Top 10 Medical Billing Companies in USA

The healthcare landscape demands efficiency and accuracy in medical billing and coding. Choosing the right partner for these services can significantly impact your practice's revenue cycle management (RCM) and overall financial health.

According to Grandview Research, The U.S. medical billing outsourcing market reached approximately USD 5.75 billion in 2023 and is growing at a CAGR of 11.79% from 2024 to 2033, reaching USD 17.53 billion. Of these, 47% of the contribution comes from hospitals. 

This growth underscores the increasing importance of reliable billing and coding services to maximize reimbursement rates and ensure claims are processed swiftly and correctly.

With so many options available, selecting the best billing and coding company can be overwhelming. To make your decision easier, we’ve curated a list of the top 10 billing and coding companies, each offering a range of services designed to optimize revenue, reduce claim denials, and improve the financial outcomes of your practice or healthcare organization.

Before we jump right in, here’s a quick comparison table for you: 

1. RapidClaims.Ai: AI-Driven Medical Coding & Billing Solutions

RapidClaims.Ai revolutionizes medical billing and coding with its AI-powered platform, designed to provide 100% autonomous coding with minimal setup time. Offering seamless integration with your existing tech stack, it enhances accuracy, compliance, and efficiency for healthcare providers across all specialties.

Key Features:

• Autonomous AI Coding eliminates manual input by auto-generating ICD, CPT, HCC, and E&M codes with audit-trail-backed accuracy.
• RapidAssist enhances coder efficiency by providing real-time code recommendations, reducing errors, and improving claim approvals.
• RapidRisk proactively identifies missing conditions, optimizes RAF scores, and provides comprehensive patient insights for accurate risk assessment.
• Automated updates ensure coding aligns with the latest payer-specific regulations, reducing denials by up to 70 percent.
• Works with all major EHRs with minimal setup time, allowing real-time claims processing without workflow disruptions.
• The platform is HIPAA-compliant, with encrypted data stored onshore in the U.S., ensuring the highest level of security and full adherence to the latest ICD, CPT, and E&M guidelines.

RapidClaims pre-validates claims before submission, reducing payer rejections and accelerating reimbursement timelines. Its AI-driven approach enhances coding accuracy, ensures compliance, and streamlines claims processing, making it an ideal choice for healthcare organizations seeking to optimize revenue cycle management.

2. DrChrono: Revolutionizing Billing for Telemedicine and Hospitals

DrChrono is particularly well-suited for telemedicine providers and large hospital systems. This platform offers a range of services designed to simplify billing, coding, and medical record-keeping, making it easier for practices to manage their revenue cycles. DrChrono integrates with EHR (Electronic Health Record) systems, providing a seamless billing experience.

Key Features:

• DrChrono specializes in insurance verification, claim processing, and patient billing, ensuring that practices are paid quickly and accurately.
• The system includes advanced reporting and analytics tools, which help medical professionals make data-driven decisions to optimize their billing processes.
• This platform is known for its scalability, making it ideal for practices of all sizes, including telehealth providers who need flexible, mobile-friendly solutions.

DrChrono is ideal for telemedicine providers and hospitals, integrating seamlessly with EHR systems for efficient billing, coding, and revenue management. 

For healthcare providers looking for integrated, cloud-based billing and coding solutions, DrChrono offers a robust option.

3. Tebra: Simplifying Billing and Coding for Medical Practices

Tebra, founded in 2004, is a leading name in the healthcare billing and coding industry, offering a user-friendly platform designed to simplify healthcare management. Their comprehensive suite of services caters to a wide range of medical practices, from solo practitioners to large medical groups, hospitals, and urgent care centers.

Key Services:

• Tebra provides a wide range of services, including claim submissions and review, coding, insurance verifications, payment processing, and detailed reporting, making them a reliable partner for healthcare providers looking for streamlined revenue cycle management.
• Their automated billing workflows and real-time analytics help practices optimize revenue and reduce administrative burdens, ensuring a smooth and efficient billing process.

Countries Served: Tebra serves healthcare providers across the USA and UK, making it an ideal choice for practices seeking a global billing solution.

4. NextGen Healthcare: Comprehensive Solutions for Billing and Coding

NextGen Healthcare is known for providing an extensive range of services designed to streamline billing and coding processes for healthcare providers. From A/R recovery to payment posting and patient statements, NextGen Healthcare delivers everything you need to manage your revenue cycle efficiently.

Key Features:

• NextGen offers services like A/R recovery, coding, payment posting, and patient statements, making them a trusted choice among top medical billing companies.
• The company is renowned for its high reimbursement rates, a crucial factor for healthcare providers looking to optimize their financial performance.
• With a large team of billing experts, NextGen Healthcare ensures that each claim is processed accurately and promptly, reducing the chances of errors and delays.

NextGen Healthcare’s broad range of services, combined with its expertise in billing and coding, makes it one of the top medical billing companies that healthcare organizations can rely on for efficient revenue cycle management.

