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Medical Coding Market Size, Share & Trends Analysis Report By Component (Outsourced, and In-house), By Regional Outlook and Forecast, 2024 - 2031

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    Report

  • 112 Pages
  • August 2024
  • Region: Global
  • Marqual IT Solutions Pvt. Ltd (KBV Research)
  • ID: 5997331
The Global Medical Coding Market size is expected to reach $49.8 Billion by 2031, rising at a market growth of 4.7% CAGR during the forecast period.

The dominance of the North America region is largely attributed to the region's advanced healthcare infrastructure, extensive adoption of electronic health records (EHRs), and stringent regulatory requirements for medical coding and billing practices. Thus, the North America segment acquired 51% revenue share in the medical coding market in 2023. Additionally, the presence of many healthcare providers and insurance companies, coupled with significant investments in healthcare IT solutions, has bolstered the demand for medical coding services in this region.



Medical coding, which involves translating medical diagnoses, procedures, and treatments into standardized codes, is crucial for these functions. In 2021, global healthcare spending reached approximately $9.8 trillion, accounting for 10.3% of the global GDP. This figure marked a significant increase from previous years, reflecting the heightened spending due to the COVID-19 pandemic and the associated need for enhanced healthcare services.

Additionally, as more patients seek treatment abroad, the need for efficient and reliable medical coding services has intensified. Thus, the rising trend of medical tourism has significantly increased the demand for standardized medical coding to handle the complexities of cross-border healthcare.

However, for healthcare organizations, restoring trust after a data breach is challenging and often costly, involving technical remediation, public relations efforts, and potentially long-term reputational damage. Thus, data security and privacy concerns are among the most significant challenges facing the medical coding industry today.



The leading players in the market are competing with diverse innovative offerings to remain competitive in the market. The above illustration shows the percentage of revenue shared by some of the leading companies in the market. The leading players of the market are adopting various strategies in order to cater demand coming from the different industries. The key developmental strategies in the market are Acquisitions, and Partnerships & Collaborations.

Driving and Restraining Factors

Drivers
  • Increasing healthcare expenditure globally
  • Rapid growth of medical tourism
  • Growing adoption of electronic health records (EHR)
Restraints
  • High cost of training and certification
  • Data security and privacy concerns
Opportunities
  • Expansion of health insurance coverage
  • Government initiatives shaping the healthcare landscape
Challenges
  • Complex and changing nature of coding systems
  • Growing shortage of skilled professionals

Component Outlook

Based on component, the market is bifurcated into outsourced and in-house. The outsourced segment garnered 64% revenue share in the market in 2023. The driving factors behind the segment's growth include the increasing need for cost reduction and operational efficiency among healthcare providers, particularly in developed countries.



Regional Outlook

Region-wise, the market is analyzed across North America, Europe, Asia Pacific, and LAMEA. The Asia Pacific segment recorded 26% revenue share in the market in 2023. Countries like India and the Philippines have become major hubs for outsourced medical coding services, driven by their large, skilled, English-speaking workforce and lower labor costs.

List of Key Companies Profiled

  • 3M Company
  • Dolbey Systems, Inc.
  • GeBBS Healthcare Solutions, Inc.
  • Precyse Coding Solutions LLC
  • Microsoft Corporation
  • Change Healthcare, Inc. (Optum, Inc.) (UnitedHealth Group, Inc.)
  • Oracle Corporation
  • The Coding Network, L.L.C.

Market Report Segmentation

By Component
  • Outsourced
  • In-house
By Geography
  • North America
  • US
  • Canada
  • Mexico
  • Rest of North America
  • Europe
  • Germany
  • UK
  • France
  • Russia
  • Spain
  • Italy
  • Rest of Europe
  • Asia Pacific
  • China
  • Japan
  • India
  • South Korea
  • Australia
  • Malaysia
  • Rest of Asia Pacific
  • LAMEA
  • Brazil
  • Argentina
  • UAE
  • Saudi Arabia
  • South Africa
  • Nigeria
  • Rest of LAMEA

