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


I remember the days when... - Just reminiscing sm


Posted: Nov 26, 2011

Fresh out of a local vocational school for MT back in 1993,  I met with an established local MT, who allowed me to do a little of her work (with pay) to see how I would do because she wanted someone to take over on Fridays so she could have that day off. 

Within a few months, she partnered with another transcriptionist in town for a separate account and gave me all the work from group that she was doing!  It was 5 docs and 2 NPs.  I did the work at her house on her computer.

She was getting paid .10 a line by the facility and paid me .08 a line (gross line).  That wonderful gig lasted about 1-1/2 years before the facility decided to go with a different MT company that ofered to charge them LESS.

Those were the days.  I made more then than I do now, obviously.

I was totally spoiled getting such a great-paying MT gig right out of school at .08 gross line.  After that, I never really made as much money, at least not on a long-term basis.

I did assume, though, that after a few years experience, I'd be making the "big bucks," because I'd always thought that if you stayed at a job for a number of years, showed dependability and how much of an asset you are, and kept up to date on industry advances, tools and technology that you'd be rewarded and sort of "move up the ladder" over the years.

WRONG-O!  Not in this "profession."

I totally regret going to school to become an MT.  I should've gone for something where I could have advanced professionally and financially over all these years.

Ah well, just reminiscing. Time to move on, can't go back.  Going to school for HIM/coding next month, finally getting that associates degree.  Oh, and I'm coming up on 50 years old.

Wish I would've done that back in 1993 (or anything ELSE but MT) but oh well I didn't. I've never regretted anything in my life more than I have wasting my time (and my life, actually) on medical transcription. 

I just eat my heart out when I think that if I'd gone to school for something else back then, there's a greater chance that I'd be valued at whatever else I chose to do after 18-20 years of service.  It sucks, so I try not to think about it anymore.

But I hate to leave it on that sour note.  At least I'm moving on to something else.  At my age, it's going to be a challenge, but hey, I'm not dead yet so might as well continue on living, learning, moving forward.

Good luck to you! - MT2

[ In Reply To ..]
I don't recommend coding. EMR just came to the hospital where I have been for over 4 years our work dried up almost completely. I suspect most of us will be let go soon. We were also told EMR will take over most of the coding. I think maybe ART or RIH would be the way to go. EMR has to be in place nationally by 2015. This is the end for several medical specialists, transcription and coding being two of them. I am in my mid 60s so I understand your dilemma. I have not encouraged anyone for years to go into this field. I wish you all the best

Thanks MT2 - OP sm

[ In Reply To ..]
I'm not going into coding specifically, more for an associates degree in health information management, but there is coding involved along with other classes in order to get that associates.

I'll be prepared to sit for the RHIT exam and also the coding exams, both inpatient and outpatient, and I can always go another couple years to get that bachelors. I don't know about that, though, as I'll be in my mid 50's by the time I finished but also considered a "newb" basically, but if anyone's willing to hire my old ass in spite of that, I'm game lol

Here's another point of view - see message

[ In Reply To ..]
I see way too many people going for degrees and finding there are no jobs once they graduate. The people who are doing better are the ones who train for a specific job, like coding for instance. I know from personal experience that the degree programs pack lots of classes in there that teach you thousands of memorized/learned facts that don't apply to any job.

The big thing (trendy idea) right now is to go with anything that has lots of acronyms associated with it. The RHIT is one of those. My friends with RHITs tell me they didn't learn enough coding to be a coder and haven't used anything else that they studied for while getting that degree.

You are a young person. Age is probably not going to be a problem for you, but I would go straight for solid training in exactly the career you want. If it's HIM, start out by becoming an expert coder. Coding is going to be around a long time. If it's ...what else does an RHIT teach you to do, practically speaking? Nothing. It might be helpful after you're an expert in coding, maybe as a manager, but then manager positions are being cut because hospitals need to save money. They are, however, adding credentialed coders. That's the way I would go if you can change your mind at this point. Being just another one of those thousands of people flocking into all of those degree programs that don't prepare the students with any practical skills and which have very few jobs, if any, at the end of them wouldn't do it for me. Administrators of colleges are missing the boat. They are preparing people with lots of facts in their brains, and no marketable skills. It wouldn't matter if they handed it to you for free, it's not worth it if degrees don't equal jobs, which is the way it is these days.
Yes, the college I'm going to will prepare me to - OP sm
[ In Reply To ..]
sit for the coding exams (inpatient and outpatient) and the RHIT, both. When all is said and done, I'll have 20 yrs experience in MT, an associates degree in HIM, a certified coder (inpatient and outpatient) and RHIT (after passing the exams, of course). The price of taking the first exam is also included in the tuition price.

I hear what you're saying, but the program I chose is not just general education with some nonsense classes that won't help me pass the exams sprinkled throughout; it's a streamlined health information management/coding college program that lasts 18-24 months, after which I'll have more than one credential under my belt upon passing the exams.

I plan on using my approx 20 years experience in transcription on my resume as additional experience in the medical records area.

I didn't want my years as an MT to be worth zero as I sought a new sort of "career path," so my objective was finding one with which I could also fit all my MT years experience. I'm hoping that some employers out there will find my years of experience in MT valuable as well as the addition of my degree and my certifications/licenses as inpatient/outpatient coding and RHIT.

