Top 100 Revenue Cycle Management (RCM) Companies for Medical Billers & Coders (2025 Complete Directory)

This is your 2025 RCM war map—100 companies sharpened for claims speed, denial prevention, coding accuracy, and cash acceleration. Use it to cut A/R drag, shrink rework, and turn documentation into revenue. If your denials keep spiking, start by hardening upstream workflows using CARC decoding and a denials gameplan (reason codes, denials prevention). Pair that with clinical documentation integrity so payers have nothing to challenge (CDI field guide). When you’re ready to scale, align your stack with HIPAA safeguards, smart claims submission, and ruthless payment posting discipline (HIPAA basics, claims steps, payment posting).

How to use this directory (and win with it)

Map vendors to your highest-impact leakage: eligibility/auth gaps, edits, coding variance, underpayments, or AR follow-up. Tie each shortlist to a KPI you can move in 30–90 days—first-pass yield, days in A/R, denials rate by CARC, and refund/write-off trend. Enforce ethical billing and compliance controls so scale doesn’t invite scrutiny (ethical practices, audits playbook). For telehealth-heavy orgs, be deliberate with POS/modifiers and documentation specificity or automation will amplify errors (telemedicine coding, accurate documentation).

Top 100 RCM Companies for Medical Billers & Coders — 2025 Directory

Sortable/scrollable. Segments: Tech Platform, Outsourced RCM, Clearinghouse, Consulting, EHR/PM + RCM, Specialty RCM.

