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Find out what makes the best medical billing and coding software essential for healthcare practices and how it supports compliance, efficiency, and accuracy.
Billing and coding are what keep the revenue part of your medical practice running smoothly. However, keeping up with ever-changing codes, submitting accurate claims, and chasing reimbursements can slow down even the most organized practice.
That’s where the right software comes in.
In this guide, we’ll look at 11 of the best medical billing and coding solutions, comparing their features, usability, and how they improve accuracy, compliance, and cash flow for healthcare providers.
If you want a quick snapshot of the top medical billing and coding tools without reading the full guide, here’s the list:
This list highlights proven solutions; however, the best choice depends on your practice size, specialty, and workflow needs, which are discussed in the sections below.
Medical coding software takes the details from patient records, like diagnoses, lab results, and procedures, and turns them into universal codes. These codes, based on standards such as ICD-10 and CPT, make it possible to submit insurance claims, monitor patient care, and keep health records accurate.
Medical billing software utilizes these codes to generate error-free claims, submits them to insurers, and tracks payments through to reimbursement. Automating the process reduces errors and ensures revenue flows smoothly.
It helps practices get paid faster, stay compliant with regulations like HIPAA, and maintain accurate patient data, all without any hassles.
The primary purpose of using medical billing and coding software is to streamline the workflow, increase accuracy, and reduce frustration.
Here’s why practices rely on it:
Getting paid in healthcare isn’t as simple as handing over a bill and collecting cash. The process involves multiple steps, from capturing patient information to submitting insurance claims and following up on payments. That’s where medical billing and coding software makes a real difference.
Here's how:
Medical billing and coding software ensures that every service is coded correctly, appropriately billed, and paid on time. It keeps the revenue cycle running smoothly, so practices don’t waste time chasing payments or worrying about compliance.
If you want to skip the manual work, Jorie AI can help. We help automate 90% of your revenue cycle tasks, like eligibility checks, charge entry, claims follow-up, and more. You’ll gain faster payments and fewer denials without extra staff hours.
Request a demo and see how it can streamline your revenue cycle.
The medical billing and coding software you choose should make billing faster, reduce errors, and help you get paid on time.
Here are the core features you should look for:
These are the top 11 medical billing and coding tools, offering features that streamline revenue cycles, boost coding precision, and keep your practice compliant:
Jorie AI automates up to 90% of revenue cycle workflows using intelligent bots trained on real healthcare billing patterns. That means automating tasks like eligibility checks, charge entry, and claims follow-up happens automatically, with 98% accuracy in eligibility verification.
Unlike standard tools, Jorie offers ongoing AI-driven consulting and seamlessly integrates with major EHR systems, including Epic and Cerner. Our fully managed service helps practices improve efficiency, reduce costs, and stay compliant with HIPAA and other regulations.
Want to see how Jorie AI fits into your workflow? Request a demo to explore how automation can enhance accuracy and expedite reimbursements.
DrChrono is a cloud-based solution that combines EHR, billing, and practice management into one platform. It takes a mobile-first approach, letting providers manage patient records, billing, and scheduling from an iPad or iPhone.
DrChrono automatically recommends medical codes from clinical notes and checks insurance eligibility in real-time.
However, its reporting features are limited compared to other platforms, which can make financial tracking harder for larger practices.
AdvancedMD offers a comprehensive suite of tools for EHR, coding, medical billing, and practice management, specifically designed for medium to large practices. Its deep analytics dashboard gives real-time insights into financial health, and it automates the healthcare revenue cycle from charge capture to payment posting.
The downside of this tool is that its interface is often criticized as complex, leading to a steeper learning curve for staff.
Tebra keeps things simple without cutting corners on functionality. It automates charge capture and claim submission, enabling practices to receive payment faster and with fewer errors. The EHR integrates smoothly with billing, and its patient engagement features help reduce no-shows and payment delays.
On the other hand, customization options are limited, which can be frustrating for practices with specialized workflows.
eClinicalWorks goes beyond just billing and coding by integrating telehealth and patient engagement tools. Its built-in telehealth capabilities mean providers can conduct virtual visits without a separate system.
Coding is simplified with real-time suggestions and error-checking, reducing rejected claims. Its patient portal allows patients to view records, communicate with providers, and pay bills online. But users frequently report slow customer support response time, which can delay issue resolution.
Epic is built for large hospitals and healthcare networks, with deeply integrated billing and coding tools, customizable workflows, and strong interoperability. That means patient records, billing, and department data communicate with each other seamlessly, eliminating messy handoffs.
Automated claim scrubbing, patient billing portals, and detailed reporting tools significantly reduce the manual work involved in the process.
The trade-off is cost; Epic is one of the most expensive solutions, often putting it out of reach for smaller practices.
Optum coding is built purely for accurate coding, not for EHR or practice management. The software comes with a huge library of ICD-10, CPT, and HCPCS codes, and flags potential errors before claims get submitted.
It integrates with major EHRs, so coders don’t have to jump between systems. If accuracy is your top priority and you want a focused tool, this one does the job without distractions.
AAPC is the largest organization for medical coding, billing, auditing, and compliance training. Beyond education, it offers powerful tools like Codify by AAPC, which gives coders instant access to ICD-10, CPT, and HCPCS databases, along with guidelines and compliance updates.
