Outsourced Medical Coding Services
Outsourced medical coding, staffed rather than sold by the chart. Certified coders assign accurate ICD-10-CM, CPT and HCPCS codes from your clinical documentation, query providers when notes are incomplete, and keep first-pass acceptance high — inside your EHR and practice-management system, on your hours, reporting to your coding or compliance lead.
Reviewed by our Client Delivery lead · Last updated August 2026
- CPC / CCS-certified coders, tested on ICD-10-CM, CPT & HCPCS before shortlist
- Dedicated seats you direct — not per-chart or percentage-of-collections
- E/M leveling, specialty coding, HCC/risk-adjustment capture and audit-ready documentation
- 70–85% cost savings vs a US-salaried coder — from $7/hour
- 48-hour shortlist + 5-day working trial on your own charts
We'll review your brief and send a shortlist within 48 hours — no payment, no contract. See pricing →
Full-time dedicated ($7/hr × 176 hrs) · No hidden fees · No long-term contracts
How much does it cost to hire remote Medical Coders through Zedtreeo?
Remote Medical Coders through Zedtreeo start at $7/hr — about $1,232/month for a dedicated full-time hire (176 hours). Typical tiers: Certified Coder $7–$8/hr, Specialty Coder $8–$10/hr, Senior / Auditor $10–$12/hr. For comparison, the US median wage for Medical Records Specialists is $51,140/year — about $25/hour before benefits, payroll taxes and overhead (BLS OEWS May 2025). A pre-vetted shortlist arrives within 48 hours and every placement starts with a 5-day free trial; engagements are contracted with LegelpTech Outsourcing Pvt Ltd, an ISO 27001:2022 certified company.
Reviewed · sources listed below the FAQ.
Available Candidates
Vetted professionals on our bench
Why hire remote medical coders with Zedtreeo.
Every medical codersis pre-vetted, AI-trained, and matched to your timezone. Here's what sets them apart.
Accurate, Defensible Coding
ICD-10-CM, CPT and HCPCS assignment from the encounter note — with modifier logic, NCCI edits and LCD/NCD checks applied before the claim leaves your system.
Specialty Fluency
Coders matched to your specialty: E/M and primary care, orthopedics, cardiology, behavioral health, radiology, surgery, anesthesia, and dental. Tell us the mix and we shortlist accordingly.
HCC / Risk-Adjustment Capture
For value-based and Medicare Advantage panels: chronic-condition capture, MEAT documentation review and provider queries that lift RAF accuracy without over-coding.
Provider Queries That Get Answered
Compliant, specific documentation queries when notes don't support the level or the diagnosis — closing the loop with clinicians instead of guessing.
Audit-Ready by Default
Coding rationale logged per encounter, internal accuracy sampling, and readiness for payer, OIG and RADV audits — so a records request is a retrieval task, not a fire drill.
HIPAA-Trained Access
Least-privilege EHR access, HIPAA-aligned PHI handling and NDA-backed engagements under our operator's ISO 27001:2022-certified ISMS.
Skills & tools.
Our medical coders are proficient across the technologies and tools that matter most.
How it works.
From first conversation to a fully onboarded team member — in as little as 7 days.
Share Your Requirements
Tell us the role, skills, and experience level you need.
We Match & Vet
Shortlisted pre-vetted candidates delivered within 48 hours.
Interview
Review profiles and interview your top candidates.
Free Trial
5-day no-cost trial to evaluate fit and performance.
Onboard & Scale
Your dedicated hire integrates with your team seamlessly.
Simple, transparent rates.
No hidden fees, no recruitment charges, no long-term contracts. Start with a free 5-day trial.
Certified Coder (1–3 yrs)
Outpatient / professional-fee coding, E/M leveling, charge capture support, edit resolution
Get Started →Specialty Coder (3–6 yrs)
Surgical and specialty coding, HCC capture, provider query ownership, denial root-cause on coding rejections
Get Started →Senior / Auditor (6+ yrs)
Coding audits, education for providers and junior coders, compliance reporting, multi-specialty QA
Get Started →Per-chart coding vendor, in-house coder, or a dedicated coder?
Three ways to get charts coded — and who ends up owning accuracy.
| Factor | Per-chart coding vendor | In-house US coder | Zedtreeo dedicated coder |
|---|---|---|---|
| How you pay | Per chart, per encounter, or a share of collections | Salary, benefits, payroll taxes, PTO | From $7/hr, all-inclusive, month to month |
| Cost as volume grows | Rises with every chart | Fixed until you need a second coder | Fixed — you are buying hours, not charts |
| Who does the work | Whoever the vendor assigns, often rotating | The person you hired | The same certified coder every day, matched to your specialty |
| Who sets priorities | The vendor, against their SLA | You | You — the coder reports to your coding or compliance lead |
| Specialty fit | Depends who picks up the chart | Whatever you hired for | Tested on de-identified charts in your specialty before shortlist |
| Provider queries | Often out of scope or batched | Direct to the clinician | Direct to the clinician, in your query workflow |
| Audit trail | The vendor's system | Yours | Yours — rationale logged per encounter in your EHR |
| Trying before you commit | Rarely offered | A hire is the trial | 5-day working trial on your own charts |
Per-chart vendor terms vary widely; the Zedtreeo column describes our standard terms. If you want a vendor measured on collections rather than staff you direct, a per-chart firm is the better fit.
