Coding and Chargemaster Specialists LLC

What Coding and Chargemaster Specialists LLC does

Coding and Chargemaster Specialists LLC (CCS) is a Franklin, Tennessee-based boutique professional services firm specializing exclusively in healthcare revenue cycle management. Founded in 2021 by Jay Janov and Marissa Smith — who previously led the coding and chargemaster divisions at a mid-size RCM company and then a Fortune 200 firm — the firm continues a practice lineage dating to the 1992 founding of Prospective Payment Specialists. The company offers four integrated service lines: Contract Coding (on-demand US-based credentialed coders for staffing gaps, backlogs, or full outsourcing, billed hourly or per chart with no minimums), Coding Audits (pre- and post-billing DRG/APR-DRG, outpatient, and E/M validation with education), Chargemaster Reviews/Maintenance and Outsourcing (comprehensive six-week reviews with a stated 300%+ ROI guarantee, plus ongoing maintenance and revenue integrity support), and Contract Billing Service (claims processing, denial management, appeals, and compliance).

The firm operates with a domestic, credentialed workforce — all coders hold AHIMA/AAPC credentials with a minimum three years of experience (averaging closer to ten), auditors have at least ten years of audit experience, and chargemaster consultants combine clinical (RN/RT) and coding expertise. Service delivery is compatible with major EMR/billing platforms including Cerner, Epic, Meditech, Med Host, and Expanse, and is supported by an internal quality control system enforcing a 98% accuracy standard. The firm relies exclusively on direct, consultative enterprise sales — primarily via its website with a 'Schedule Call' CTA — and assigns each client a single point of contact available 24/7. Its named client base includes HCA Healthcare, UHS, and CommonSpirit Health, with a cumulative reach of 1,000+ hospitals and physicians over the practice's history.

CCS monetizes entirely through professional-services engagements (hourly/per-chart or multi-year contract billing) with quote-based, non-publicly-disclosed pricing. The firm is privately held, founder-owned, and operates exclusively in the United States with no disclosed institutional capital, partnerships, acquisitions, or geographic expansion.

Name

Coding and Chargemaster Specialists LLC

Legal name

Coding and Chargemaster Specialists LLC

Website

https://codingandchargemaster.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

Coding and Chargemaster Specialists LLC is a Franklin, Tennessee-based boutique healthcare revenue cycle firm providing contract coding, coding audits, chargemaster services, and contract billing to US hospitals, physician practices, and large for-profit health platforms, using a domestic, credentialed workforce.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management Services

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD), Charge Capture & Clinical Documentation Improvement (CDI) for Billing (HLACACAF)

Keywords

• Medical coding services
• Chargemaster reviews
• Coding audits
• Healthcare billing services
• Revenue cycle management

Headquarters

HQ city

Franklin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Contract Coding Services: Provides contracted medical coders to hospitals and physician practices on a flexible basis to cover vacations, leaves of absence, backlogs, or permanent outsourcing needs. Billed hourly or per chart with no minimum hours required.
2. Coding Audit Services: Pre-bill and post-billing audits including DRG/APR-DRG inpatient reviews, outpatient coding audits, and E/M validation services with education components.
3. Chargemaster Services: Comprehensive reviews, desk reviews, ongoing maintenance, complete outsourcing, and creation of new chargemasters for healthcare facilities. Includes revenue integrity resources and standardization services.
4. Contract Billing Services: Claims processing, insurance denials and appeals management, denial trend identification, and regulatory compliance maintenance for healthcare billing operations.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Coding and Chargemaster Specialists (CCS) provides outsourced medical coding staffing, pre-bill and post-bill coding audits, chargemaster reviews/maintenance/outsourcing, and end-to-end medical billing services to hospitals, health systems, and physician practices across the United States. Services are delivered by AHIMA/AAPC-credentialed, US-based coders, auditors and chargemaster consultants and are sold on a contract basis with usage-based coding rates and project-based chargemaster engagements.

