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


Lets Review for Fun the Denegration of this profession - shall we?


Posted: Oct 30, 2012

I came on board in the 1990s, the height of the IC.  I was paid gross line count (for any newbies that is a line per line, no matter how many characters) and I was paid for everything, headers, footers, demographics, if there was a character on that line, I got paid.  Paid 10 cpl and never made anything less than 45,000 to 50,000.  No raises, but back then it was a very good salary, no ridiculous TATs, NO TIME CLOCKS and we had 24 hours to turn back in our work.

Yes, TAT needed to improve, I accept that and as technology advanced and we were internet based it did, PROFOUNDLY.  1990 to 2005 still made 10 cpl gross line.  Even when the 65 character count line came into play, I was grandfathered in and still paid gross line.

Still no raises, still making same, starting to think "gee..been at this for 15 years and yes. money is good, but now my salary is starting to even out with others AND I pay self-employment tax and buy my own disability insurance and health insurance"  But still autonomy over day, working from home had major benefits.

Then 2005 came and MedQuist gobbled up the little YOG company I worked for.  Immediately put on 65 character count with no line raise, realized immediate 28 to 33% deficit in my salary, but still had the autonomy of my day with a realistic schedule (i.e, M-F 8:00 am to 6:00 pm) able to come and go as long as I made my production, which was fine, able to swallow (a little hard) the gross line vs 65 character line deficit.

2006 ASR is introduced...as a valued "aid" to the MT.  Sucked, of course, but got better, still made my 10 cpl at 65 character count, but none for any demographics, headers or footers and schedules and TATs started to become a problem.  No work available, all work gobbled by east coast MTs so west coast MTs could not work in the a.m. had to work starting later and later to be sure work was there.

2007 20% reduction for ASR and the TIME CLOCK was instituted with EXTREME tight scheduling, no leeway..Then 2008, not only offshoring, but 30% reduction for ASR, 2009, 40% reduction for ASR and 2012 flat out 4 CPL for ASR new people with the added promise that is never realized of regular 9 to 10 CPL for straight typing which of course no one ever gets. 

My salary went from 45 to 50,000 2005

2006 38,000

2007 31,000

2008 29,000

2009 22,000

2010 18,000

2011 18,000

2012 probably 18,000 too

In the end I blame myself for having this shown to me in every way shape and form and being too lazy and a nonstarter to make MAJOR changes in my professional life. 

And still I see "newbies" coming into this job.  I cannot for the life of me fathom why anybody would go through the difficult training it takes to master this profession to be made minimum wage or maybe 10-13 /hour if you are a WHIZ at ASR, that is 300-400 lph for 8 hours straight. 

Getting out - fed-up

[ In Reply To ..]
I just got into this profession 2 years ago after 2 years of an MT course. It is not at ALL what was sold to me. I get 7 cpl straight and 5 cpl ASR, 8 hour days from the west coast, so work is slim in the morning and I can't really adjust my timeframe. Most months, I barely top $4 per hour.

On top of that, I just found out a few weeks ago that the company I'm IC'ing for does not hire full time employees in my state! They don't want to deal with all of the fees associated with starting up in this state. (There was a manager position for which I was very qualified... but they didn't even look at my resume until I asked the gal who called me, the one who rates the resumes on whether they will be called to interview, to take a look... and she said my score would have been high enough for an interview... no job guarantee, but I would have had an interview.)

So what is my incentive to continue to work so hard on my line count if I can't be hired full time (an opportunity I was sold when I was hired) even I typed 5000 lines per day?

So... I'm looking for another job doing something else. Again.

You are better off in another profession. The managers - are the first to get let go. sm

[ In Reply To ..]
I don't know what company you work for, but if you only needed 2 years of a course and 2 years of transcribing to become a manager, I'd run from it, too!

Good luck!

I had an office management career prior to being an MT - fed-up

[ In Reply To ..]
so that applied to this particular management position, which wasn't direct MT management but still with this company. That's not really the point of my post, though, is it. It was the fact that they had neglected to tell me that no matter how hard I work, I can never get employee status because they don't hire employees in my state. I just wish I'd known that 2 years ago so I wouldn't have wasted all this time. I'm no spring chicken at this point.

Me too - Leaving MT

[ In Reply To ..]
MT is not at ALL what I was sold, either. I went to school for it almost 5 years ago, and I was able to make a decent living for just a short time and then everything changed so suddenly. I was told in school that the key to MT success is being flexible, but I really had no idea that meant hunkering down at the computer for 12 hours a day or juggling 2 jobs or getting up at 3 a.m. to get any work at all. I had no idea. I

Good luck. I am back in school. Again.

Good luck to you, too. - fed-up

[ In Reply To ..]
It is sad that in order to make a decent living at this job, we basically have to put in my time than we did for the schooling we took to get the job. Seems backwards. But I'm not going to work at this job for 12 hours a day. That's insane and should not be expected of us to meet our minimums. If that's what is required, then I'm out. I didn't sign on for 12+ hours a day to just make minimum wage (or less).

I hope you find success in whatever you are in school for this time. :-)

Denegration - fascinating and sad story, excellent post

[ In Reply To ..]
What a great summation! In my case, though, it also included being team lead on evening shift in hospital, which included being treated with respect by all hospital departments, your bosses, the doctors. Having "side jobs" posted regularly on the bulletin board for anyone who wanted another $15 to $20 an hour part-time job. Being consulted on new software proposed for transcription. etc.

So you mean NOTHING like the OP? - fed-up

[ In Reply To ..]
How demoralizing can you be?

me too - but not anymore

[ In Reply To ..]
I had a great job as a lead in a hospital too, but now I don't anymore, and there are no hospitals in my area that still do inhouse transcription. One major one doesn't even outsource anymore, it just uses Epic. Maybe you were talking about a situation you had like 15 years ago?

Ditto! 2005 was my last good year. I made - same here!

[ In Reply To ..]
56K. Now granted I worked my butt off Jan of that year to pay for a vacation to FL. However, the previous year I made 54K and the years before that I never made under 46K and that was 7 hours a day. However, I do work hard and use my expanders, average 300+ lines an hour 65/cpl. Even my first year I made 42K as an IC averaging $24 an hour. That was gross lines like you. Well those days are long, long gone.

The company I worked for between 2003-2006 we lost all our KP accounts to EMR. I have yet to find anything close to making that kind of money again. Now I was making 8.5 cents 65/cpl so I am not talking pay. I am talking decent accounts, decent platforms, and yes at least 8.5 for crying out loud!

I do take responsibility in that I didn't get out sooner. I held on to the dream that if I just keep looking I will find a better company. Now I am 45 wondering, "now what do I do?!!" I am not interested in nursing. I liked being an MT but it's time to move on. I just don't know what to do and I won't settle for less than $20 an hour. Accounting? blah. Nursing? Ick. Ho hum, heeeeeeeeeeeeeeeelp!!!! :D No seriously, I don't know what to do. I am unemployed AGAIN as my company merged with another company who outsources to India. All of a sudden a bunch of us got laid off with no explanation WHATSOEVER. This was a "so-called" good company! I am so confused right now I just don't know what to do and I am tired of crying on my husband's shoulder.

I am thankful for the years I did - same here!

[ In Reply To ..]
make that kind of money though as I was a single mom of 2 girls and one of them got very ill. If the MT trade was like it is now I would have had to move back in with my mom which is crazy at my age.


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