Must work approximately 50 hours per week to make any measurable income. On-site employers pay at least three times as much for experienced medical transcriptionists and quality assurance personnel. The starting rate of pay per line at Mercedes Transcription is 1/2 cent less than the usual low-end starting pay for other national medical transcription companies. A good side job if you are seeking to work from home. Not a good position to help build your career and move upward.