Pros
Most of the people are great to work with from mid-management down. I have been able to make some incredible friends and have learned a lot from my coworkers as well.
Cons
Every year the pay, health benefits, PTO and holiday pay (has anyone else heard of time and a QUARTER for holiday pay) goes further in the toilet. Wipe out entire divisions in a single fell swoop. Getting much too large. Too many accounts moving to India!! Our Indian counterparts have no training in medical transcription and they are now performing audits that show the Indian counterparts in a favorable light when nothing could be further from the truth. The reports that are coming out of India are so full of mistakes that it scares me to think that my medical records may be done by Nuance offshore workers and vendors. No matter how much you try to teach them the correct way to do things and point out mistakes, it does not change.