Medical Coding Operations PEAK Matrix® Assessment 2023

Medical coding is one of the most outsourced segments in the Revenue Cycle Management (RCM) value chain. With a growing geriatric population and rising incidence of chronic diseases, the demand for skilled medical coders is on the rise. This increase in demand for qualified coders, combined with shortage of suitable personnel, is driving the growth of outsourced medical coding services. Additionally, the shift from an inpatient to a home-based care delivery model, the adoption of telehealth and remote patient monitoring, and the addition of new code sets have increased the complexity associated with medical coding processes. These gradual shifts in medical coding services are prompting healthcare providers to leverage third-party providers for support.

In this research, we present a detailed analysis of 22 operations service providers featured on Everest Group’s Medical Coding Operations PEAK Matrix® Assessment. We provide a relative positioning and analysis of the providers and our evaluation of their strengths and limitations.