Pros
Work at home, and I do like medical transcription work. The TSMs are very nice (that I have encountered).
Cons
Strict audits that set you up to fail. Never know how much you will make until after the audits. Pay is based on a grid system, based on how many lines you produced, how many lines per hour, how many blanks you left in reports, any errors found. Meeting these metrics and the strict audits set you up to fail and only receive minimum wage, usually meaning they have to make up your pay to min. wage per law, but then you get on a performance review. If you are on a great account with lots of work, suddenly they can change you over to an account with no work, then you can't possibly meet the metrics required for their pay grid. Seems the easy accounts (good dictators, etc.) get sent to India, so American workers are left with the ESL doctors, hard to understand, very poor audio, etc.