Medical Billers and Coders

What Medical Billers and Coders does

Medical Billers and Coders (MBC) is a US-based, privately held revenue cycle management company founded in 1999 and headquartered in Wilmington, Delaware. The firm delivers end-to-end medical billing, coding, denial management, accounts receivable follow-up, physician credentialing, and old AR recovery services to physician practices, multi-specialty groups, ambulatory surgical centers, and health systems across all 50 states and 32+ medical specialties. MBC operates a 24/7 follow-the-sun delivery model with 251–500 employees and reports lifetime claims processed above $2.4 billion.

The company's technology stack centers on an AI-driven Revenue Integrity platform featuring NLP-powered appeal bots that generate payer-specific appeal arguments within a stated 48-hour payer policy update lag, real-time denial prediction scoring trained on 12–24 months of historical claims, payer variance analytics, and a CFO-grade RCM Dashboard. The architecture is EHR-agnostic, with native integrations to Epic, Cerner, Athena, eClinicalWorks, Kantime, and 15+ therapy-specific platforms. CLARA, an AI chatbot revenue assistant, was introduced on the website for client inquiries.

MBC monetizes through a percentage-of-collections model with no multi-year contracts or exit penalties, aligning vendor compensation with client outcomes. The sales motion is audit-first: every engagement begins with a complimentary revenue audit before any commitment. The firm is bootstrapped with no disclosed institutional investors, funding rounds, or M&A activity. Its defensibility rests on 25 years of payer-specific intelligence, certified coding talent, and proprietary AI tooling rather than switching-cost lock-in or network effects.

Name

Medical Billers and Coders

Legal name

Medical Billers and Coders

Website

https://medicalbillersandcoders.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

251–500 employees

Short description

Medical Billers and Coders is a US-based, privately held revenue cycle management company founded in 1999 that delivers end-to-end medical billing, coding, denial management, and AR recovery services to physician practices across 32+ specialties and all 50 states via an AI-augmented, percentage-of-collections pricing model.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

NAICS

Collection Agencies (561440)

SIC

Services-Consumer Credit Reporting, Collection Agencies (7320)

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

akta.pro secondary industries

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Patient Billing, Statements & Payment Processing (HLACACAG), Medical Debt Collection & Revenue Cycle Bad-Debt Recovery (FSAKAJAM)

Keywords

• Medical billing services
• Revenue cycle management
• Medical coding services
• Denial management
• Physician credentialing

Headquarters

HQ city

Wilmington

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. Medical Billing & RCM Services: Percentage-based performance model where MBC earns a percentage of collected revenue. This aligns MBC's compensation directly with client outcomes. Services include end-to-end claim lifecycle management, coding, denial management, AR follow-up, and credentialing. No multi-year contracts, no exit penalties.
2. Old AR Recovery Services: Dedicated team for aged receivables previously written off by in-house billing teams. Performance-based recovery with focused intervention on stalled claims beyond 90 days.
3. Physician Credentialing: CAQH enrollment, payer contracting, and re-credentialing services. Ongoing maintenance of provider enrollment status across all payer relationships.
4. Healthcare Analytics Solutions: Analytics capabilities embedded into monthly billing workflow as part of standard RCM engagement, not sold as a separate software subscription. Includes denial pattern dashboards, AR aging reports, and payer performance benchmarks.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels8 records

Core offering

Medical Billers and Coders (MBC) provides end-to-end revenue cycle management services for US physician practices, multi-specialty groups, ambulatory surgical centers, and health systems. Core offerings include medical billing and claims management, medical coding by CPC/CCS-certified coders, denial management and appeals, accounts receivable follow-up, physician credentialing, and old AR recovery, delivered across 40+ medical specialties in all 50 states on a performance-based percentage-of-collections pricing model.

Product overview

Medical Billers and Coders (MBC) is a US-based revenue cycle management company delivering end-to-end medical billing services since 1999. The core offering spans medical billing and claims management, medical coding and audit (CPC/CCS-certified), denial management and appeals (78% overturn rate), accounts receivable follow-up, physician credentialing, and old AR recovery — all delivered across 40+ medical specialties in all 50 states. The product portfolio includes: the core RCM service (end-to-end claim lifecycle from charge entry through payment posting), the RCM Dashboard (real-time CFO-level reporting on NCR, denial trends, and AR velocity), Healthcare Analytics Solutions (denial pattern dashboards, AR aging reports, payer benchmarking, and collection rate trending embedded into monthly workflows), and CLARA (an AI-powered online revenue assistant for client support). The company is HIPAA certified and integrates with Epic, Cerner, Athenahealth, eClinicalWorks, Kantime, and therapy-specific platforms (WebPT, Therabill, Keet, Net Health, Fusion) without requiring EHR migration.