5. Athenahealth: A Cloud-Based Approach to Billing and Coding

Athenahealth is a renowned name in the world of medical billing and coding. With a comprehensive suite of services, Athenahealth supports healthcare organizations in streamlining their billing processes and improving patient engagement. The company’s innovative cloud-based platform enables seamless medical claim processing, insurance verification, and denial management.

Key Features:

• Athenahealth is highly favoured by health centres, medical groups, and hospitals due to its robust billing and coding capabilities.
• The platform integrates patient engagement tools, allowing for easier communication between healthcare providers and patients and enhancing the billing experience.
• With services like medical claim processing, patient billing, and revenue cycle management (RCM), Athenahealth helps practices achieve better reimbursement rates and reduce billing delays.

For hospitals and physician groups seeking modern solutions to medical billing, Athenahealth’s cloud-based platform is a game-changer.

6. AdvancedMD: Customized Billing and Coding Solutions

AdvancedMD offers a comprehensive suite of services that focus on improving the efficiency of medical billing, coding, and revenue cycle management. With a focus on integration and personalization, AdvancedMD provides customized solutions to meet the unique needs of healthcare practices.

Key Features:

• AdvancedMD excels in claim management, processing, payment posting, and revenue cycle analysis, which are essential for increasing revenue and improving claim accuracy. This makes them one of the top billing and coding companies in the industry.
• The platform seamlessly integrates with practice management and EHR systems, making it easier to manage all aspects of the revenue cycle from one platform.
• AdvancedMD offers personalized pricing bundles, allowing healthcare providers to select the services they need without paying for unnecessary features.

AdvancedMD stands out as one of the best billing and coding companies for healthcare practices looking for tailored solutions with robust integration capabilities.

7. CareCloud: Real-Time Analytics for Improved Billing Performance

CareCloud provides an all-encompassing solution for healthcare billing and revenue cycle management. With a cloud-based platform, CareCloud offers real-time analytics, ensuring that your practice can make quick, informed decisions about billing and coding processes. Their billing services are designed to reduce A/R (accounts receivable) and increase collections for practices of all sizes.

Key Features:

• CareCloud’s platform offers detailed insights into billing performance, making it easier to track trends and identify areas for improvement, which is a critical feature for any leading billing and coding company.
• The company’s telehealth billing services ensure you can handle the increasing demand for remote healthcare services at your practice.
• CareCloud claims to significantly reduce A/R and increase collections, making it a highly reliable partner for healthcare providers.

If your practice needs real-time analytics and streamlined billing services, CareCloud offers a powerful solution that helps you maximize revenue and improve billing accuracy, standing out among top billing and coding companies.

8. MediBillMD: Tailored Solutions for Healthcare Practices of All Sizes

MediBillMD stands out as a leader in the medical billing and coding industry, offering comprehensive services that cater to healthcare practices of all sizes, from small clinics to large hospitals. With a strong focus on delivering tailored solutions, MediBillMD helps practices enhance their billing efficiency and revenue collection.

Key Features:

• MediBillMD claims to increase revenue by 10-15% through optimized billing strategies.
• Their dedication to maintaining accounts receivables (A/R) under 30 days ensures that your practice’s cash flow remains strong.
• The company boasts a remarkably clean claims rate of 98% and a first-pass ratio of 97%, reducing the need for rework and ensuring that claims are processed smoothly and quickly.
• HIPAA-compliant, MediBillMD provides end-to-end services, covering medical coding, charge entry, payment posting, A/R recovery, denial management, and medical credentialing.

For healthcare providers looking for reliable and efficient billing and coding companies, MediBillMD offers an excellent balance of performance and customer service, making them a top choice in the industry. The going rate for outsourced medical billing services is between 4% and 10% of net monthly collections. MediBillMD, charges 2-5%.

9. ReveleMD: A/R and Denial Management Experts

ReveleMD specializes in A/R management, denial management, and healthcare analytics, providing tailored services that meet the specific needs of healthcare practices. This company stands out for its customized solutions and partnership with eClinicalWorks to offer seamless EHR integration, allowing you to manage your revenue cycles more effectively.

Key Features:

• ReveleMD’s focus on A/R and denial management helps ensure that claims are processed accurately and paid on time, improving cash flow for healthcare providers. These features are common among the best billing and coding companies in the USA.
• The company works closely with practices to develop tailored solutions that suit their individual needs, enhancing the overall efficiency of the billing and coding process.
• ReveleMD’s collaboration with eClinicalWorks offers integrated EHR capabilities that streamline coding and billing processes, improving overall workflow and reducing claim denials.

For medical billing companies and healthcare organizations seeking specialized A/R management and denial solutions, ReveleMD offers the expertise and tools necessary to improve billing outcomes.

