Built by Billers, for Healthcare

We exist to make sure
every dollar you earn
actually reaches you.

MedCods was founded by certified billing specialists who watched practices lose millions to billing errors, silent credentialing lapses, and prior auth delays. We built the platform we wished had existed — and it changed everything.

500+

Practices nationwide trusting MedCods

30+

Medical specialties served

+35%

Average revenue increase within 6 months

98.5%

First-pass clean claim rate
med

98.5%

clean claim rate

1.5%

Avg Denial Rate

<20

Days A/R Average

500+

Practices Served

We didn't start as a
software company.

“The average practice loses 15–20% of its earned revenue to billing errors, denials that are never appealed, and credentialing gaps that go undetected for months. We built MedCods to make that number zero.”

 

— MedCods Founding Team
 

Comprehensive RCM — Every Specialty, Every Workflow

MedCods serves 30+ specialties with purpose-built billing modules, each carrying specialty-specific CPT code sets, payer contract rules, and denial workflows.

Transparency Over Everything

Every metric your practice produces is visible in real time. Denial rates, A/R aging, coding accuracy, collection forecasts — no surprises, no quarterly reports that are already three months stale.

Partners, Not Vendors

We price as a percentage of collections, so we only earn when you earn. Every account manager is AAPC-certified and assigned to your practice personally — not rotated through a support queue.

 

AI Built on Real Billing Intelligence

The MAXIMUS AI Engine was trained on how payers actually behave — 3M+ rules derived from real claims, real denials, and real adjudication patterns — not textbook coding guidelines.

We are billers first,
software second.

MAXIMUS AI: 3M+ Payer-Specific Rules

Not a generic coding engine. MAXIMUS was built on real payer adjudication behavior — modifier rules, bundling edits, LCD/NCD policies, and fee schedules specific to each payer and specialty.

One Named Account Manager Per Practice

Every MedCods client has a dedicated AAPC-certified specialist who knows your specialty, your payer mix, and your billing history. Reachable by phone — not through a ticketing queue.

Aligned Pricing: We Win When You Win

Percentage of collections only. No setup fees, no hardware costs, no long-term contracts. Our revenue grows only when your collected revenue grows — full alignment from day one.

5–7 Day Onboarding, No Disruption

MedCods integrates with 40+ EHR systems via HL7, FHIR, and direct API. No rip-and-replace. Most practices are fully live within one week — with their account manager leading every step.

Six principles behind
every decision we make

01

Revenue You Earned Belongs to You

Every dollar a provider bills for care they have already delivered is earned revenue. Losing it to preventable billing errors, missed appeals, or credentialing lapses is a failure we take personally. Our goal is a 0% preventable revenue loss rate.

02

No Surprises, No Hidden Numbers

Practices deserve full visibility into exactly what is happening with their claims, their denials, thei A/R, and their collections — in real time, not in a monthly PDF delivered two weeks late. Transparency is non-negotiable.

 

03

Human Expertise at the Center

AI handles the volume. Humans handle the judgment. AAPC-certified coders review every complex claim, prepare every appeal, and make the calls that require clinical and coding expertise that no algorithm can replace alone.

04

Innovation That Serves Patients

We build AI tools — the MAXIMUS Engine, FHIR prior auth, AI clinical scribe — not for technology's sake, but because faster authorizations and fewer denials mean providers spend more time with patients and less with payers.

05

Compliance Is Not a Feature — It Is the Foundation

HIPAA, SOC 2 Type II, CMS certification, AES-256 encryption, and a BAA with every client. Compliance is not a checkbox or a marketing bullet. It is the operating standard below which we will never fall.

06

We Only Grow When Our Clients Grow

Percentage of collections pricing was not chosen for convenience — it was chosen because it makes our success inseparable from yours. We have no incentive to bill you for performance we haven't delivered. None.

Built by specialists.
Led by specialists.

