• HOW WE ARE DIFFERENT

  • Specialization

    All coders must have a minimum of three years of specialty-specific coding experience within the past five years (five years are required for auditors). If these requirements are met, all coders and auditors must also pass specialty-specific coding and auditing tests composed of sterilized cases.

  • USA Based

    All coders and auditors both live and work in the United States. We have no affiliation with any off-shore companies or contractors; no coding or auditing is ever performed overseas.

  • Recruitment & Testing Standards

    Our extensive recruitment and testing process – with 57 different proficiency exams – is unique to the coding and auditing industry, as are our high standards for accuracy.

  • Leadership

    Unlike other coding companies, whose management team typically consists of prior experience in hospital management and accounting, consulting, healthcare information technology, investment banking, corporate turnarounds, and taking companies public, TCN’s CEO and President possess over 70 years of experience in medical practice, revenue cycle management, and coding, including large multispecialty private practices, academic faculty practice plans, integrated delivery systems, and billing companies.

  • Stability (No Venture Capital Funding)

    Without having to worry about returns on outsiders’ investments and quarter-to-quarter financial performance pressure, our decades of success is predicated on doing what is right for our clients.

  • Accuracy Guarantee and No Minimums

    With an unparalleled expertise level in specialty-specific coding, we stand 100% behind the accuracy of coding performed and do not require any minimums or exclusivity.

  • No Long-Term Agreements

    TCN allows our clients to utilize our services regardless of variation in volume and the duration during which our services are required. All of the services offered by TCN are either on a per case or per hour basis so our clients only pay for what is needed while giving them both administrative and budgetary control.

  • Pristine Compliance Record

    Even with our extensive experience at academic practices, which are targets of high value for the OIG and CMS, NEVER has a client paid a penny for fines or penalties for any service coded in our 25+ years of operation.

OUR SERVICES

What is The Coding Network, LLC – Your Medical Coding Solution Since 1995: Optimizing Revenue & Compliance

The Coding Network (TCN) is America’s premier broker of specialty-specific, remote medical coding and auditing services. We connect healthcare organizations, hospitals, and physician practices with 800+ credentialed, 100% USA-based coders across 55+ medical specialties. Operating seamlessly as an extension of your in-house team, TCN helps you optimize revenue, minimize compliance exposure, and increase practice efficiency with zero volume minimums and a 100% accuracy guarantee.

What is Human Oversight for AI Medical Coding?

While artificial intelligence is transforming medical coding speed, autonomous coding cannot stand alone. Payers have raised their compliance standards, and major contracts now require human attestation for AI-generated codes. The Coding Network connects customers with credentialed, USA-based especially-specific coders to validate your AI-generated codes, acting as a crucial safety net for complex cases. We integrate effortlessly into your workflow to ensure your AI investment optimizes revenue while protecting you from False Claims Act exposure and costly payer denials.

What is the TCN Difference? We are 100% USA-Based, Specialty-Specific Experts

We compete on quality, clinical precision, and expertise—never offshore or low-cost framing. Generalist and offshore coding can introduce significant compliance vulnerabilities and accuracy issues. At TCN, our network exclusively relies on 800+ USA-based coders. Every coder is focused on a single specialty with at least three years of experience and must pass one of our 57 rigorous proficiency exams unique to the industry. We provide this gold standard in medical coding with no minimums, no exclusivity required, and fast, seamless onboarding.

Comparisons

Feature Business Impact Estimated ROI Implementation Time
The Coding Network (TCN) 100% USA-based, specialty-specific experts ensure clinical precision, lower compliance risk, and seamless workflow. High (Maximized appropriate reimbursement, reduced RAC/OIG audit exposure) Fast seamless onboarding
Offshore Coding Vendors Generalist coders can lead to high error rates, communication barriers, and severe compliance vulnerabilities. Variable (Lower upfront cost negated by denials and rework) Weeks to Months
Traditional In-House Hiring High fixed overhead, vulnerability to turnover/vacations, and difficulty finding sub-specialty expertise locally. Moderate (Fixed costs regardless of volume peaks and valleys) Months (Recruiting/Training)
Autonomous AI (No Human Validation) High volume processing speed, but lacks human validation for complex cases, increasing regulatory exposure. Moderate (Speed offset by high denial rates on complex cases) Variable

FAQs:

What is the benefit of specialty-specific medical coding?
Medical coding rules vary drastically between clinical fields. Generalist coders can easily miss nuanced guidelines, leading to undervalued services or increased audit risks. TCN connects customers with credentialed coders who possess a minimum of 3 years of experience in your specific specialty—from cardiology to oncology. This specialty-driven approach ensures clinical precision, optimizes appropriate reimbursement, and minimizes compliance exposure.

Do you require long-term contracts or monthly minimums?
No. TCN utilizes flexible per-encounter/per-case pricing with no minimums and no exclusivity required. Our service agreements are customer-friendly, allowing you to utilize our services for full outsourcing, or simply as supplemental assistance for temporary backlogs and vacation coverage.

Are your medical coders located in the United States?
Yes. 100% of the 800+ credentialed coders and auditors live and work in the United States. We never engage offshore vendors, ensuring the highest standards of communication, security, accuracy, and compliance.

How does TCN help protect against RAC and OIG audits?
Our rigorous vetting process includes 57 unique proficiency exams, ensuring our network of coders are the best in the industry. Additionally, TCN independent coding compliance audits identify documentation deficiencies and coding errors before they trigger payer scrutiny. This proactive approach reduces your legal and financial compliance exposure and serves as a teaching tool for your providers.

How do you handle AI medical coding validation?
As major payers increasingly require human attestation for AI-generated codes, TCN provides certified experts to review and validate AI outputs in real-time. This provides a safety net for complex cases, ensuring your AI tools deliver on their promise of efficiency without running afoul of the False Claims Act.

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