Need suggestions about work situation - EnglishLover

I am an IC with a small MTSO and have been working there since the end of October.  My training was a total of 30 minutes maybe.  This company has no dedicated QA.  There is no company specifics manual.  There are no clear, concise specifics for each account, just samples which it turns out are incorrect or conflicting half the time.  I have to ask questions to the office manager who is not a transcriptionist and passes information on to another MT.  She does not understand any of my questions and does not have the capability of evaluating the response of an MT.  I answers I receive do not seem to be from a seasoned MT.  The response to any questions I ask is always “use the samples.”  My errors have included expanding abbreviations in a diagnosis/assessment, expanding medications that were abbreviated (HCTZ), and expanding slang (AFib.)  I have questioned the usage of a discontinued medication (Aldomet, instead of methyldopa) that the doc had just prescribed, not something in the PHI.  I was told to go verbatim. 

I started out with 2 accounts and a 3rd that was vacation coverage.  One doctor dictates every day and the other doctor (gastro) waits until Friday to dictate a weeks worth of very intensive reports.  These 2 accounts do not pair well together.  The vacation coverage was insane.  No specifics at all.  Then the following week I received an IM asking why I was not doing the extra account.  I had to point out that I was only assigned for vacation coverage for 1 week.  They had forgotten.  In my first month I was going crazy working 5 days and then doing the other doc’s reports over the weekend.  For STATs I had to sift through each voice file to find the patient.  At one point, several times a day I was called and given a name for a STAT report.  Each time I was actually in the middle of a report.  Overwhelmed is an understatement.  The person editing my reports said I was doing very well with the gastro account and then I was pulled off that account.  I told the manager that I needed help with the gastro doc.  Minutes after that conversation, I was told that a report had a wrong date and all of my gastro reports were dumped back into the system.  I had to redo over 40 reports which caused the other reports to go past the TAT.  Many of them were correct, but I still had to proof them to find out.  The errors were from not closing the document when uploading.  The Word backup version was uploading, not the version I had just saved. 

Once after getting an unacceptable amount of errors I challenged them all and the office found out that the samples were incorrect.  I have been dinged for incorrectly spelling a referring doctor’s name.  The name was actually incorrect on the doctors’ list I was given.  Daily patient appointment lists are not always sent.  Often I have to ask.  In my last round of corrections I researched and cited every rebuttal, asked if the company followed the BOS, ISMP, AMA, HIPAA, and/or JCAHO.  I softened my challenges with stating that I am skittish about creating medicolegal documents and not wanting to be held liable.  The response I got an MT was everything I said was true, but go by the samples.  Never received an answer as to what entity they follow.

I won’t even bother you with the paycheck fiasco, but I did eventually get paid.

I have been yelled at, to which I do not take kindly to, and have no problems with telling someone to find another way to speak to me.  I was being hounded for not having my IM on, and was being told through e-mails and calls on both my house phone and cell phone to turn it on.  If there is no work why would I be at the computer with the IM on?  I am expected to have my IM up during there office hours which are not my work hours.  To me that sounds like an employee.  After having to display my extremely strong personality, I no longer receive superfluous calls, e-mails, or forced to have my IM on unless I am working.

What is keeping me here right now is I do like my accounts.  I see more money than the last job where we worked from a pool and I was unable to build up my speed.  Cherry pickers and accounts in 2 different time zones were killing me.  The line rate is okay.  There are no ESL’s and the company has no plans for voice recognition.  I know sometimes there are bumps in the beginning.  The thing that kills me is the lack of organization and knowledge.    

I love being an MT and had been out of the industry for about 1 year.  This is my 2^nd job since graduating from M-TEC in 2007.  I need to build up my resume.  I need suggestions on how to handle this?  I am very concientious of my work, so this is troublesome to me.  Become mindless or move on?

I am sorry about such a long post but I am frustrated and I need the opinions of my fellow MTs.  Thanks!