Differentiator

Problem solved

Functional benefit

Products and services

• End-to-End RCM Services Comprehensive revenue cycle management covering charge entry, payment posting, account receivable, denial management and appeals, and credentialing for physician practices and multi-specialty groups across all 50 states.
• Medical Billing Services Outsourced medical billing claim submission and processing for healthcare providers, covering the full claim lifecycle from charge capture through payment posting.
• Medical Coding Services Coding and audit services performed by CPC and CCS certified coders with specialty-specific training across 32+ medical specialties.
• Physician Credentialing Services CAQH enrollment, payer contracting, and re-credentialing services with ongoing maintenance of provider enrollment status across payer relationships.
• Old AR Recovery Services Dedicated team for aged receivables previously written off by in-house billing teams, with performance-based recovery focused on stalled claims beyond 90 days.
• Outsource Billing Services Full outsourcing of billing operations to MBC's team, designed for practices seeking to offload administrative burden while improving collections.
• Billing for Small Practices Specialized outsourced billing support tailored for solo and small group physician practices (typically under 10 providers) seeking to reduce administrative burden.
• Healthcare Analytics Solutions Analytics dashboard suite embedded into the monthly billing workflow including Denial Pattern Dashboard, AR Aging Report, Payer Performance Benchmark, and Collection Rate Trend tracking, delivered within 30 days of onboarding.
• RCM Dashboard Real-time CFO-grade revenue reporting dashboard tracking Net Collection Ratio, denial trends, payer variance, and AR velocity at the provider and location level, standard across all service engagements.
• CLARA - MBC Revenue Assistant AI-powered chatbot revenue assistant that handles client inquiries, revenue-related questions, and practice support without collecting protected health information.

Quantifiable outcome

• 98.7% Net Collection Ratio vs. 95.1% industry average
• +9 more outcomes

Named customers11 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability4 records

Feature7 records

Scale indicators13 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Medusind: End-to-end RCM, medical coding, and dental/medical billing services firm serving practices and groups. Closely comparable service-based RCM model to MBC.
• Athenahealth: Cloud-based EHR and revenue cycle management platform serving physician practices and health systems. Directly comparable to MBC as a competitor for the same ambulatory RCM and practice-management workflows.
• AdvancedMD: Cloud EHR, practice management, and RCM solution primarily for small and mid-sized physician practices. Competes head-to-head with MBC in the small-practice and specialty billing segment.
• R1 RCM: Large-scale outsourced RCM provider serving hospitals, health systems, and physician groups. Comparable end-to-end RCM service model at enterprise scale, with significant PE backing enabling M&A-driven growth.
• Tebra (Kareo + PatientPop): All-in-one practice management, EHR, and medical billing platform targeting independent practices. Closely comparable to MBC's small-practice billing outsourcing offering.
• TruBridge: End-to-end RCM and healthcare IT services business focused on community hospitals and physician practices. Directly comparable in outsourced RCM, coding, and managed services for small/mid providers.
• NextGen Healthcare: EHR and RCM platform serving ambulatory practices of all sizes, with a notable specialty footprint. Competes with MBC on technology-enabled RCM for multi-specialty and specialty practices.
• eClinicalWorks: Major ambulatory EHR vendor offering integrated RCM and billing services for small and mid-sized practices. Comparable to MBC in primary care and specialty practice billing workflows.
• Waystar: Cloud-based RCM technology platform covering claims management, denial/appeal workflows, patient payments, and analytics. Competes with MBC's RCM Dashboard and analytics capabilities at the technology layer.
• GeBBS Healthcare Solutions: Outsourced RCM, medical coding, and healthcare BPO services firm serving hospitals, physician groups, and payers. Comparable RCM BPO model and multi-specialty coding expertise to MBC.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/mbc_services

Revenue estimate

Valuation estimate

Number of profiles

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 Medical Billers and Coders