Last updated: 2026-08-21
Honest Taskers, AGS Health, and Transcure lead this year's shortlist of companies to outsource medical coding, seven firms ranked on what they publish about coder credentials, which coding work they cover, purchase model and price, stated delivery location, and compliance. Coding is the one revenue cycle function where who does the work is a compliance question rather than a preference, so credentials are the first column rather than the last. Below we set out the choice between staffing coders, outsourcing and software, who verified the credentials doing your work, what it costs, which credentials a company should name, and whether to audit your own coding first.
Disclosure: Honest Taskers publishes this list and appears at position 1. We're judged on the same five published criteria as every other company here, and we staff coders rather than owning coding accuracy.
At a glance
- 1Honest Taskers
- 2AGS Health
- 3Transcure
- 4Omega Healthcare
- 5Medusind
- 6Neolytix
- 7Staffingly
On this page
- How we chose these companies
- Companies compared
- The 7 companies
- Should you choose staffing coders, outsourcing coding, or coding software?
- Who verified the credentials of the coders doing your medical coding?
- How much does outsourced medical coding cost?
- Which medical coding credentials should a company name, and who checks them?
- Should you audit your own medical coding before you shop?
- Methodology and sources
How we chose these companies
Coding sits differently from the rest of the revenue cycle. A posting error costs you a day; a coding pattern that overstates severity is a compliance problem with a paper trail, and the practice signs the claim. That's why the first thing we compared is what each firm publishes about credentials, and the second is whether it covers the coding work you have, since outpatient professional coding, inpatient coding, and clinical documentation improvement are three different jobs sold under one word.
Credential disclosure is thinner than it should be. One firm publishes AAPC-certified coders and the size of its coding team. The rest describe coding as a service line without naming what their coders hold. That gap is worth pressing on, because a certified professional coder and a trained data-entry operator produce identically formatted output with sharply different audit exposure. The coding guidelines every one of these firms works to are published by the Centers for Medicare & Medicaid Services, so ask which edition and which specialty guidance a vendor trains its coders against.
Purchase model matters here too. You can staff coders at an hourly or weekly rate and keep the accuracy risk, or outsource coding to a firm that owns the output and usually publishes an accuracy target. The second sounds better and often is, provided the accuracy target is defined against an independent audit rather than the vendor's own review.
Delivery location deserves a column because most volume coding is performed offshore. That's normal and not disqualifying, but you should know it, since the coder's distance from your clinical documentation and from your providers affects query quality more than it affects code selection. For what the same work costs locally, the U.S. Bureau of Labor Statistics May 2025 Occupational Employment and Wage Statistics puts medical records specialists at a median $24.59 an hour, roughly $51,140 a year.
Companies compared
| Company | Coder credentials (as stated) | Coding work covered | Purchase model and price | Delivery location (as stated) | Compliance (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Healthcare-experienced coders recruited to your requirements; credentials confirmed at interview | Abstraction and code assignment in your system | Staffing, $10.00 to $12.65/hr | Philippines, Latin America, India and Pakistan recruiting, US managed | Compliance officer; HIPAA verified by Accountable; BAA when PHI is accessed; SOC 2 audit ready |
| AGS Health | Not itemized | Coding, clinical documentation improvement, denials, prior auth, credentialing | Outsourced service, not publicly listed | US headquarters Washington DC; delivery center Chennai, India | States HIPAA safeguards; no SOC 2, ISO or HITRUST named |
| Transcure | AAPC-certified billers and coders; 1,100+ staff (company-reported) | Coding, audits, MIPS, billing | Outsourced service, 3% to 5% of monthly collections | Offices in Texas, New Jersey, Florida | ISO 27001 |
| Omega Healthcare | Not itemized | Coding, billing, denials, AR, health data curation | Outsourced service, not publicly listed | US headquarters Boca Raton; hiring in Philippines, India, Colombia | Not stated on its about page |
| Medusind | Not itemized | Medical and dental coding, billing, credentialing | Outsourced service, not publicly listed | Not publicly listed | Not publicly listed |
| Neolytix | Not itemized | Coding audit, billing, credentialing | Outsourced service, not publicly listed | Not publicly listed; headquarters Chicago | ISO 27001 certified; HIPAA compliance stated |
| Staffingly | Not itemized | Coding, billing, prior auth, front office | Staffing, $399/wk at 45 hrs; $349 at 5+; $299 at 10+ | India, Pakistan, Bangladesh (company-stated secured facilities) | SOC 2 Type II; ISO/IEC 27001:2022; signed BAA; $5M E&O and cyber policy |
1. Honest Taskers
Best for: practices that want a coder working their charts inside their own system, with credentials checked by them rather than promised by a vendor.
