Last updated: 2026-08-21
Honest Taskers, Transcure, and AGS Health lead this year's shortlist of medical coding outsourcing companies, seven firms ranked on which coding work each one covers, what it publishes about credentials, how accuracy is measured, purchase model and price, and stated delivery location. The practice signs the claim whoever assigns the code, so this list is built around audit exposure rather than throughput. Below we set out whether the three kinds of coding are staffed separately, what happens to your audit history when a vendor's pattern drifts, what a chart costs, whether you may audit their sampling, and which baseline to establish 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 publish no accuracy target because we staff coders rather than owning coding output.
At a glance
- 1Honest Taskers
- 2Transcure
- 3AGS Health
- 4Neolytix
- 5Omega Healthcare
- 6Staffingly
- 7Medusind
On this page
- How we chose these companies
- Companies compared
- The 7 companies
- Are outpatient, inpatient and risk adjustment outsourced separately?
- What happens to your audit history when outsourced coding drifts?
- What does coding outsourcing cost per chart?
- May you audit the outsourcing firm's accuracy sampling yourself?
- Which baseline should you audit before outsourcing coding?
- Methodology and sources
How we chose these companies
Every claim your practice submits carries an attestation, and it's yours regardless of who selected the codes. That single fact should shape how this decision gets made, and it usually doesn't. Vendors compete on turnaround and accuracy percentages; the question that matters more is whether the person coding your charts is qualified to make the judgement calls in your specialty, and whether you'd be able to defend the pattern if a payer audited two years of it.
So we compared which coding work each firm covers first, then what it publishes about credentials, then how accuracy is measured and by whom, then purchase model and price, then stated delivery location. Coding sold as one service is three different jobs: outpatient professional coding, facility and inpatient coding, and risk adjustment or quality-driven coding. Firms rarely say which they do best.
Only one firm here publishes a coder credential, and it's the same firm that publishes a rate. The rest describe coding as a service line and leave credentials to the sales conversation, which is a reasonable place to settle it as long as you ask. The coding guidance all of them work to is published by the Centers for Medicare & Medicaid Services, and a vendor should be able to tell you which specialty guidance its coders are trained against without hesitating.
On accuracy claims, treat any percentage as a starting question rather than a finding. Ask who sampled, how many charts, whether the sample was random, and whether you may commission an independent audit of the same period. A firm confident in its quality process says yes to the last one. 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 | Coding work covered | Coder credentials (as stated) | Accuracy commitment | Purchase model and price | Delivery location (as stated) |
|---|---|---|---|---|---|
| Honest Taskers | Abstraction and code assignment in your system | Recruited to your stated requirements; you interview and verify | None published; accuracy stays with the practice | Staffing, $10.00 to $12.65/hr | Philippines, Latin America, India and Pakistan recruiting, US managed |
| Transcure | Coding, coding audit, MIPS reporting | AAPC-certified billers and coders; 1,100+ staff (company-reported) | Not published as a figure | Outsourced service, 3% to 5% of monthly collections | Offices in Texas, New Jersey, Florida |
| AGS Health | Coding, clinical documentation improvement, denials | Not itemized | Not published as a figure | Outsourced service, not publicly listed | US headquarters Washington DC; delivery center Chennai, India |
| Neolytix | Coding audit, coding within practice services | Not itemized | Not published as a figure | Outsourced service, not publicly listed | Not publicly listed; headquarters Chicago |
| Omega Healthcare | Coding, billing, denials, health data curation | Not itemized | Not published as a figure | Outsourced service, not publicly listed | US headquarters Boca Raton; hiring in Philippines, India, Colombia |
| Staffingly | Coding, billing, prior auth | Not itemized | Not published; AI-assisted with human verification | Staffing, $399/wk at 45 hrs; $349 at 5+; $299 at 10+ | India, Pakistan, Bangladesh (company-stated secured facilities) |
| Medusind | Medical and dental coding, billing, credentialing | Not itemized | Not published as a figure | Outsourced service, not publicly listed | Not publicly listed |
1. Honest Taskers
Best for: practices that want to verify the coder's credentials themselves and keep queries flowing directly to their clinicians.
