Too much competitors

Domain is just one factor of thousands from SEO. There are need learn and learn to win the search engine battle. Try to build quality backlink to your site.

 

When you don't have good content, nor links, you won't surpass your competitors.

 

you cant just focus on whats going wrong, you need to look at what else you can do to beat out the competition. Focus on quality backlinks and see what that does

 

Quality for the win - and plus, your competition is already ahead of you. Provide something unique that your competitors don't offer.

 

Off course its important to have your keyword in your domainname. This will be in your advantage.
I was checking out your onpage optimization and i found that you have 52 pictures on one page.Thats way too much.The site will load slower because of this. You need to lower down the pictures and add alt text to it. Also you need to add your site to bookmark sites like DElicious..
For off-page optimization or backlinking:
You have 204 backlinks:
76 backlinks don't have anchor text
53 backlinks have anchor text: medical transcription service in us
22 backlinks ' ' ' ' ' ' ' ' ' ' ' ' ' ': medical transcription services
4 backlinks '' ' ' ' ' ' ' ' ' ' ' ' ' ' ' : medical transcription service etc etc ADD MORE anchor text for this keyword and you will be in top 10 soon.you are in place 12/13 now.

Your links are on pages that have 4 x pr2, 6 x pr1 and the rest are all pr 0


Your keyword "medical transcription services" is medium difficult that means its not difficult to achieve top 5 as long as you built strong backlinks. For "medical transcription service" its gives me "Difficult" .You can achieve high ranking by doing the following:
1. write unique articles and submit them to article sites
2. Submit to social bookmark sites
3.submit to social media sites like facebook,twitter etc
4.write press releases and submit them to press release sites
5.profile backlinking.
6.comment on relevant blog sites with your anchor text/keyword
7. add your site in dmoz.org.
8. Check out the backlinks of your competitors and try to add links there.Try to find backlinks that are related to your site and have high pr page not domain name.

Below you will find keyword you rank for in top 100:

medical transcription service place #13 and #14
service company 75

medical company 42

medical companies 24

who uses general transcription services 25

medical transcription 47

transcription services 55

medical transcription services 25 20-12-2010 and now its on place 15

transcription service 30

oncology letters 83

medical transcription companies 19

medical transcriptionist 65

transcription companies 16

hl7 transcription 6



As i can see you need to go further with what you are doing or you can hire us to do the seo for your company.

Good luck

 

thanks for reviewing .