Pricing: $10.00 to $12.65/hrModel: Managed staffingScope: Abstraction and code assignmentFirst hire: Two-week working trial
Honest Taskers places a medical coder into your practice rather than taking coding over, which puts credential verification where it belongs, with you. Candidates are recruited to your stated requirements, including specialty background and credentials, and you interview before hiring, so you're not accepting an assurance about an anonymous coding pool. The coder works abstraction and code assignment inside your EHR and practice management system, on your documentation, with your providers reachable for queries during your own business hours.
People work the client's US time zone, recruited in the Philippines, Latin America, India and Pakistan under US-based management. Compliance runs on quarterly HIPAA and data privacy training led by a dedicated compliance officer, a Business Associate Agreement signed where the professional will access PHI, remote work screening covering a dedicated password-protected computer with VPN and antivirus requirements, and a security environment described as SOC 2 audit ready, with HIPAA compliance verified by Accountable. Reported retention is 99.6% average monthly, which in coding compounds, since a coder who knows your specialty's documentation patterns queries better each quarter. Rates run $10.00 to $12.65 an hour with a two-week working trial on the first hire. See the virtual medical coder service for scope.
Limitation: staffing means coding accuracy stays your responsibility. There's no published accuracy target, no coding audit product, and no indemnity for miscoding, so you need someone internally reviewing the work.
2. AGS Health
Best for: larger organizations outsourcing coding alongside clinical documentation improvement.
Pricing: Not publicly listedModel: Outsourced serviceScope: Coding, CDI, denials, prior authDelivery: Chennai, India
AGS Health is the most coding-weighted firm here that can be verified from source, covering coding, clinical documentation improvement, denials, prior authorization, provider enrollment and credentialing, with an AI-assisted workflow, and naming clients including Banner Health and Baylor Scott & White. Pairing coding with documentation improvement is the combination that moves accuracy, because most coding problems originate in the note rather than in the code selection. It publishes its footprint plainly, with a US headquarters in Washington DC and a delivery center in Chennai, India.
Limitation: it doesn't itemize what credentials its coders hold, names no SOC 2, ISO or HITRUST certification, and is built for health systems rather than practices.
3. Transcure
Best for: practices that want certified coders named and a price published before the first call.
Pricing: 3% to 5% of monthly collectionsModel: Outsourced serviceScope: Coding, audits, MIPSCompliance: ISO 27001
Transcure is the only firm on this list that publishes both a credential and a rate, reporting AAPC-certified billers and coders across a team of more than 1,100 and charging 3% to 5% of monthly collections. It also sells coding audits and MIPS reporting alongside coding itself, which is the right bundle if you suspect your current coding is the problem and need it measured before it's replaced. It reports offices in Texas, New Jersey, and Florida and holds ISO 27001 certification.
Limitation: pricing coding inside a percentage of collections ties the fee to revenue rather than to coding volume, which is a poor match if coding is all you're buying.
4. Omega Healthcare
Best for: mid-market organizations wanting coding inside a wider services relationship.
Pricing: Not publicly listedModel: Outsourced serviceScope: Coding, billing, denials, health dataDelivery: Philippines, India, Colombia hiring
Omega Healthcare states a US headquarters in Boca Raton, Florida and recruits in the Philippines, India, and Colombia, with services spanning revenue cycle management, care coordination, health data curation, and payer operations. Health data curation sitting alongside coding is the distinctive part, since organizations with quality reporting and risk adjustment obligations need coded data to serve two purposes at once, and few firms address both.
Limitation: its about page publishes no coder credentials, no pricing, and no HIPAA statement or named certification, so all three require asking.
5. Medusind
Best for: groups needing both medical and dental coding from one vendor.
Pricing: Not publicly listedModel: Outsourced serviceScope: Medical and dental coding, billing, credentialingSpecialties: 30+
Medusind covers medical and dental coding alongside billing, credentialing, accounts receivable follow-up, and payment posting, and names physician groups, federally qualified health centers, behavioral health, home health, dental practices and dental service organizations across 30 or more specialties. Dental coding runs on its own code set and its own payer logic, so a vendor doing both credibly is genuinely useful to a group that spans them, and rare.
Limitation: it publishes nothing on coder credentials, pricing, delivery location, or certifications, which is the least verifiable profile here.
6. Neolytix
Best for: smaller practices that want their existing coding audited before deciding anything.
Pricing: Not publicly listedModel: Outsourced serviceScope: Coding audit, billing, credentialingCompliance: ISO 27001 certified
Neolytix sells coding audit as a named service rather than only coding delivery, which is the cheapest useful thing a practice suspecting a coding problem can buy. It reports 270 or more organizations across 31 specialties and 40 states, with explicit small-practice and mid-market tiers, and is ISO 27001 certified with HIPAA compliance stated. Auditing first and outsourcing second is the sequence that avoids replacing a coder when the actual problem was documentation.
Limitation: coder credentials aren't itemized and no pricing is published, so both the audit and any ongoing work need quoting.