#	Company	Segment	Core Strength	Best For	Deployment	Website
1	R1 RCM	Outsourced RCM	End-to-end hospital & pro-fee revenue cycle	IDNs & health systems	Managed/Cloud	Visit
2	Ensemble Health Partners	Outsourced RCM	Denial prevention playbooks & analytics	Hospitals	Managed/Cloud	Visit
3	Optum (Change Healthcare)	Tech Platform	Clearinghouse + payment accuracy + analytics	Providers & payers	Cloud	Visit
4	Waystar	Tech Platform	Claims, edits, denials & patient payments	All provider sizes	Cloud	Visit
5	FinThrive (nThrive)	Tech Platform	Eligibility, contract mgmt, analytics	Health systems	Cloud	Visit
6	Conifer Health Solutions	Outsourced RCM	Hospital revenue cycle & patient access	Hospitals	Managed	Visit
7	Parallon	Outsourced RCM	Enterprise RCM and payor contracting	Hospital systems	Managed	Visit
8	Experian Health	Tech Platform	Eligibility, coverage discovery, patient payments	Provider orgs	Cloud	Visit
9	Availity	Clearinghouse	Payer connectivity, auths, EDI tools	All sizes	Cloud	Visit
10	The SSI Group	Clearinghouse	Enterprise edits and regulatory rules	Hospitals	Cloud	Visit
11	Quadax	Clearinghouse	Lab & specialty revenue cycle	Labs & niche specialties	Cloud	Visit
12	TruBridge (CPSI)	Outsourced RCM	Critical access & community hospital RCM	Rural hospitals	Managed	Visit
13	athenaCollector (athenahealth)	EHR/PM + RCM	Practice billing with benchmarking	Outpatient groups	Cloud	Visit
14	NextGen Financial Suite	EHR/PM + RCM	Multi-specialty RCM & denials worklists	Group practices	Cloud	Visit
15	Greenway Intergy RCM	EHR/PM + RCM	Rules-based edits & collections	Clinics	Cloud	Visit
16	eClinicalWorks RCM	EHR/PM + RCM	Claims automation & analytics	Ambulatory	Cloud	Visit
17	DrChrono RCM	EHR/PM + RCM	Mobile-first coding & billing	Small practices	Cloud	Visit
18	AdvancedMD RCM	EHR/PM + RCM	Claims, ERAs, patient statements	Small/medium clinics	Cloud	Visit
19	Tebra (Kareo) RCM	EHR/PM + RCM	Practice billing & analytics	Outpatient	Cloud	Visit
20	CareCloud RCM	EHR/PM + RCM	End-to-end practice RCM	Multi-specialty groups	Cloud	Visit
21	ModMed (EMA) RCM	EHR/PM + RCM	Specialty-specific workflows	Derm, ENT, Ortho, GI	Cloud	Visit
22	PracticeSuite	EHR/PM + RCM	Denial dashboards & collections	Multi-specialty	Cloud	Visit
23	OpenPractice Solutions	EHR/PM + RCM	Charge entry automation	Physician groups	Cloud	Visit
24	Office Ally RCM	EHR/PM + RCM	Low-cost claims & patient billing	Small practices	Cloud	Visit
25	CureMD RCM	EHR/PM + RCM	End-to-end billing & credentialing	Ambulatory	Cloud	Visit
26	Azalea Health	EHR/PM + RCM	Rural & critical access focus	Community hospitals	Cloud	Visit
27	Experity RCM	Specialty RCM	Urgent care revenue cycle	Urgent care groups	Cloud	Visit
28	XIFIN	Specialty RCM	Laboratory billing & connectivity	Labs & diagnostics	Cloud	Visit
29	athenaIDX	Tech Platform	Enterprise revenue management	Large groups	Cloud	Visit
30	Oracle Health (Cerner RevElate)	Tech Platform	Enterprise hospital revenue cycle	IDNs	Cloud	Visit
31	Epic Resolute	Tech Platform	Hospital & pro-fee revenue cycle	Epic customers	On-prem/Cloud	Visit
32	MEDITECH Expanse Revenue Cycle	Tech Platform	Integrated EHR billing	Hospitals	Cloud	Visit
33	AGS Health	Outsourced RCM	Coding, billing, AR follow-up	Hospitals & groups	Managed	Visit
34	Omega Healthcare	Outsourced RCM	Coding & denials management	Providers & payers	Managed	Visit
35	Access Healthcare	Outsourced RCM	End-to-end revenue cycle ops	Hospitals & MSOs	Managed	Visit
36	GeBBS Healthcare Solutions	Outsourced RCM	Denials, coding, AR	Health systems	Managed	Visit
37	Coronis Health	Outsourced RCM	Physician group & ASC RCM	Private practices	Managed	Visit
38	Advantum Health	Outsourced RCM	Full-service RCM & credentialing	Small/medium groups	Managed	Visit
39	Medusind	Outsourced RCM	Specialty billing & coding	Physician groups	Managed	Visit
40	Aspirion	Specialty RCM	Complex claims, MVA, workers’ comp	Hospitals	Managed	Visit
41	Xtend Healthcare	Outsourced RCM	Hospital AR & coding	Health systems	Managed	Visit
42	Guidehouse	Consulting	RCM transformation & interim ops	IDNs	Advisory/Managed	Visit
43	Accenture Health	Consulting	RCM outsourcing & analytics	Enterprise providers	Managed	Visit
44	Conduent	Tech Platform	Claims, payment integrity, EDI	Payers & providers	Cloud	Visit
45	NTT DATA	Consulting	RCM operations & digital	Health systems	Managed	Visit
46	Sutherland	Outsourced RCM	Eligibility, coding, AR	Providers	Managed	Visit
47	HGS Healthcare	Outsourced RCM	End-to-end RCM & analytics	Providers & payers	Managed	Visit
48	TCS Healthcare	Consulting	Process automation & ops	Enterprise providers	Advisory/Managed	Visit
49	Infosys Health	Consulting	Digital RCM & analytics	Health systems	Managed	Visit
