Medical Billers and Coders (MBC)

Medical Billers and Coders (MBC) is a revenue cycle management provider serving multi-specialty medical groups and health systems. The company has 25 years of experience in healthcare billing and processes over $2.4 billion in claims annually for more than 1,200 providers.

MBC's approach centers on what they term "Revenue Integrity," which combines AI-driven analytics with traditional RCM services to address payer variance and algorithmic downcoding. Their platform integrates with major EHR systems including Epic, Cerner, and Athena to provide automated appeal workflows, real-time denial prediction, and payer variance tracking. The company maintains SOC 2 Type II certification and reports a 98.7% net collection ratio across their client base.

The company serves over 40 medical specialties, from primary care to specialized fields like orthopedics, cardiology, and oncology. Their service model includes RAC audit defense protocols and compliance measures for regulations including the No Surprises Act.

Choose MBC when your organization is losing revenue to payer downcoding and variance issues that traditional RCM services haven't addressed. Their AI-driven approach specifically targets the gap between contracted rates and actual collections, making them particularly valuable for groups that already have high clean claim rates but suspect underpayment issues.

Expect a data-driven engagement focused on measurable financial metrics like net collection ratio, cost-to-collect, and payer variance rather than operational metrics alone. Their 25-year track record and $2.4B processing volume suggest operational stability for risk-averse healthcare organizations.

MBC exclusively serves healthcare providers with 25 years dedicated to medical billing and revenue cycle management. They support over 40 medical specialties including orthopedics, cardiology, gastroenterology, oncology, behavioral health, and primary care.

Their healthcare-specific compliance infrastructure includes RAC audit defense protocols, No Surprises Act compliance measures, and HIPAA vault-level security. The company maintains SOC 2 Type II certification specifically for healthcare data handling and processes claims through integrations with healthcare-specific EHR platforms.

The ideal MBC client is a multi-specialty medical group with 20+ providers, annual billings exceeding $10M, and existing concerns about revenue leakage beyond standard denial management. Organizations using Epic, Cerner, or Athena EHR systems who prioritize EBITDA protection and have experienced RAC audits or payer compliance issues will align well with their service model.