10. Cerner Corporation: A Trusted Name in Billing and Coding

Cerner Corporation is a global leader in healthcare technology, and its medical billing and coding services are no exception. Known for its advanced healthcare solutions, Cerner Corporation integrates billing, coding, and revenue cycle management into one seamless platform, helping healthcare providers improve their financial health.

Key Features:

• Cerner provides end-to-end billing and coding services, ensuring that practices can rely on a single platform for all their revenue cycle needs.
• The company offers robust A/R management, coding accuracy, and payment posting, which help to reduce delays and improve reimbursement rates for clients.
• Cerner’s global presence and large customer base make it one of the most trusted names among top medical billing companies.

Cerner Corporation’s all-inclusive approach to billing and coding makes it an excellent choice for healthcare organizations looking for a comprehensive, reliable partner.

Conclusion

When it comes to improving your practice’s revenue cycle management, selecting a reliable billing and coding company is essential. The top medical billing companies on this list provide comprehensive, high-quality services designed to streamline your billing processes, reduce errors, and maximize reimbursement rates.

By considering factors like pricing, customer service, expertise, and technology, you can choose a medical billing company that best suits the needs of your healthcare organization. Whether you're a hospital, physician group, medical billing company, ACO, IDN, MSO, or IPA, partnering with one of these leading companies can significantly improve your billing processes and help ensure the financial health of your practice.

For healthcare organizations seeking AI-powered automation, pre-validated claims, and seamless EHR integration, RapidClaims provides an intelligent solution to reduce denials, optimize risk adjustment, and accelerate reimbursements. With a secure, scalable platform, it helps providers achieve higher coding accuracy and compliance with evolving payer regulations.

To see how AI-driven medical coding can transform your revenue cycle management, Contact us today!

Frequently Asked Questions (FAQs)

1. What is Healthcare Revenue Cycle Management (RCM)?

Revenue Cycle Management (RCM) is the financial process that healthcare providers use to manage patient revenue from the initial appointment to the final payment. It includes insurance verification, medical coding, claims submission, denial management, and payment collection. RCM software helps automate these processes, reducing administrative burdens and improving reimbursement rates.

2. How does RCM software improve medical billing efficiency?

RCM software streamlines medical billing by automating claim submissions, detecting coding errors, ensuring payer compliance, and reducing claim denials. Advanced AI-driven RCM solutions like RapidClaims pre-validate claims, optimize risk adjustment, and enhance coding accuracy, leading to faster reimbursements and fewer billing errors.

3. What are the common challenges in revenue cycle management?

Some of the biggest challenges in RCM include:

• Claim denials due to coding errors or missing documentation
• Delayed reimbursements from insurance companies
• Compliance issues with evolving payer regulations
• High administrative workload leading to inefficiencies
• Patient payment challenges due to unclear billing statements

AI-driven RCM solutions help healthcare providers overcome these issues by automating coding validation, improving documentation accuracy, and ensuring real-time payer compliance.

4. What are the key features to look for in RCM software?

When selecting an RCM solution, healthcare providers should look for:

• Automated coding & compliance checks (ICD, CPT, HCC, E&M)
• Claim validation & denial management
• Seamless EHR and billing system integration
• Advanced reporting & analytics for revenue tracking
• HIPAA-compliant security & data encryption
• Scalability to support growing patient volumes

Platforms like RapidClaims leverage AI-driven coding automation, risk adjustment, and pre-validation tools to enhance revenue cycle efficiency.

5. How does AI-powered medical coding reduce claim denials?

AI-powered medical coding solutions use machine learning and natural language processing (NLP) to analyze clinical documentation and generate accurate medical codes. This reduces errors, ensures compliance with payer rules, and cuts claim denials by up to 70 percent.

RapidClaims automates this process by providing real-time code recommendations, pre-submission validation, and audit-trail-backed accuracy.

6. What is the difference between cloud-based and on-premise RCM software?

• Cloud-based RCM software is hosted on external servers, offering remote access, automatic updates, and lower IT maintenance costs.
• On-premise RCM software requires in-house infrastructure, offering more control but higher maintenance costs.

RapidClaims is a cloud-based AI-driven solution that ensures scalability, security, and seamless integration with existing healthcare systems.

7. How can healthcare providers reduce A/R days with RCM software?

Aging accounts receivable (A/R) is a major financial challenge for healthcare organizations. RCM software helps by:

• Automating patient reminders for outstanding balances
• Providing real-time claim tracking to identify pending reimbursements
• Using AI-driven denial prevention tools to speed up approvals

AI-driven platforms like RapidClaims accelerate the revenue cycle by optimizing coding accuracy and payer compliance.

8. What is the best RCM software for small vs. large healthcare organizations?

• For small practices: Solutions with scalability, automation, and low overhead costs are ideal.
• For large hospitals & health systems: AI-powered automation, risk adjustment coding, and real-time compliance monitoring are essential.

RapidClaims is designed to serve both small and large healthcare organizations with AI-driven medical coding, claims management, and revenue optimization.