Table of Contents

Chapter 1. Market Scope & Methodology
1.1 Market Definition
1.2 Objectives
1.3 Market Scope
1.4 Segmentation
1.4.1 Global Medical Coding Market, by Component
1.4.2 Global Medical Coding Market, by Geography
1.5 Methodology for the research
Chapter 2. Market at a Glance
2.1 Key Highlights
Chapter 3. Market Overview
3.1 Introduction
3.1.1 Overview
3.1.1.1 Market Composition and Scenario
3.2 Key Factors Impacting the Market
3.2.1 Market Drivers
3.2.2 Market Restraints
3.2.3 Market Opportunities
3.2.4 Market Challenges
Chapter 4. Competition Analysis - Global
4.1 Market Share Analysis,
4.2 Porter Five Forces Analysis
Chapter 5. Global Medical Coding Market by Component
5.1 Global Outsourced Market by Region
5.2 Global In-house Market by Region
Chapter 6. Global Medical Coding Market by Region
6.1 North America Medical Coding Market
6.1.1 North America Medical Coding Market by Component
6.1.1.1 North America Outsourced Market by Country
6.1.1.2 North America In-house Market by Country
6.1.2 North America Medical Coding Market by Country
6.1.2.1 US Medical Coding Market
6.1.2.1.1 US Medical Coding Market by Component
6.1.2.2 Canada Medical Coding Market
6.1.2.2.1 Canada Medical Coding Market by Component
6.1.2.3 Mexico Medical Coding Market
6.1.2.3.1 Mexico Medical Coding Market by Component
6.1.2.4 Rest of North America Medical Coding Market
6.1.2.4.1 Rest of North America Medical Coding Market by Component
6.2 Europe Medical Coding Market
6.2.1 Europe Medical Coding Market by Component
6.2.1.1 Europe Outsourced Market by Country
6.2.1.2 Europe In-house Market by Country
6.2.2 Europe Medical Coding Market by Country
6.2.2.1 Germany Medical Coding Market
6.2.2.1.1 Germany Medical Coding Market by Component
6.2.2.2 UK Medical Coding Market
6.2.2.2.1 UK Medical Coding Market by Component
6.2.2.3 France Medical Coding Market
6.2.2.3.1 France Medical Coding Market by Component
6.2.2.4 Russia Medical Coding Market
6.2.2.4.1 Russia Medical Coding Market by Component
6.2.2.5 Spain Medical Coding Market
6.2.2.5.1 Spain Medical Coding Market by Component
6.2.2.6 Italy Medical Coding Market
6.2.2.6.1 Italy Medical Coding Market by Component
6.2.2.7 Rest of Europe Medical Coding Market
6.2.2.7.1 Rest of Europe Medical Coding Market by Component
6.3 Asia Pacific Medical Coding Market
6.3.1 Asia Pacific Medical Coding Market by Component
6.3.1.1 Asia Pacific Outsourced Market by Country
6.3.1.2 Asia Pacific In-house Market by Country
6.3.2 Asia Pacific Medical Coding Market by Country
6.3.2.1 China Medical Coding Market
6.3.2.1.1 China Medical Coding Market by Component
6.3.2.2 Japan Medical Coding Market
6.3.2.2.1 Japan Medical Coding Market by Component
6.3.2.3 India Medical Coding Market
6.3.2.3.1 India Medical Coding Market by Component
6.3.2.4 South Korea Medical Coding Market
6.3.2.4.1 South Korea Medical Coding Market by Component
6.3.2.5 Australia Medical Coding Market
6.3.2.5.1 Australia Medical Coding Market by Component
6.3.2.6 Malaysia Medical Coding Market
6.3.2.6.1 Malaysia Medical Coding Market by Component
6.3.2.7 Rest of Asia Pacific Medical Coding Market
6.3.2.7.1 Rest of Asia Pacific Medical Coding Market by Component
6.4 LAMEA Medical Coding Market
6.4.1 LAMEA Medical Coding Market by Component
6.4.1.1 LAMEA Outsourced Market by Country
6.4.1.2 LAMEA In-house Market by Country
6.4.2 LAMEA Medical Coding Market by Country
6.4.2.1 Brazil Medical Coding Market
6.4.2.1.1 Brazil Medical Coding Market by Component
6.4.2.2 Argentina Medical Coding Market
6.4.2.2.1 Argentina Medical Coding Market by Component
6.4.2.3 UAE Medical Coding Market
6.4.2.3.1 UAE Medical Coding Market by Component
6.4.2.4 Saudi Arabia Medical Coding Market
6.4.2.4.1 Saudi Arabia Medical Coding Market by Component
6.4.2.5 South Africa Medical Coding Market
6.4.2.5.1 South Africa Medical Coding Market by Component
6.4.2.6 Nigeria Medical Coding Market
6.4.2.6.1 Nigeria Medical Coding Market by Component
6.4.2.7 Rest of LAMEA Medical Coding Market
6.4.2.7.1 Rest of LAMEA Medical Coding Market by Component
Chapter 7. Company Profiles
7.1 Dolbey Systems, Inc
7.1.1 Company Overview
7.1.2 Recent strategies and developments:
7.1.2.1 Product Launches and Product Expansions:
7.1.3 SWOT Analysis
7.2 Microsoft Corporation
7.2.1 Company Overview
7.2.2 Financial Analysis
7.2.3 Segmental and Regional Analysis
7.2.4 Research & Development Expenses
7.2.5 Recent strategies and developments:
7.2.5.1 Partnerships, Collaborations, and Agreements:
7.2.6 SWOT Analysis
7.3 Oracle Corporation
7.3.1 Company Overview
7.3.2 Financial Analysis
7.3.3 Segmental and Regional Analysis
7.3.4 Research & Development Expense
7.3.5 Recent strategies and developments:
7.3.5.1 Product Launches and Product Expansions:
7.3.5.2 Acquisition and Mergers:
7.3.6 SWOT Analysis
7.4 Change Healthcare, Inc. (Optum, Inc.) (UnitedHealth Group, Inc.)
7.4.1 Company Overview
7.4.2 Financial Analysis
7.4.3 Segmental Analysis
7.5 GeBBS Healthcare Solutions, Inc
7.5.1 Company Overview
7.5.2 Recent strategies and developments:
7.5.2.1 Acquisition and Mergers:
7.6 Precyse Coding Solutions LLC
7.6.1 Company Overview
7.7 The Coding Network, L.L.C
7.7.1 Company Overview
7.8 3M Company
7.8.1 Company Overview
7.8.2 Financial Analysis
7.8.3 Segmental and Regional Analysis
7.8.4 Research & Development Expense
7.8.5 SWOT Analysis
Chapter 8. Winning Imperatives for Medical Coding Market

Companies Mentioned

  • 3M Company
  • Dolbey Systems, Inc.
  • GeBBS Healthcare Solutions, Inc.
  • Precyse Coding Solutions LLC
  • Microsoft Corporation
  • Change Healthcare, Inc. (Optum, Inc.) (UnitedHealth Group, Inc.)
  • Oracle Corporation
  • The Coding Network, L.L.C.

Methodology

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