UASI

What UASI does

UASI (United Audit Systems, Inc.) is a Cincinnati-based healthcare revenue cycle management firm founded in 1984 that delivers mid-revenue cycle solutions to more than 1,100 hospital facilities and physician groups nationwide. Its portfolio spans medical coding, clinical documentation integrity (CDI), denials and revenue integrity, risk adjustment, staffing and managed services, assessments and audits, and education and training, supported by a team of 540+ nationally credentialed experts holding CCS, CCDS, CDIP, RHIA, and RN certifications. The company's go-to-market is consultative enterprise selling led by a VP of Strategic Account Management, with services delivered remotely or on-site under staff augmentation, full outsource, and interim management models.

The technology backbone centers on RAF Vue, a proprietary software tool that analyzes claims data to surface missed HCC capture opportunities and quantify RAF impact without requiring EMR integration, complemented by the UASI Academy web-based learning platform and the tiered PSI Program for patient safety and quality reporting. Documented outcomes include 96%+ third-party audited coding accuracy, Top 3 Best in KLAS recognition for outsourced coding for eight consecutive years (2018-2025), and case-study results such as $8M in financial impact for Sharp HealthCare, $24M+ opportunity identified via RAF Vue on 48,000 records, and 161% net ROI on CDI staffing engagements.

UASI operates as a privately held, founder/management-owned company (no disclosed PE/VC backing) under CEO Nancy Koors, COO Josh Tracy, and CTO Josh Knepfle, with primary revenue derived from professional services and managed services engagements. Pricing is not publicly disclosed and is structured around custom consulting engagements, while the company markets through thought leadership content, webinars, industry conference participation, and earned KLAS/Top Workplaces recognition to drive demand among healthcare revenue cycle leaders.

Name

UASI

Legal name

United Audit Systems, Inc.

Website

https://uasisolutions.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

501–1,000 employees

Short description

UASI is a Cincinnati-based, privately held healthcare revenue cycle management firm that delivers mid-revenue cycle consulting, coding, CDI, risk adjustment, and denials management services to 1,100+ hospitals and physician groups through 540+ credentialed experts and proprietary analytics like RAF Vue.

Ownership category

akta.pro rank

Headquarters

HQ city

Cincinnati

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Professional Services - Consulting & Advisory: Revenue generated through consulting engagements for mid-revenue cycle optimization including program design, implementation, assessments, audits, and ongoing managed services. Services include coding, CDI, risk adjustment, and denials management delivered through staffing augmentation, full outsource, or interim management models.
2. Education & Training Services: Revenue from education programs including UASI Academy subscription, customized training programs, workshops, webinars, and credential support. Delivered in one-on-one, group, online, on-site formats with preceptor guidance.
3. Managed Services & Staffing: Ongoing managed service arrangements providing certified coders, CDI specialists, and revenue integrity professionals for flexible staffing coverage including remote and hybrid models.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels7 records

Core offering

UASI provides mid-revenue cycle management solutions for hospitals, health systems, and physician groups, including medical coding, clinical documentation integrity (CDI), risk adjustment, denials management, and PSI program services. The company delivers these services through a team of 540+ credentialed HIM professionals supported by proprietary technology platforms and offers staffing, audits, and education programs.

Product overview

UASI offers a unified portfolio of mid-revenue cycle healthcare solutions centered around their core service offerings: Medical Coding Services, CDI (Clinical Documentation Integrity) Services, Denials & Revenue Integrity Services, Risk Adjustment Services (powered by their proprietary RAF Vue™ software), and Staffing & Managed Services. Supporting these core offerings are specialized modules including the UASI Academy online learning platform and the PSI Program for patient safety indicators. The RAF Vue™ tool serves as a key technology enabler for risk adjustment work, while UASI Academy provides education and training across all service areas. The company also provides Program Design/Implementation/Optimization and Assessments & Audits as foundational consulting services.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Coding Services

Quantifiable outcome

• 96%+ coding accuracy rate validated through third-party audits
• +5 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators11 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• AGS Health: AGS Health is a PE-backed RCM services company specializing in coding, CDI, risk adjustment, and denials management for hospitals, physician groups, and payers. It is a direct competitor to UASI with a similar service mix and a comparable technology-augmented delivery model.
• Ensemble Health Partners: Ensemble provides end-to-end revenue cycle outsourcing including coding, CDI, denials, and patient access to hospitals and health systems. It is a close competitor to UASI in mid-revenue cycle services and shares a relationship-driven, enterprise sales approach.
• nThrive (now FinThrive): FinThrive provides end-to-end revenue cycle management software and services including coding, CDI, denials, and analytics to hospitals and health systems. It directly overlaps with UASI's mid-revenue cycle portfolio and competes for similar hospital buyers.
• R1 RCM: R1 RCM is a leading technology-driven RCM services firm offering coding, CDI, and patient access solutions to hospitals and physician groups. It is a direct competitor in outsourced coding and CDI, though it operates at significantly larger scale with a more technology-led model.
• Himagine Solutions: Himagine Solutions is a mid-sized HIM outsourcing firm providing medical coding, auditing, CDI, and HCC capture services to hospitals and physician practices. It is a near-direct competitor to UASI in outsourced coding and CDI staffing.
• Aviacode (a Strata Company): Aviacode, now part of Strata, delivers outsourced medical coding, CDI, and HCC/risk adjustment services to hospitals, physician groups, and payers. It competes directly with UASI's coding and risk adjustment service lines using a similar tech-enabled remote delivery model.
• CODA Health / CorroHealth: CorroHealth provides coding, CDI, denials management, and risk adjustment services to hospitals and health systems, frequently to mid-size and rural providers similar to UASI's sweet spot. It is a directly comparable peer in outsourced mid-revenue cycle services.

Others

• 3M Health Information Systems (Solventum): Solventum (spun off from 3M) sells computer-assisted coding, CDI, and risk adjustment software widely embedded in US hospitals. It is not a services peer but is a critical enabling/competing technology provider whose products increasingly overlap with UASI's RAF Vue analytics.

Emerging players

• Navigant (Guidehouse): Guidehouse (formerly Navigant Consulting) provides healthcare consulting including revenue cycle and CDI advisory work to hospitals and health systems. While more consulting-led than UASI, it competes for similar mid-revenue cycle assessments and optimization engagements.

Broad incumbents

• Optum (UnitedHealth Group): Optum's Health Services platform includes revenue cycle management, risk adjustment, and coding services delivered to hospitals, health systems, and payers at massive scale. It is the dominant incumbent against which UASI competes for outsourced mid-revenue cycle engagements.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/uasisolutions
• Facebookfacebook.com/105961419431830
• LinkedInlinkedin.com/company/uasi---united-audit-systems-inc.

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about UASI