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Questions to Ask before Accepting a Medical Transcription Job

When you get your first medical transcription job offer, you will be likely be excited, and have questions. Collecting additional facts before deciding about a job offer is totally routine and acceptable, so don’t feel like you’re endangering anything by asking.

This list contains recommended questions. Most apply to both independent contractor (IC) and employee positions. A few of them, such as questions about mandatory overtime, apply only to employee-status offers.

There are critical differences between working as an IC versus working as an employee. If you’re not clear about what those are, be sure to do your research before picking one over the other.

Here are some of the questions you’ll want to ask:

  • Is this an employee or independent contractor position?

  • What types of accounts and reports will I be transcribing?

  • What transcription platform will I be working on?

  • Will you provide the necessary equipment, including the computer and software, or do I have to provide it?

  • What percent of the dictators is ESL?

  • What constitutes a line?

  • How do you compensate overtime?

  • Are any productivity incentives or shift differentials available? A shift differential means you get paid a little more to work less popular hours. A pay rate has probably already been stated as part of the offer, but if it hasn’t, be sure to ask about the pay rate, too.

  • What happens if I run out of work? Common answers include the following:

    • You’ll have a secondary account you can switch to.

    • You must make up the lines later when more work is available.

    • You have the option to make it up later if work is available.

  • Is there ever mandatory over time? If so, how often?

  • How long have the accounts I’ll be working with been on the speech recognition (SR) system? (You need to ask this only if your work includes SR editing.) SR system accuracy improves over time and an account that’s just been added will be substantially more difficult to work on than one that’s been on longer.

It’s a good idea to finish with an open-ended question like: Is there anything else I should know? It opens the door to information you haven’t specifically asked about.

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