Paula Kelley, CMT, has been an independent medical transcriptionist since 1992, obtained her Certified Medical Transcriptionist (CMT) certification from the Association of Healthcare Documentation Integrity, and a facilitator since 2010. Paula has an extensive background in healthcare. She started her career as a cardiology and X-ray technician. After a move to a large city in Northern California, she found herself continuing in the healthcare field as an office manager where her transcription career began. Ms. Kelley used her experience in the different healthcare arenas to begin her own home-based digital medical records management business. This included transcription of dictated voice files, setting up medical offices with dictation equipment, and assisting with the startup of electronic medical records platforms.