Reading your post reinforces my decision to choose this program and that I believe I'm on the right track here, and I do appreciate that. :)
Wrong about coding - MT
[ In Reply To ..]
EMR will take over a lot of coding so I would never encourage anyone to go into coding. It is doomed.
Not true. Please do some - research.
[ In Reply To ..]
There are also many different paths one can take after becoming a certified coder.
Your post was misleading. - MT
[ In Reply To ..]
You said coding would be around a long time. It won't. Yes, you can go on from there and get an HIM degree and I would strongly encourage anyone entering the HIM field to go that route. I worked at a large teaching hospital for 28 years. We had over a dozen MTs in the radiology department. They went first, no notice, just went to SR/VR. Then we were told the transcription department was being "updated." Of course, we all knew EMR was coming (it has not been around for as long as you say, not this kind of program), but what we did not know was the impact it was going to have. This was a hospital that had a good 600 or more dictated reports per day. The first week, there were a total of 250 reports. For the week. The next week, work started trickling in, but most of the reports were being "created" by the EMR system. Doctors were only dictating HPI and abnormal findings on physical examination, and impression. 20 line reports at best usually. Operative reports have to be dictated, at least at this point. That was two months ago. All but 2 MTs out of 13 were let go. Because that's all it takes to handle the workload. And all hospitals are mandated to be on EMR by 2015. I don't believe in giving people false hope or leading them astray. EMR is also going to be doing the coding or the majority of it. That's why I encourage people to find a different path in the medical field. Were I younger, I would go into nursing.
Apples and bananas comparison - anon
[ In Reply To ..]
Your post really has nothing to do with coding. Transcription is limited in its scope and work load, which is why it was/is easily replaced by technological advancements. Coding is not that limited. If you really believe that EMR is capable of handling ALL the various aspect of coding then, again, you are sadly misinformed and your view/experience with coding is poorly defined.

Again, please do some research into the field and all the different aspects of it before you try to sway someone off the path.
Seriously! - MT2
[ In Reply To ..]
You sure slammed MTs. Coders are so much better. LOL Well guess what, the sky IS falling for coders and MTs. And EMR will and is doing it. So sad when you can't see that.
ALL the IT guys KNOW. - PassingThru
[ In Reply To ..]
Anyone who is keeping up with developments in IT knows that coding is doing the death rattle right behind transcription.
Someone really likes to use the word 'doomed' - sm
[ In Reply To ..]
Every time I read one of these messages that includes the word "doomed", I know it will be full of gross exaggerations and hyperbole. In other words, that's a little dramatic. That "doomed" word is a little like 9-9-9, tiresome.
Then don't read them, LOL - Sara
[ In Reply To ..]
And if realism is tiresome, then you need to get a crystal ball because EMR is here and a lot of us won't be.
I would say there are some whose careers are doomed - Because
[ In Reply To ..]
Some people have careers that are doomed because they either don't have the particular skills to meet the jobs, they choose the wrong employers, don't have a strong work ethic, or have something else going on that keeps them from meeting deadlines. I know some who don't get work because they abused the system by cherrypicking, taking the easiest dictation instead of the ones that were assigned to them to transcribe next. That's just one example.
Written like a true coding school owner. NM - Skeptical
[ In Reply To ..]
NM

We're not the only ones. - MT

[ In Reply To ..]
I hear and understand every word and can totally empathize.

It could have been worse: You could have gone to college since "computers are soo hot," made good grades and earned that degree, do well for a few years, only to have all the work shipped overseas so foreigners could do it *OR* have all the U.S. jobs go to 22 year old punk kids whom they can abuse with slave wages and toss a pizza at once per month or illegal aliens.

That is exactly what has happened to the U.S. IT industry. Not saying that there aren't still good gigs to be had (just as in MT), but my friends who work in that field (both middle-aged women) can NOT get hired despite the degree and the experience.

Good luck to you.

You are so right! Everybody was going for IT jobs just a few years ago - sm

[ In Reply To ..]
I had forgotten about that. Everybody I used to talk to was getting a degree in the IT industry. I used to be in HR where I saw all the resumes. That was supposed to be the greatest career field for the foreseeable future. It didn't happen, did it? It just proves how much all the experts know about anything.

Before that, the career everyone wanted to be in was Physical Therapist I think. Before that it was Travel Agent! Right now it's a bunch of HIT-related positions with undefined duties and no jobs, but it's the cool thing to do, until it isn't. A little bit of common sense would tell you that when anybody and everybody is saying this is the thing you should do, go the other way.

The bottom line,stay away from anything that can be - PAMT

[ In Reply To ..]
shipped overseas. Go with a profession that requires hands on.
What job CANT be shipped overseas or have ESLs brought - brought here to take jobs for less pay? SM
[ In Reply To ..]
Maybe farmers? Or base labor, like the guy that changes your oil? Nurses are shipped in, we all know doctors are shipped in. Heck, even the Port Authority is now run by OS.
Funeral Director and Dentist - Maybe Florist - Hair Dresser and Manicurist
[ In Reply To ..]
The list is pretty short, isn't it?
Not many manicurists arent asian, talking about us in a - language we cant understand. nm
[ In Reply To ..]
x
Not many manicurists..... - Susan
[ In Reply To ..]
and using chemicals that poison our environment.
Funeral Director is the only one SM - Realist2
[ In Reply To ..]
Funeral director is the only one on your list that has job security in a bad economy! When times get tough, dental visits, manicures, and trips to the beauty shop are the first to go.
Then we'd better all get started being trained in being a - Funeral Director
[ In Reply To ..]
If that's what we have, the only successful business these days, we'd better all get going. It's a job that I respect. I've never wanted to do it, but if that's what we have to do to feed our families, where do I sign up?

No Regrets - Old, Tired MT

[ In Reply To ..]
I hate what this has become and have no respect for the industry, but I didn't have a crystal ball and it did me fine for several years. I knew ASR was "down the pike" when I first started out in the late 1990's, but figured that I would at least get paid for all the knowledge I had. It's like they punished us for having all this wonderful knowledge and for editing these horrible messes.

I am looking for non-MT work, and I'm gong, outta-here ASAP.


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