Pricing: $10.00 to $12.65/hrModel: Managed staffingScope: Abstraction and code assignmentFirst hire: Two-week working trial
Honest Taskers places a coder into your practice instead of routing your charts into a coding pool, which changes two things that matter for audit exposure. You interview the candidate and confirm credentials and specialty background before hiring, rather than accepting a general assurance about a team you'll never meet. And because the coder works your hours inside your EHR, provider queries go straight to the clinician who wrote the note, which is where most coding accuracy is won.
Recruiting is in the Philippines, Latin America, India and Pakistan under US-based management, with staff working the client's US time zone. 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. Rates run $10.00 to $12.65 an hour with a two-week working trial on the first hire and unlimited replacement support. See the virtual medical coder service for scope.
Limitation: we publish no accuracy figure and offer no coding audit product or indemnity, because staffing leaves coding accuracy with the practice. If nobody internally can review coded output, buy from a firm that owns it.
2. Transcure
Best for: practices that want named certified coders and an audit service from the same vendor.
Pricing: 3% to 5% of monthly collectionsModel: Outsourced serviceScope: Coding, audits, MIPSCompliance: ISO 27001
Transcure is the only firm on this list to publish a coder credential, reporting AAPC-certified billers and coders across a team of more than 1,100, and the only one publishing a rate, at 3% to 5% of monthly collections. It sells coding audit and MIPS reporting alongside coding, which is the useful sequence when you suspect a problem: measure the current state, then decide whether to replace the coder or fix the documentation. 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 chart volume, which is the wrong unit if coding is all you're buying.
3. AGS Health
Best for: larger organizations that need documentation improvement alongside coding.
Pricing: Not publicly listedModel: Outsourced serviceScope: Coding, CDI, denials, prior authDelivery: Chennai, India
AGS Health covers coding, clinical documentation improvement, denials, prior authorization, provider enrollment and credentialing with an AI-assisted workflow, naming clients including Banner Health and Baylor Scott & White. The documentation improvement capability is why it ranks this high: most coding disputes trace back to a note that didn't support the code, and a vendor working both ends can fix the cause rather than the symptom. It publishes a US headquarters in Washington DC and a delivery center in Chennai, India.
Limitation: coder credentials aren't itemized, no SOC 2, ISO or HITRUST certification is named, and it's built for health systems rather than practices.
4. Neolytix
Best for: practices that should audit before they outsource.
Pricing: Not publicly listedModel: Outsourced serviceScope: Coding audit, coding, credentialingCompliance: ISO 27001 certified
Neolytix sells coding audit as a named service, which is the cheapest genuinely useful purchase in this category and the one most practices skip. 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. An audit first tells you whether your problem is undercoding leaving money behind, overcoding building exposure, or documentation that supports neither, and those three problems have different solutions.
Limitation: coder credentials aren't itemized and nothing is published on price, so the audit itself has to be quoted.
5. Omega Healthcare
Best for: organizations with quality reporting or risk adjustment obligations alongside routine coding.
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, covering revenue cycle management, health data curation, care coordination, and payer operations. Health data curation next to coding is the reason it belongs here: when coded data has to serve quality measures and risk adjustment as well as claims, a vendor treating those as one dataset rather than three projects is a genuine advantage.
Limitation: its about page publishes no coder credentials, no pricing, and no HIPAA statement or named certification, so all three need requesting.
6. Staffingly
Best for: practices wanting flat weekly coding capacity with the clearest published security disclosure.
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, dropping to $349 at five or more and $299 at ten or more, and publishes the most detailed compliance position here: 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. For predictable capacity on high-volume routine coding, the flat weekly unit is easy to plan against.
Limitation: it states an AI-assisted workflow with a person verifying output, so establish exactly who validates a suggested code and what they hold before using it on complex charts.
7. Medusind
Best for: groups needing 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, naming 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 a separate code set and separate payer logic, so a single vendor credibly covering both is worth something to a group that spans them.
Limitation: it publishes nothing on credentials, accuracy, pricing, delivery location, or certifications, which places it last on a list sorted by what can be verified.
Are outpatient, inpatient and risk adjustment outsourced separately?
