About
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
98.5%
clean claim rate
1.5%
Avg Denial Rate
<20
Days A/R Average
500+
Practices Served
Our Story
We didn't start as a
software company.
MedCods was founded by certified billing specialists — people who spent years in the trenches of medical billing, credentialing, and revenue cycle management. We lived the problem firsthand: denial rates creeping past 10% with no clear path to fixing them. Prior authorization queues that consumed 15 hours of staff time every week. Billing vendors who delivered slick dashboards but never answered the phone when claims stalled.
We watched practices lose hundreds of thousands of dollars — not because they saw fewer patients, but because the billing infrastructure around them was broken. A credentialing lapse here. An uncaught modifier error there. Claims denied, never resubmitted, quietly written off forever.
So we built what we wished had existed. A platform designed around how payers actually behave, not how they say they behave in their provider manuals. An AI engine built on 3 million real-world payer rules, not generic coding logic. And an account manager model based on a simple belief: billing expertise cannot be replaced by a ticketing system.
“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
Service Coverage
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.
Why MedCods
We are billers first,
software second.
Unlike platforms built by software engineers who later hired billers, MedCods was built from the ground up by certified coding specialists. That origin shapes every decision we make.
What We Stand For
Six principles behind
every decision we make
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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
HOW IT WORKS
Your Revenue Cycle, End-to-End
Five integrated stages — from patient scheduling to payment posting — working as one connected system, not a patchwork of disconnected tools.
Service Coverage
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.
- Clinical Specialties
Cardiology Billing
Radiology Billing
Orthopedics Billing
Oncology Billing
Mental Health Billing
Behavioral Health
OB/GYN Billing
Anesthesiology
Pathology Billing
Dermatology
Family Practice
Emergency Medicine
- Core RCM Services
Revenue Cycle Management
Medical Billing Services
Insurance Eligibility
Insurance Eligibility
Prior Authorization
Claim Scrubbing
A/R Management
A/R Management
MIPS Reporting
Coding Compliance
- Practice Types Served
Multi-Specialty Groups
Independent Physicians
Billing Companies
Central Billing Offices
Imaging Centers
ASCs
Telehealth Practices
Urgent Care Center
Hospital Systems
Behavioral Health Groups
Frequently Asked
Common Questions
How quickly can MedCods reduce my denial rate?
Most practices reach a denial rate under 2% within 90 days of switching to MedCods. The MAXIMUS AI Engine begins catching pre-submission errors from day one of onboarding. Root-cause analytics then identify systemic issues over the first 30–60 days to prevent recurring denials. The industry average denial rate is 11.8% — our clients average 1.5%.
Does MedCods integrate with my existing EHR system?
Yes. MedCods integrates with 40+ EHR systems via HL7, FHIR, and direct APIs — including Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, and more. There is no rip-and-replace required. We sit on top of what you already use.
How is MedCods priced — are there setup fees or contracts?
MedCods is priced as a percentage of collections — meaning we only earn when you get paid. There are no setup fees, no hardware costs, and no long-term contracts required. This aligns our incentives with yours: maximizing your collections is how we succeed.
What specialties does MedCods support?
MedCods supports 30+ specialties with purpose-built billing modules, including cardiology, radiology, orthopedics, oncology, mental and behavioral health, OB/GYN, anesthesiology, pathology, dermatology, family practice, emergency medicine, and more. Each module includes specialty-specific CPT code sets, payer contract rules, and denial workflows.
Can MedCods handle multi-location or multi-provider practices?
Yes. MedCods Enterprise supports unlimited providers, locations, and tax IDs from a single management dashboard. Billing companies can manage multiple client practices — each with white-label reporting — from one platform. CBOs and large physician groups get portfolio-level analytics with drill-down to individual provider and claim level.
How does MedCods credentialing differ from standard payer enrollment?
MedCods manages the full credentialing lifecycle — CAQH profile setup, primary source verification, PECOS Medicare enrollment, Medicaid enrollment, commercial payer applications, and re-credentialing — with proactive status tracking and deadline management. We complete credentialing 40–60 days faster than the industry standard 120-day average, directly reducing uncollectable revenue during the enrollment gap.
What happens when a claim is denied?
The moment a denial is received via ERA/835, MedCods automatically detects it, categorizes it by reason code, and fires a dashboard alert. The claim is routed to the correct appeal workflow based on denial type and payer. High-dollar or clinically complex denials are escalated to AAPC-certified coders who prepare and file the appeal on your behalf. Every deadline is tracked and every status is visible in your dashboard in real time.
Start Within 72 Hours
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.