50	Capgemini	Consulting	RCM modernization & AI	IDNs	Advisory/Managed	Visit
51	Cognizant Healthcare	Outsourced RCM	RCM ops & TriZetto ecosystem	Payers/Providers	Managed	Visit
52	TriZetto Provider Solutions	Clearinghouse	Claims, ERA, credentialing	Clinics	Cloud	Visit
53	Zelis	Tech Platform	Payments & price transparency	Hospitals/Groups	Cloud	Visit
54	MD Clarity (RevFind)	Tech Platform	Underpayment detection	Provider orgs	Cloud	Visit
55	MedeAnalytics	Tech Platform	Revenue cycle analytics	Hospitals	Cloud	Visit
56	Collective Medical (PointClickCare)	Tech Platform	Care coordination impacts on RCM	Hospitals/Post-acute	Cloud	Visit
57	RCxRules	Tech Platform	Front-end charge/claim edits	Groups & MSOs	Cloud	Visit
58	Infinx	Tech Platform	Prior auth & AR optimization	Specialty groups	Cloud	Visit
59	MedEvolve	Tech Platform	Workflow automation for AR follow-up	Physician groups	Cloud	Visit
60	Revecore	Specialty RCM	Underpayments & complex claims	Hospitals	Managed	Visit
61	EnableComp	Specialty RCM	Workers’ comp & injury claims	Hospitals/Groups	Managed	Visit
62	Vee Technologies	Outsourced RCM	Coding, billing & CDI support	Providers	Managed	Visit
63	Promantra	Outsourced RCM	Denials, coding, AR	Multi-specialty	Managed	Visit
64	Infinit Healthcare	Outsourced RCM	Charge entry & AR	Physician groups	Managed	Visit
65	BillingParadise	Outsourced RCM	Practice billing & analytics	Outpatient	Managed	Visit
66	PracticeForces	Outsourced RCM	AR clean-up and denials	Small/medium practices	Managed	Visit
67	AGS AI Platform	Tech Platform	Automation for coding & AR	Hospitals	Cloud	Visit
68	CompuGroup Medical (CGM) RCM	EHR/PM + RCM	PM + claims + clearinghouse	Ambulatory	Cloud	Visit
69	athenaOne Medical Billing Services	Outsourced RCM	Managed billing on athena	Ambulatory	Managed	Visit
70	Epic Revenue Guardian (ecosystem)	Tech Platform	Rules & workqueues for denials	Epic clients	On-prem/Cloud	Visit
71	Tegria RCM	Outsourced RCM	Hospital & physician RCM services	Health systems	Managed	Visit
72	Nordis Technologies	Tech Platform	Patient statements & payments	Providers	Cloud	Visit
73	RMS (Receivable Management Services)	Specialty RCM	Self-pay & collections	Hospitals	Managed	Visit
74	RevSpring	Tech Platform	Patient engagement & payments	Provider orgs	Cloud	Visit
75	WayPath RCM	Outsourced RCM	Physician billing & analytics	Private practices	Managed	Visit
76	iMedX	Outsourced RCM	Coding, CDI, transcription	Hospitals	Managed	Visit
77	AQuity Solutions	Outsourced RCM	Clinical documentation & coding	Hospitals/Groups	Managed	Visit
78	GeBBS iCode Assurance	Tech Platform	Audit & compliance tooling	Hospitals	Cloud	Visit
79	Hayes | MDaudit	Tech Platform	Audit, compliance & revenue integrity	Hospitals	Cloud	Visit
80	Healthicity	Tech Platform	Audit manager & compliance	Groups	Cloud	Visit
81	Rivet Health	Tech Platform	Underpayment & contract analytics	Physician groups	Cloud	Visit
82	Chartis Revenue Cycle	Consulting	RCM strategy & operational redesign	Hospitals	Advisory	Visit
83	ECG Management Consultants	Consulting	Physician enterprise revenue optimization	Health systems	Advisory	Visit
84	Guidepoint RCM	Outsourced RCM	End-to-end billing	Private practices	Managed	Visit
85	Allzone Management	Outsourced RCM	Charge entry & AR	Groups	Managed	Visit
86	Veeva Crossix (payer/market data)	Tech Platform	Data that informs reimbursement	Enterprise providers	Cloud	Visit
87	MedAptus	Tech Platform	Charge capture & coding	Hospitals/Groups	Cloud	Visit
88	eSolutions (now part of Waystar)	Clearinghouse	Medicare connectivity & edits	Providers	Cloud	Visit
89	Change Healthcare Payment Accuracy	Tech Platform	Payment integrity & edits	Providers/Payers	Cloud	Visit
90	Cedar	Tech Platform	Patient financial engagement	Provider orgs	Cloud	Visit
91	VisitPay (R1)	Tech Platform	Patient payments & financing	Hospitals	Cloud	Visit
92	Flywire	Tech Platform	Healthcare payments platform	Providers	Cloud	Visit
93	Rectangle Health	Tech Platform	Point-of-care payments	Practices	Cloud	Visit
94	ThriveAP RCM	Outsourced RCM	Practice billing services	Small groups	Managed	Visit
95	MedUSA RCM	Outsourced RCM	End-to-end practice billing	Ambulatory	Managed	Visit
96	Practice Management Institute (PMI) Services	Consulting	RCM training & audits	Physician offices	Advisory	Visit
97	SybridMD	Outsourced RCM	Billing, coding & AR	Small/medium practices	Managed	Visit
98	Medcare MSO	Outsourced RCM	Multi-specialty RCM	Physician groups	Managed	Visit
99	Plutus Health	Outsourced RCM	Denials & AR optimization	ASC & practices	Managed	Visit
100	Parapet RCM	Outsourced RCM	Charge capture to collections	SMB practices	Managed	Visit