Every member of the MedCods leadership team has hands-on experience in medical billing, revenue cycle management, or healthcare compliance — before building software.

Ahmad Khalid View More

Ahmad Khalid

Chief Executive Officer
 
15 years in RCM and medical billing operations. Former head of billing operations for a 40-provider multi-specialty group. Founded MedCods after experiencing the revenue cycle problem from the inside.
Sarah Mitchell View More

Sarah Mitchell

Chief Clinical Officer
 
Former director of clinical coding for a regional health system. Specialty expertise in cardiology, radiology, and behavioral health billing. Leads all clinical accuracy and compliance initiatives.
David Chen View More

David Chen

Chief Technology Officer
 
Built MAXIMUS AI from a deep billing knowledge base, not a generic coding library. 12 years in healthcare technology, with a background in payer rule systems and FHIR-based interoperability infrastructure.
 
Priya Nair View More

Priya Nair

VP, Credentialing Services
 
Managed credentialing operations for a 200-provider hospital network. Developed MedCods’ parallel submission model that cuts average credentialing timelines by 40–60 days. Expert in CAQH, PECOS, and multi-state enrollment.
 

From a billing team's
frustration to 500+ practices.

2018

The Problem Becomes Personal

Our founding team, working inside a multi-specialty billing operation, watches a newly credentialed orthopedic surgeon generate $0 in collections for 4 months due to payer enrollment errors. The cost: $480,000 in unrecoverable revenue. The trigger: MedCods begins.

2019

Expanding Through the Pandemic

As practices nationwide face billing disruption from COVID-19 telehealth rule changes, MedCods rapidly deploys telehealth billing modules and POS updates. 50 practices onboarded. Denial rate for clients holds at under 2% through the entire transition.

2020

One Named Account Manager Per Practice

Every MedCods client has a dedicated AAPC-certified specialist who knows your specialty, your payer mix, and your billing history. Reachable by phone — not through a ticketing queue.

2021

MedCods Enterprise — Billing Companies

Launch of the multi-client platform for billing companies and CBOs. White-label reporting, portfolio-wide analytics, and role-based access for unlimited clients under one login. First 10 billing company clients onboarded.

2022-23

FHIR Prior Auth & Credentialing Services

Full FHIR-based prior authorization goes live, replacing phone/fax for compliant payers. Credentialing Services division launches with parallel submission model. 200 practices served. MAXIMUS rule set expands to 2M+ entries.

2024-26

FHIR Prior Auth & Credentialing Services

Full FHIR-based prior authorization goes live, replacing phone/fax for compliant payers. Credentialing Services division launches with parallel submission model. 200 practices served. MAXIMUS rule set expands to 2M+ entries.

98.5%

Clean Claim Rate — industry avg is 85%

1.5%

Average Denial Rate — industry avg is 11.8%

97%

Net Collection Ratio

All specialties combined
35%

A/R Days Reduced

Average client result

Comprehensive RCM — Every Specialty, Every Workflow

MedCods serves 30+ specialties with purpose-built billing modules, each carrying specialty-specific CPT code sets, payer contract rules, and denial workflows.

Cardiology Billing
Radiology Billing
Orthopedics Billing
Oncology Billing
Mental Health Billing
Behavioral Health
OB/GYN Billing
Anesthesiology
Pathology Billing
Dermatology
Family Practice
Emergency Medicine
Revenue Cycle Management
Medical Billing Services
Insurance Eligibility
Insurance Eligibility
Prior Authorization
Claim Scrubbing
A/R Management
A/R Management
MIPS Reporting
Coding Compliance
Multi-Specialty Groups
Independent Physicians
Billing Companies
Central Billing Offices
Imaging Centers
ASCs
Telehealth Practices
Urgent Care Center
Hospital Systems
Behavioral Health Groups

Stop leaving revenue
on the table.

Join 500+ practices that replaced billing headaches with a system that works as hard as they do. No setup fees, no long-term contracts, no risk.