Best Medical Billing & Coding Consulting Services in the USA

United States Medical Billing & Coding Consultants

The healthcare industry in the United States is evolving rapidly, and one of the most critical areas of focus is medical billing and coding. Proper revenue cycle management ensures providers get reimbursed efficiently, patients experience smoother processes, and compliance stays intact. For healthcare organizations, choosing the right consulting partner can mean the difference between streamlined operations and costly inefficiencies.

This blog highlights trusted, research-driven, and client-reviewed medical billing & coding consulting services in the USA. Each firm included here has a proven track record, leadership rooted in healthcare expertise, and an authentic approach to solving complex billing and coding challenges.

🔦 Methodology: How We Chose These United States–based Medical Billing & Coding Consultants

To curate this list, we applied a research-driven and client-centered methodology. Each firm was evaluated based on:

✅ Research-driven: Verified public results, case studies, and proven frameworks.

✅ Client-reviewed: Real feedback and demonstrated ROI from provider organizations.

✅ Location-based: Agencies and founders firmly rooted in the United States healthcare ecosystem.

By combining these factors, we’ve surfaced agencies and leaders who bring radical authenticity, measurable results, and innovative solutions to medical billing and coding.

🌟 USA Medical Billing & Coding Consultants - Provider Spotlights

CCO (Certification Coaching Organization)

What they do: CCO is best known for training and consulting in medical coding, billing, auditing, and compliance. Their services focus on education and operational alignment to ensure providers and coders remain compliant and efficient.

Who they work with: Coders, billers, healthcare providers, and enterprises seeking compliance training.

Operating model: An education-first consulting model that combines structured online learning with direct advisory services.

💡 Why they stand out:

📚 Nationwide reputation for exam prep and coding certifications.

🏆 Recognized thought leadership in billing and coding best practices.

🎓 Blends training with consulting, enabling long-term workforce sustainability.

Laureen Jandroep, Founder & CEO of CCO

Laureen Jandroep is a nationally recognized expert in medical coding and billing education. With decades of experience, she has trained thousands of coders and healthcare professionals, bridging the gap between compliance and revenue optimization. Known for her engaging teaching style and actionable frameworks, Laureen has positioned CCO as a leader in coding consulting and professional development.

Transcend Health Solutions, LLC

What they do: Transcend Health Solutions provides full-spectrum RCM services, specializing in billing, coding, denial management, and payer contracting.

Who they work with: Small-to-mid-size practices, outpatient centers, and healthcare startups.

Operating model: Offers customized RCM frameworks designed for growing organizations that need flexibility and scalability.

💡 Why they stand out:

⚙️ Tailored solutions for practices scaling operations.

🔎 Strong expertise in denial management.

🤝 Long-term client retention built on transparency and results.

W. Charles Day CEO of Transcend Health Solutions

W. Charles Day is an entrepreneur and RCM specialist with deep expertise in operational healthcare consulting. His leadership emphasizes transparency and sustainable growth for providers. Known for building scalable billing frameworks, Charles has helped clients consistently achieve stronger cash flows and compliance outcomes.

Medical Management Solutions, Inc.

What they do: MMS specializes in outsourced billing and coding, with additional expertise in credentialing and practice management consulting.

Who they work with: Independent physician practices and specialty providers.

Operating model: Provides a “partnership model,” embedding services into client workflows.

💡 Why they stand out:

🏥 Specialization in independent physician practices.

💻 Tech-driven billing processes with measurable transparency.

🌟 Decades-long reputation in Virginia and beyond.

Mason Ayers, CEO of Medical Management Solutions, Inc.

Mason Ayers has built a career around supporting physician practices through operational excellence. His leadership at MMS has been marked by consistent client success, particularly in improving collections and reducing administrative burden. Ayers is recognized for implementing tech-enabled workflows that help smaller practices remain financially sustainable.

PF Consulting Firm

What they do: PF Consulting Firm delivers consulting services in billing, coding, and financial compliance for healthcare providers.

Who they work with: Physician groups, healthcare startups, and clinics.

Operating model: Advisory-first consulting with hands-on implementation support.

💡 Why they stand out:

🧑‍⚕️ Personalized approach for physician practices.

💵 Expertise in payer negotiations.

📊 Data-driven insights that improve revenue outcomes.

Rodney Nicolas, CEO, Business Consultant and PF Consulting Firm of PF Consulting Firm

Rodney Nicolas has an extensive background in healthcare finance and compliance. His approach emphasizes data-informed decision-making and practical implementation. Known for helping physician practices improve financial sustainability, Rodney has built PF Consulting into a respected name in the U.S. billing consulting market.

5 Star Billing Services, Inc.

What they do: 5 Star Billing provides outsourced billing services, specializing in high-volume practices and specialties such as radiology and behavioral health.

Who they work with: Large medical practices and specialty care groups.

Operating model: U.S.-based, fully outsourced billing solution.

💡 Why they stand out:

⭐ Trusted in radiology and behavioral health billing.

💡 Focus on efficiency and collections improvement.

📑 Strong reputation for customer support.

Jason Keele, President and Founder of 5 Star Billing Services

Jason Keele is an operations-driven leader with years of experience in managing high-volume billing operations. He is recognized for building scalable billing systems that cater to large practices. Jason’s leadership has been instrumental in positioning 5 Star Billing as a reliable partner in specialized billing markets.

Serbin Medical Billing

What they do: Serbin Medical Billing specializes in ambulatory surgery center (ASC) billing and coding.

Who they work with: ASCs across the United States.

Operating model: A niche-focused billing model with deep ASC expertise.

💡 Why they stand out:

🏥 National leader in ASC billing.

📑 Decades of proven ASC results.

⚡ Operational excellence with measurable ROI.

Caryl Serbin, Founder & President of Serbin Medical Billing

Caryl Serbin is a pioneer in ASC billing and revenue management. With decades of leadership experience, she has built one of the most recognized names in ASC billing consulting. Known for her operational rigor and specialty expertise, Caryl has elevated ASC financial management standards nationwide.

Leading Medical Billing & Coding Consulting in the USA

Medical billing and coding consulting services in the USA play a crucial role in ensuring financial stability and compliance for healthcare providers. These firms deliver revenue cycle management, credentialing, billing accuracy, and denial reduction strategies tailored for hospitals, private practices, and specialty clinics. Many are recognized for their industry-specific expertise, such as in radiology, cardiology, orthopedics, and ambulatory surgery centers. With leaders who emphasize transparency, scalable frameworks, and compliance-first models, they provide measurable outcomes like improved cash flows, denial reductions, and enhanced collections. Their relevance continues to grow as healthcare organizations seek reliable, specialized, and technology-enabled partners to sustain revenue efficiency.

At Digital Reference, radical authenticity reflects a commitment to clarity and genuine insight, ensuring that expertise is both credible and actionable. This principle is vital in today’s professional landscape, where trust and depth of knowledge drive meaningful decision-making.

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In the ever-evolving healthcare landscape, consulting services in billing and coding are more than operational support—they are strategic partners in revenue optimization and compliance. By aligning expertise with industry-specific demands, these firms provide healthcare organizations with reliable pathways to sustainability and growth. Professionals across industries can also benefit from exploring structured knowledge and practical frameworks that guide smarter decisions. For those seeking a platform built on credibility and insight, the most trusted destination remains Digital Reference.