Every year, healthcare providers face costly delays, denied claims, and coding errors that slow their entire reimbursement cycle. This rising demand is why so many entrepreneurs are researching how to start a billing and coding business—a service model that helps providers stay organized while giving business owners a stable, remote, recession-proof income stream.
But here’s where most beginners get overwhelmed:
They think starting a medical billing and coding startup requires them to personally learn both billing AND become a certified coder.
That’s the biggest misconception in the industry.
The truth is:
You do NOT need to learn medical coding to start a successful billing business.
Most companies—including those run by MBO founder Adam—simply outsource coding to certified coders while keeping the billing work in-house.
Medical Billing Opportunity (MBO) does not teach medical coding. Instead, we teach you how to build a medical billing business and provide the exact framework you need to confidently outsource coding the same way real healthcare companies do.
This guide walks you through the four simple steps to launch your business the right way, while staying 100% aligned with what MBO actually offers.
Why Billing Comes First (and Why You Don’t Need to Become a Coder)
Medical billing and medical coding are two different professions:
Medical Billing:
- Submitting claims
- Following up with insurance
- Managing denials
- Working with providers
- Handling reimbursement
- Credentialing + RCM tasks
Medical Coding:
- Assigning CPT, ICD-10, and HCPCS codes
- Analyzing documentation
- Handling medical record accuracy
- Requires formal training/certification
Most healthcare companies—including clinics, hospitals, and billing agencies—never combine these roles into one person. Instead, they partner the roles:
- Billers run the business
- Coders support the documentation side (often outsourced)
This is the model MBO teaches:
Start your billing business, then use outsourced certified coders to offer full-service support without needing to learn coding.
Step 1: Understand How Billing and Coding Work Together in a Startup
Before launching a medical billing and coding startup, you need to understand how these two functions interact.
Here’s the typical workflow:
- The medical coder reviews provider notes and assigns accurate codes.
- The medical biller (you) submits those coded claims, manages follow-ups, corrects errors, and ensures payment.
- The provider receives consistent, faster reimbursement.
You are not expected to do the coding. Instead, you coordinate with a coder—just like billing companies and clinics already do.
This separation allows you to:
- Start your business faster
- Avoid expensive coding programs
- Outsource technical coding tasks
- Focus on the revenue-driving side of healthcare
- Scale your business without doing everything yourself
Understanding this partnership model sets the foundation for a truly scalable billing business.
Step 2: Build the Core Structure of Your Billing and Coding Business
Once you understand the workflow, the next step is creating the operational foundation.
✔ Register your business structure
Most entrepreneurs start with an LLC for liability protection.
✔ Set up your billing software
MBO teaches you how to choose beginner-friendly, cost-effective billing platforms.
✔ Create your clearinghouse account
This is how you submit claims to insurance companies.
✔ Craft your provider onboarding system
This includes EHR access, agreements, HIPAA compliance, and expectations.
✔ Plan your coding outsourcing strategy
Since you won’t be doing coding yourself, you need reliable certified coders.
MBO teaches you how to:
- Find experienced coders
- Interview them
- Determine normal pay rates
- Structure outsourcing agreements
- Protect your business legally
- Maintain smooth communication
This step ensures your business operates professionally while keeping coding safely outsourced.
Step 3: Learn the Billing Skills That Actually Matter (MBO Does NOT Teach Coding)
Medical Billing Opportunity specializes in teaching billing, not coding—because billing is the part of the business that drives revenue and requires the least barrier to entry.
What you learn at MBO:
- Submitting and tracking insurance claims
- Understanding payer rules
- Managing claim denials and appeals
- Setting provider expectations
- Credentialing and enrollment
- Prior authorizations
- HIPAA compliance
- Building high-margin billing packages
- Setting your pricing
- Contract structure and onboarding
- Marketing and client acquisition
What MBO does not teach:
❌ Medical coding
❌ CPT/ICD-10 certification
❌ Coding education or coding exams
Instead, we teach you how to partner with certified coders and build a business model that mirrors real healthcare operations.
You focus on:
- Billing
- Business ownership
- Provider communication
- Revenue cycle management
- Client acquisition
Your coder focuses on:
- Documentation
- Coding accuracy
- Chart analysis
This is the easiest, safest, and most profitable model for beginners.
Step 4: Get Clients by Positioning Yourself as a Billing Business With Coding Support
Even though you are not a coder, your business can still offer a “billing + coding solution” because you have coding partners.
Providers love this because:
- They don’t want to hire separate people for billing and coding
- You simplify everything
- You manage communication
- You eliminate coding-related denials
- You become their single point of contact
This is exactly how large billing agencies operate.
MBO teaches you how to:
- Reach providers using proven outreach frameworks
- Use scripts that convert
- Leverage LinkedIn, email, and direct outreach
- Build referral networks
- Communicate your value clearly
- Handle provider objections
- Onboard your first client successfully
You’re not branding yourself as a coding teacher or coding business…
You’re branding yourself as a billing business that partners with professional coders.
That’s an important distinction—and it keeps everything accurate and aligned with MBO.
Conclusion: Want to Start Your Billing Business Faster? MBO Can Help.
Launching a billing and coding business doesn’t require you to learn coding, go back to school, or get expensive certifications. You only need:
- Strong billing knowledge
- A business setup blueprint
- The right tools and software
- A reliable outsourced coder
- A proven method for getting clients
Medical Billing Opportunity teaches you all the billing skills and business strategies you need—plus the framework for finding and partnering with professional coders—so you can launch quickly, confidently, and correctly.
If you want to speed up this process and avoid months of trial and error, get in touch with our team.
MBO will help you start a remote medical billing business that is simple, scalable, and built for long-term growth.