7. Staffingly
Best for: practices wanting coding capacity at a flat weekly cost with documented security certifications.
Pricing: $399/wk at 45 hrsModel: Staffing, per weekVolume: $349 at 5+, $299 at 10+Compliance: SOC 2 Type II, ISO 27001
Staffingly places coders at $399 a week per full-time equivalent at 45 hours, falling to $349 at five or more and $299 at ten or more, alongside billing, prior authorization, and front office staffing. Its compliance disclosure is the most detailed here, naming SOC 2 Type II, ISO/IEC 27001:2022, a signed business associate agreement, and a $5 million errors and omissions and cyber policy, with delivery from stated secured facilities in India, Pakistan, and Bangladesh.
Limitation: the workflow is AI-assisted with a person verifying output rather than fully human, which needs careful thought for code assignment specifically.
Should you choose staffing coders, outsourcing coding, or coding software?
Staffing a coder at $10.00 to $12.65 an hour, or $299 to $399 a week, gives you a person on your documentation who can query your providers directly. Accuracy stays your risk, so it works when you have someone internally competent to review, and fails when nobody does.
Outsourcing coding to a firm that owns the output buys you an accuracy commitment and usually a quality process behind it. The thing to check is how accuracy is measured, because a vendor auditing its own work to its own sample method can report a high number indefinitely. Ask for the audit methodology and whether an independent review is permitted.
Computer-assisted coding sits alongside both rather than replacing them. It suggests codes from the documentation and a coder validates, which raises throughput on routine encounters and does little for the complex ones where the money and the risk are. Several firms here describe AI-assisted workflows, so you may be buying this whether you shopped for it or not. That's fine, but ask who reviews the machine's output and what they're qualified in, because the answer to that question is the whole quality story.
Who verified the credentials of the coders doing your medical coding?
- Coders whose credentials nobody has verified, producing output that looks identical to certified work.
- Accuracy rates measured by the vendor against its own sampling method.
- Upcoding drift, where severity creeps upward and the practice signs every claim.
- Undercoding, which is quieter, never audited, and costs real revenue every month.
- Provider queries that stop happening because the coder is a time zone away.
- Specialty guidance applied generically, in particular in surgery, oncology, and behavioral health.
- AI-suggested codes validated by someone unqualified to overrule them.
- Coding volume priced inside a percentage of collections it has no relationship to.
- No audit trail linking a code to the person who assigned it.
How much does outsourced medical coding cost?
Three published figures anchor the market: $10.00 to $12.65 an hour for a staffed coder, $299 to $399 a week per full-time equivalent, and 3% to 5% of monthly collections for a bundled outsourced service that includes coding. The remaining four firms quote on request, and coding-only work is often priced per chart or per encounter rather than by time.
Ask for a per-chart price even from vendors who lead with something else, because it's the only unit that lets you compare a coder's hourly cost against an outsourced quote. Take your monthly encounter volume, divide the staffing cost by it, and you have your current cost per chart to hold quotes against. Where a vendor prices coding inside a percentage of collections, note that you're paying more for the same coding work as your revenue grows, which makes that structure a poor fit when coding is the only thing you're buying. Rates move, so confirm before you sign.
Which medical coding credentials should a company name, and who checks them?
- Which credentials the coders hold, named specifically, and who verifies them.
- Whether outpatient, inpatient, and documentation improvement work are separately covered.
- How accuracy is measured, by whom, and whether independent audit is allowed.
- Specialty experience in yours, tested with your own hardest chart.
- How provider queries reach your clinicians, and how fast.
- Whether AI suggests codes, and who validates them.
- A per-chart or per-encounter price you can compare.
- An audit trail linking each code to the person who assigned it.
- A signed BAA and the safeguards behind it.
Should you audit your own medical coding before you shop?
- Audit a sample of your current coding before you shop, so you know what you're fixing.
- Separate the problem: documentation quality, coder capacity, or coder skill.
- Decide whether you want staffing or an accuracy commitment.
- Ask every vendor for credentials in writing, by name of credential.
- Send your hardest real chart, de-identified, as a test.
- Get a per-chart price from everyone.
- Agree the query process with your clinicians before go-live.
- Start with one service line and audit the first month independently.
- Review accuracy and denial impact at 90 days before widening.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording what it states about coder credentials, which coding work it covers, purchase model and any published price, stated delivery location, and stated compliance. Coding guidance comes from the Centers for Medicare & Medicaid Services. Where a firm doesn't itemize credentials, the entry says "not itemized" rather than assuming either way, and figures a company reports about itself are labeled company-reported. GeBBS Healthcare Solutions is a significant coding provider and was left out because its site blocks automated retrieval, so nothing could be verified from source.
Related coding guides
If staffing is the likely route, our virtual medical coder page sets out scope and credentials.
For what the role involves day to day, see our day in the life of a medical coder guide.