They are finding out and they don't like it.

I'm seeing that trend beginning, too. (sm) - MT Wordz

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I'm currently working on a hospital account that my gut tells me the MTSO might lose. Certain things are beginning to happen with them that make me think that. Also, recently I saw an ad for that same account, which has always had inhouse MTs, and once again, they're hiring more inhouse MTs. Too bad they aren't anywhere near me, or I would go work there. I think the shift back to inhouse is a GOOD trend. Large MTSOs and their haven't been good for this field. All that push for profits, VR, and offshore transcription, all the while gypping their U.S. MTs, is not very sustainable in the long run, and is already showing up as generally lower-quality work.

Maybe things will shift back to a more balanced, and higher quality, form of producing medical records, with both inhouse MTs at hospitals, and overflow work being done by smaller MT companies with more scruples and a better quality of work. Maybe in that instance, both MTSOs and hospitals would begin to value MT work once again, and who knows - maybe even pay us a wage that we can actually survive on.

correction: I omitted the word "greed" after - "large MTSOs and their-"

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X

Glad to hear it! I'm tired of the MTSO scene, and - am hoping to someday land an inhouse job again!

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XX

My hospital did it - me

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We all work from home, but about 4 years ago, they did away with using all services, hired more transcriptionists and started paying us incentive on top of our hourly wage. Even by doing that, they said it saved them a LOT of money over paying the service.

I was told that one large organization did it to make sure work didn't go overseas - nm

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nm

I know one that did, too. It's the ONLY way to - guarantee the info. stays onshore.

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