When NOT to hire — an honest take.
A dedicated coder pays off at steady chart volume with a documentation loop you're willing to run.
- Under ~150 encounters a month — a biller who also codes, or a per-chart coding vendor, is usually enough.
- Your documentation is the real problem — a coder can query, but if providers won't respond, accuracy stalls; fix the workflow first.
- You need someone to make clinical or medical-necessity decisions — coders code what is documented; those calls stay with your clinicians and compliance lead.
No dead weeks.
The real cost of a hire that does not work out is not the fee — it is the weeks of ramp, context and half-finished work that go with them. Most guarantees refund the money and hand you a new stranger. Three things happen here instead.
A free replacement, with no expiry
Month one or month thirty — if a specialist stops being right for the seat, we replace them at no cost. There is no 30-day or 90-day cutoff and no cap on how many times you can ask.
A fresh 5-day trial, every time
The replacement is not a stranger you are stuck with. You get five working days of real output to evaluate them, free — exactly the same trial you had on the first placement, on every replacement.
Five free days of handover
The outgoing specialist spends five days handing over to the incoming one, at no charge. Open items get documented and context transfers with the work, so you lose days rather than weeks.
This has been standing practice since we started — it is written down here because it was never written down anywhere. Read the full replacement policy
Frequently asked questions.
Common questions about hiring remote medical coders through Zedtreeo.
Are your medical coders certified?
Which specialties can they code?
Which EHR and coding tools do they work in?
How is coding accuracy measured?
Coder, biller or RCM analyst — which do I need?
Is this outsourced coding, or is it staffing?
What does a dedicated coder cost?
How does the trial work for coding?
Sources & benchmarks
- U.S. Bureau of Labor Statistics, OEWS May 2025 — Medical Records Specialists (SOC 29-2072) (2025) — the US median wage comparator ($51,140/year) quoted above.
- Zedtreeo Rate Index (2026) — the published starting rate and tiers for this role — the same figures shown on this page.
- Zedtreeo pricing engine (site-wide constants) (2026) — 176 billable hours per full-time month; monthly figure = hourly rate × 176.
Reviewed . US medians exclude benefits, payroll taxes and overhead; Zedtreeo rates are all-in for dedicated full-time staff.
Why our rates are lower — and sustainable.
It isn't a discount or a race to the bottom. The gap is a structural macroeconomic one — and our specialists earn competitive local wages while you pay a fraction.
Wage arbitrage
The same skill is priced very differently by geography. We recruit from India's deep talent pool and place specialists with businesses globally — so you get the skill without the highest-wage market's price tag.
Currency + cost of living
Nominal FX is ~₹95.5/$ — but in purchasing-power terms $1 buys only ~₹22 of goods in India. That ~4× gap is structural, not a discount that erodes.
Eliminated overhead
No US benefits load (~30%), office, equipment, software seats, or recruiting fees (15–25% of first-year pay). One transparent rate absorbs the lot.
| Role | US in-house* | Zedtreeo | You save |
|---|---|---|---|
| Software developer | ~$85/hr | $8–$10/hr | ~88% |
| Digital marketer | ~$42/hr | $6–$8/hr | ~83% |
| Bookkeeper / accountant | ~$32/hr | $6–$8/hr | ~78% |
| Medical biller / RCM | ~$32/hr | $6–$8/hr | ~78% |
| Virtual assistant / admin | ~$30/hr | $6/hr | ~80% |
| Customer support | ~$26/hr | $6/hr | ~77% |
| Architectural drafter* | ~$50/hr | $18/hr | ~64% |
*US figures = BLS (May 2025) median wage plus ~30–35% benefits & overhead, per hour. Architectural drafting is a specialized production tier priced above the $6–10 base, so its savings run lower. Most roles save 70–85% versus comparable local hires.
Where the savings actually come from
A dollar trades at ~₹95 — but inside India it buys what ~₹22 buys here. That ~4× gap between the exchange rate and real cost of living is the engine, not a discount— and it's only widened for a decade. Our specialists earn a strong wage for their market; you pay less because of the currency gap and eliminated overhead, never because anyone's underpaid or the work is cut-rate.
And the spread stays honest
Most of what you pay reaches the person doing the work — not a recruiter's placement fee, not a layer of account management you never meet. It's part of why 94% of our specialists stay, and every one of them clears the Zedtreeo 6-Stage Standard before you ever see a profile. See the public math: where your outsourcing dollar actually goes →
ISO 27001:2022 certified · NDA on every engagement · See compliance & data-security details →
Real results from real teams.
See how companies achieved measurable outcomes by hiring remote medical coders through Zedtreeo.
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