They are three different purchases and staffing them as one is where this goes wrong. Outpatient professional coding is the highest-volume and most standardised of them: office visits, procedures, and diagnostics, coded from a note that's usually short. This is where offshore delivery works best and where per-chart pricing makes the most sense.
Facility and inpatient coding is a different skill, involving longer records, sequencing decisions, and severity capture that materially change reimbursement. The coder needs deeper training and closer access to clinicians, and a vendor strong at outpatient volume does not automatically qualify a firm here. Ask specifically, and ask about the credential that applies.
Risk adjustment and quality coding is different again, driven by capture of chronic conditions across a year rather than by a single encounter. It rewards a vendor that treats coded data as an asset feeding several reporting obligations, which is why the firms offering health data curation are the ones to look at if this is your world. Buying one vendor for all three is possible; assuming one vendor is equally good at all three is where practices get caught.
What happens to your audit history when outsourced coding drifts?
It becomes your audit history, because the practice signs every claim whoever assigned the code. That is why this list is built around audit exposure rather than throughput.
- The practice signs every claim, so a vendor's coding pattern becomes the practice's audit history.
- Accuracy percentages produced by the vendor's own sampling, with no independent review permitted.
- Undercoding, which never triggers an audit and quietly costs revenue every month.
- Severity drift upward, which does trigger audits, sometimes years later.
- Outpatient-strength vendors coding inpatient records without the right credential.
- Provider queries dying in a queue because the coder can't reach a clinician.
- AI-suggested codes signed off by someone unqualified to disagree with them.
- Specialty guidance applied generically in surgery, oncology, and behavioral health.
- No audit trail tying a code to the individual who assigned it.
What does coding outsourcing cost per chart?
Work out your own cost per chart before taking any quote, because coding-only engagements are frequently priced that way. Published figures here are $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 service. Four firms publish nothing, and coding-only engagements are frequently priced per chart or per encounter.
Work out your own cost per chart before you take a quote: divide what you currently spend on coding by your monthly encounter volume. That single number turns three incompatible pricing models into one comparison, and it usually shows that the cheapest quote per chart is not the cheapest vendor once you add the audit you'll need to run over its first quarter. Budget for that audit explicitly. It's a few hundred dollars against a coding pattern that could sit in your claims history for years, which makes it the best-value line in this entire purchase. Rates move, so confirm before you sign.
May you audit the outsourcing firm's accuracy sampling yourself?
Ask before signing, because an accuracy percentage produced by the vendor's own sampling with no independent review permitted is a number about their process rather than your claims.
- Which credentials the coders hold, and whether you can verify them individually.
- Whether outpatient, inpatient, and risk adjustment work are separately staffed.
- Who samples for accuracy, how, and whether you may audit independently.
- Specialty experience tested against your own hardest chart.
- How a provider query reaches your clinician, and within what time.
- Whether AI suggests codes, and who is qualified to overrule it.
- A per-chart price, whatever else the vendor leads with.
- An audit trail linking each code to a named individual.
- A signed BAA and the specific safeguards behind it.
Which baseline should you audit before outsourcing coding?
A sample of your current coding, so you know whether the problem is documentation quality, coder skill or coder capacity before you buy any of the three.
- Audit a sample of your current coding so you have a baseline and know the problem.
- Separate documentation quality from coder skill from coder capacity.
- Decide whether you want capacity or an accuracy commitment.
- Ask each vendor which credentials its coders hold, by name.
- Send a de-identified complex chart as a live test.
- Get a per-chart price from everyone.
- Agree the query route with your clinicians before go-live.
- Start with one service line and audit the first month independently.
- Review accuracy, denial rate, and revenue impact at 90 days.
Methodology and sources
We verified each company at its own website on August 21, 2026, recording which coding work it covers, what it states about coder credentials, any published accuracy commitment, purchase model and price, and stated delivery location. Coding guidance comes from the Centers for Medicare & Medicaid Services. Where credentials or accuracy figures aren't published, the entry says so 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
For scope and credentials on a staffed coder, see our virtual medical coder page.
If you're weighing certification questions, our how to become a medical coder guide sets out what the credentials mean.