It’s a complete resource hub with real-time code updates, coding tips, and compliance checks. AAPC is best suited for practices and coders who want both reliable software support and access to certifications, training, and a strong professional community.
Find-A-Code is a comprehensive coding resource designed for coders who require a detailed reference tool. It offers access to an expansive database of ICD-10, CPT, and HCPCS codes along with coding tutorials, guidelines, and community forums.
What sets it apart is its educational focus, perfect for teams that need ongoing reference support and training, in addition to coding software. Real-time updates ensure coding remains accurate and compliant.
AthenaHealth’s athenaOne suite includes billing, coding, and EHR. It automates claims submission and tracks claim status, helping reduce denials.
It also provides real-time eligibility verification and built-in coding tools, so fewer mistakes slip through.
Its biggest drawback is inconsistent updates and system downtime, which some users say disrupts daily operations.
PracticeSuite is a cloud-based solution that works for practices of all sizes. It ties together EHR, practice management, and billing into a single platform. The EHR templates adapt to different specialties, which makes it easier to customize without starting from scratch.
It automates coding, payment posting, and reporting, while offering a patient portal for online bill management.
That said, its interface feels dated compared to modern platforms, making the user experience less intuitive.
Selecting the right solution involves finding a tool that aligns with your workflow, staff, and specialty.
Here's how you do it:
Even the best medical billing and coding software comes with its own set of challenges. Knowing what to watch out for and how to address it can save time, money, and headaches.
Here are some issues practices run into most often:
Sometimes, complex procedures, unusual cases, or missing documentation can lead to incorrect codes, resulting in denied claims and revenue loss.
Coders should always review suggestions for complicated cases. Ensure your system is up to date with the latest ICD-10, CPT, and HCPCS codes. Regular audits and staff checks catch errors before submission.
Not every practice works well with a one-size-fits-all solution. Software that can’t adjust to your workflow slows coding and billing, causing frustration and errors.
Look for systems that allow customization and integrate with your EHR or other management tools. During the selection and setup process, involve the people who will use it daily. This will ensure that the software meets real-world needs.
Healthcare regulations are not set in stone; they change frequently, and failing to keep up with updates can be costly for your practice. Many systems take time to implement changes, leaving practices exposed.
The fix is simple: use software that updates regularly, audit internally, and have your staff review the claims before submission.
Even the best software only works if people use it correctly. Poor training or resistance to new tools can lead to inefficiency, mistakes, or underutilization of features.
Fix this with structured onboarding, ongoing education, and training suited to different experience levels. Encourage communication with IT or the vendor so users get support when they need it. Ongoing training keeps your team current on rules and codes.
Billing and coding software has to connect with EHRs, patient management tools, and other systems. When it doesn’t, staff spend time moving data manually, which can lead to errors and delays.
Select software that integrates with your existing technology. Additionally, regular audits help catch problems early and avoid costly disruptions.
If you have a large practice, you may need to handle hundreds or thousands of claims and codes. Without proper workflow management, your staff can get overwhelmed, slowing the revenue cycle.
The solution is to look for software that offers batch processing, automated claim checks, and a clean dashboard that prioritizes tasks. This will keep your work organized and reduce the chance of missed claims or errors.
Even with accurate coding, denials and late payments may happen.
What would be helpful is software that tracks denials, provides actionable insights, and simplifies the resubmission process for claims. Analyzing denial patterns regularly can reveal recurring problems and help prevent them in the future.
Here are some answers to help you further in finding the right billing and coding solutions:
Costs vary based on features, number of users, and practice size. Some providers charge per claim, others per provider, and some offer a flat monthly subscription.
Practices usually pay $200–$2,000 per month. Enterprise-level solutions can be higher.
Yes. Many modern solutions are flexible enough to adapt to small clinics, solo practices, or multi-provider offices.
You can often customize templates, automate workflows, and reporting to fit your specialty and staff size. It’s worth choosing software that allows integration with your EHR and other existing tools so you don’t have to work around rigid systems.
Medical coding databases are updated regularly to reflect the latest rules and standards.
CPT codes from the American Medical Association (AMA) are updated annually, Medicare billing rules from the Centers for Medicare & Medicaid Services (CMS) are revised each year, and ICD codes from the World Health Organization (WHO) and National Center for Health Statistics (NCHS) are updated as needed.
Staying current ensures accurate coding and reduces the risk of claim denials.
Sometimes. Platforms now include telehealth support, but the specifics vary. Look for software that includes telehealth-specific CPT codes, reimbursement rules, and integration with virtual care platforms.
This ensures that claims are submitted correctly and you receive payment promptly for virtual visits.
Now you have a clear understanding of how medical billing and coding automate tasks. The right software plays a significant role in the accuracy of those processes.
Whether you're a solo practitioner or have a large hospital network to manage, with the right tools, you can streamline coding, simplify billing, and get a clear view of your earnings. The goal is to select a solution that aligns with your workflow, scales with your practice's growth, and enables your staff to focus on what matters most: patient care.
If you want to supercharge billing accuracy and reduce claim errors, Jorie AI automates the bulk of billing tasks, ensures precise eligibility checks, and adapts to major EHRs like Epic and Cerner.
Curious how much automation could save your practice?
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