Shortlisting playbook: from 100 to your final 5

Start with a leakage heatmap: where are dollars dying—eligibility, auths, claim edits, coding variance, underpayments, or AR follow-up? For each leak, pick two complementary capabilities: e.g., clearinghouse + denials analytics; coding QA + CDI cues; contract analytics + AR automation. Require vendors to simulate impact on your top CARCs and show before/after first-pass yield. Keep your documentation ironclad so clean claims fly through (CDI guide, accurate documentation). Standardize evaluation with a 1-page scorecard (integration, time-to-value, HIPAA risk, cost per touch). Close the loop with weekly audit samples to prevent drift (audit roadmap).

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30/60/90 RCM acceleration (tools + ops)

Days 1–30: Baseline & tighten the front-end. Build your denial taxonomy. Map claims submission path end-to-end; quantify rework loops (claims steps). Fix insurance discovery & eligibility with coverage checks; lock POS/modifiers for telehealth (telemedicine coding). Train coders on state nuances via our state certification series to reduce variance across regions (California guide, Florida guide, Arizona guide).

Days 31–60: Pilot the stack. Run a bounded pilot (one specialty or payer). Combine clearinghouse edits with denials analytics and tune worklists by CARC (denials guide, CARC decoding). Add payment posting automation and line-level underpayment checks. Layer HIPAA controls and ethical billing coaching as you scale (HIPAA essentials, ethics foundation).

Days 61–90: Scale & standardize. Fold pilots into adjacent service lines—bariatrics, interventional radiology, trauma—backed by targeted coder guides (bariatric coding, IR advanced, complex trauma). Keep weekly audits and KPI scorecards visible; make study strategies part of onboarding to lift junior coders fast (study strategies).

Which RCM capability will you prioritize this quarter?

Eligibility, coverage discovery & prior auth Denials analytics & CARC-based worklists Coding QA + CDI prompts for documentation Contract analytics & underpayment detection A/R automation & payment posting Patient financial engagement & payments Vote

We’ll publish deeper playbooks based on your votes.

Careers, buying committees & vendor ecosystems (what to know now)

Coders. Build leverage in payer policy, telehealth specifics, and specialty niches (bariatrics, IR, trauma) so you’re the QA backbone for automation (telemedicine coding rules, bariatric coding, IR advanced). Refresh with study strategies and community AMAs to stay sharp (study tactics, educators AMA).
Billers. Own claims submission timing, payer follow-up cadences, and payment posting accuracy; control the denials story in weekly huddles (claims process, payment posting, denials prevention).
Leaders. Maintain a live vendor matrix with risk ratings, HIPAA posture, and time-to-value. Cross-reference MACRA/QPP incentives and compliance exposure (MACRA/QPP primer, ethical billing guardrails). For multi-state teams, standardize training with our state guides to reduce variance (Illinois, Massachusetts, Alabama).

FAQs (detailed)

• Q1. How should a small practice pick between a tech platform and outsourced RCM?

  Audit your bottleneck first. If your staff is drowning in follow-up and edits, a managed RCM partner can immediately lift throughput. If workflows are stable but visibility is poor, a tech platform with strong edits, CARC analytics, and contract variance checks might deliver faster ROI (denials map, CARC decoder). Tie the decision to 90-day KPIs: first-pass yield and days in A/R.

• Q2. What’s the safest order of operations to cut denials fast?

  Front-load eligibility/coverage discovery, tighten claims submission edits, then harden documentation with CDI cues. Add payment posting automation to catch payer behaviors early and flag contract underpayments (claims step-by-step, CDI discipline, payment posting).

• Q3. How do we de-risk AI-assisted coding and automation with auditors?

  Keep weekly random samples and require coder attestations for edge cases. Maintain an audit trail from clinical context to codes, and enforce ethical billing policies organization-wide (audit essentials, ethics framework).

• Q4. Which metrics should be on every RCM dashboard?

  First-pass yield, days in A/R (current & trailing), denials rate by top CARCs, underpayment variance, refund/write-off trend, and coder productivity. Add compliance counters: audit pass rate and coding variance by provider. Make these visible in weekly stand-ups (denials prevention, audits guide).

• Q5. We’re heavy telehealth—what trips most teams?

  Place-of-service, modifier precision (e.g., audio-only vs. audio-video), and medical necessity language. Bake rules in at scheduling and documentation, not just edits at claims time (telemedicine coding guide, accurate documentation).

• Q6. How do we standardize skills across multi-state teams fast?

  Anchor to national norms, then plug state differences with our certification series (e.g., California, Florida, Arizona, Illinois, Massachusetts, Alabama) so payers see consistent specificity across charts (California, Florida, Arizona, Illinois, Massachusetts, Alabama).

• Q7. What’s a pragmatic 2-vendor combo to start with?

  One clearinghouse/RCM platform (e.g., Waystar/Availity) + one underpayment/contract analytics tool (e.g., MD Clarity/Rivet). Add a focused outsourced AR clean-up sprint for your worst payer. This triad consistently moves first-pass yield and cash velocity in the first 60–90 days (payment posting, denials controls).