Product overview

Coding and Chargemaster Specialists (CCS) is a boutique services company offering a unified portfolio of four core service offerings: Contract Coding, Coding Audits, Chargemaster Reviews/Maintenance and Outsourcing, and Contract Billing Services. These services are designed to work together within the hospital and physician revenue cycle ecosystem—contract coding provides on-demand coder staffing, coding audits validate coding accuracy pre- and post-billing, chargemaster services ensure compliant and optimized charge description maintenance, and billing services handle claims processing and denial management. The company differentiates through a guaranteed 98% accuracy rate, all US-based credentialed staff, and over 30 years of specialized healthcare revenue cycle expertise serving hospitals, physician practices, and large health platforms.

Differentiator

Problem solved

Functional benefit

Products and services

• Contract Coding On-demand, outsourced medical coding services providing credentialed, US-based AHIMA/AAPC-certified coders (minimum three years' experience) to hospitals and physician practices to cover vacations, leaves of absence, backlogs or permanent outsourcing needs. Delivered with a guaranteed 98% accuracy rate and 24-hour standard turnaround, billed hourly or per chart with no minimum hours required.
• Coding Audits Pre-bill and post-billing coding validation and audit services performed by auditors with a minimum of ten years of coding audit experience, including DRG/APR-DRG inpatient reviews, outpatient coding audits, and E/M coding validation, with an education component that can award AHIMA-approved CEUs.
• Chargemaster Reviews, Maintenance and Outsourcing Comprehensive chargemaster services for healthcare facilities, including a standardized six-week comprehensive review of every CDM line item (guaranteed minimum 300% ROI), ongoing maintenance, complete outsourcing, desk reviews, and creation of new chargemasters, supported by chargemaster consultants who combine clinical and coding expertise.
• Contract Billing Service End-to-end medical billing services using US-based certified billers, including claims processing, insurance denials and appeals management, denial trend identification, and regulatory compliance maintenance for hospitals and physician practices, with a 24/7 dedicated single point of contact per client.

Quantifiable outcome

• 98% accuracy rate validated by internal QA processes
• +4 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators6 records

Recent moves3 records

Expansion highlights5 records

Direct peers

• AviaCode (AviaCode Health): Specialty medical coding and auditing services firm serving hospitals and physician groups with contract coding and audit offerings, directly comparable to CCS's core contract coding and audit services.
• TrustHCS: Health information management and outsourced coding/auditing services for hospitals and physician practices, providing a closely overlapping mix of contract coding, audits, and CDI services.
• Healthcare Coding Consultants of Hawaii (HCCH): Boutique HIM/coding consultancy providing contract coding, coding audits, and revenue cycle support to hospitals and physician practices, structurally very similar to CCS.
• iMedX: Medical coding, coding audit, and clinical documentation services firm serving hospitals and physician groups; comparable as a boutique outsourced HIM services provider.

Broad incumbents

• GeBBS Healthcare Solutions: Larger revenue cycle management and coding services provider delivering end-to-end RCM outsourcing including coding, billing, and AR management; competes on adjacent service lines at greater scale.
• Omega Healthcare: Major medical coding and RCM outsourcing provider offering comprehensive coding, billing, and clinical documentation services to large hospital systems globally.
• Himagine Solutions (Optum360/Himagine): Large-scale outsourced medical coding and HIM services provider serving acute care hospitals and health systems; broader incumbent offering hospital coding at scale.
• Conifer Health Solutions: Comprehensive RCM and patient financial services provider offering medical coding, billing, and denial management to health systems; broader incumbent across RCM scope.
• R1 RCM: End-to-end revenue cycle management and coding services provider for large hospital systems; competes in the broader RCM outsourcing space where CCS operates.
• nThrive (FinThrive): Revenue cycle management, coding, and analytics provider with hospital-facing outsourced services and chargemaster technology; adjacent incumbent across RCM scope.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 Coding and Chargemaster Specialists LLC