Heartache, everyday disappointment due to barrage of CPSE errors, creating a miserable and terrifying experience just signing on every workday.
Pros
One of the reasons I stayed was to fight, prove I was a gifted, talented, hardworking American, an American who lived and breathed HIPAA compliance, fighting to keep AMERICAN medical records, reports, private AMERICAN medical histories (accurate to the best of my ability), and to keep our records where they belong — in the United States of America. Second reason was my supervisor. How this woman manages to remain with this company is beyond my understanding as I felt, knew, she was a caring, committed, fair individual. I had never had an opportunity to meet this woman in person. Our only means of communication were by phone or email. Her guidance and belief in my person and my abilities were the only reasons for staying as long as I did. God bless her!
Cons
The entire company was a challenge! This company expected the medical transcriptionists to constantly maintain a 100% accuracy on each and every single report. While I truly cared about the patients and their safety, truly took my job seriously, I did manage, a few times, to reach a 100% accuracy rate; however, human perfection is impossible, and I stayed for the most part in the 99.8 - 99.5 percent range. As I could not maintain the 100%, I had taken this personally, feeling a failure, losing faith in myself and my abilities. I was in a constant state of stress, duress, depression, anxiety, beating myself up daily. In the effort to try to maintain perfection, I failed to keep up my production. This failure at production caused me to receive what this company calls "MUP," makeup pay. This meant I was not producing enough to even meet the minimum wage requirement. So, the company had to "make up" my pay in order to meet the minimum wage requirement. Prior to working for this company, I had been employed by an incredible MTSO,where my yearly income was at least $40,000!! At Nuance, my yearly plummeted to a whopping $17,000! You are probably asking why am I not with the prior MTSO. Well this incredible company eliminated our jobs! I want you to understand the $40,000 yearly was ENTIRELY earned by literally TYPING!! Straight typing, NONVETBATIM!! Current or former company: Voice recognition. Voice recognition or VR is completely ridiculous waste of time and accuracy. I could actually type a report with excellent accuracy and get it out much faster than VR. When an MT types dictation for a patient, from the beginning, the MT is extremely involved in the patient "story." With VR, it's like jumping into the middle of a book. I am absolutely against VR and will tell you I HATE it! When you are completely involved in a story an MT has absolute control and by being involved an MT is 100% more likely to catch and prevent errors. We are told physicians do not like to dictate, that VR for some reason is much easier for them. Well, they should try transcribing a report. MTs actually help a doctor look great, competent, etc. Another "con" and a complete turn about — remember I told you our medical records are outsourced? They are outsourced to India! Guess who performs quality control of the MTs report? Yep! People in India! So, I have a nonspeaking English QA person judging and correcting my reports! How is it possible an "English as s second language" or ESL, can understand English well enough to catch errors? It's difficult for an MT to transcribe ESLs, but we know our language! My husband finally had enough of my suffering. My suffering, duress, depression, constant fear affected my ENTIRE FAMILY! I'm out for good after 20+ years' experience. I'd devoted 20+ years of my life constantly learning, improving, studying on my time, literally put everything I had into my profession — all for naught … Thanks Nuance for ruining my life. Good riddance.
