America's Most Trusted Medical Coding Researchers. For 40 Years.
From auditing and compliance to AI medical coding validation and litigation support, Edelberg & Associates has been the preferred subject matter expert for healthcare organizations when the stakes are highest. We have the depth of expertise that payers, attorneys, and auditors respect.
Specialties: Emergency Medicine · Urgent Care · Hospital Medicine · Observation Medicine · and more
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Why Edelberg
Payers have more tools to deny your claims. You need researchers on your side.
Payers are deploying AI to find patterns in your claims and deny them faster than ever. Unspecified diagnoses, evolving insurer rules, and AI-generated coding errors are creating a new layer of denial risk that most coding vendors aren't equipped to address.
Edelberg & Associates approaches every engagement as researchers, not just coders. We go deep on every payer rule, every diagnosis specification, and every AI output discrepancy. The result: coding that's built to be defended before the first claim goes out the door.
40+
Years of Experience
95%+
Coding Accuracy Rate
94%+
Payer Challenge Win Rate
Our Services
What We Do
AI Medical Coding Validation
AI tools move fast, and errors move faster. We validate AI-generated coding output, identify discrepancies before they reach a payer, and audit for the patterns that trigger denials.
Learn MoreAuditing & Compliance Research
Proactive audits built on evidence-based coding policy, not checklists. We research payer rules, design coding algorithms, and build the documentation trail that holds up under scrutiny.
Learn MoreEducation & Training
Coder and provider education built from 40+ years of frontline coding experience. Keep your team current on coding guidelines, payer expectations, and AI tool adoption.
Learn MoreOur Technology
The C.A.R.E. Coding Platform
At the heart of our operations is C.A.R.E., our proprietary, HIPAA-compliant, AWS-hosted web platform. Every coder gets a secure, efficient environment for coding, QA reviews, and deep-dive reporting.
- AI-assisted chart analysis with error detection and denial risk scoring
- Real-time production reports, coder queue management, and QA workflows
- HIPAA-compliant, enterprise-grade AWS cloud security
Client Testimonials
“Edelberg's compliance audit team is top notch. They have a deep bench of industry experience and will collaborate with you to design the audit scope and reporting you need to support your compliance program. Edelberg also excels at communication throughout the project. They take deadlines and your business needs seriously. Edelberg is a great partner, and I recommend them highly.”
Jennifer Edlind, JD, CHC
Chief Compliance Officer, IAC
US Acute Care Solutions
Who We Serve
Who We Serve
From clinical leadership to revenue operations, we work with the organizations and individuals who support the financial and operational structure of each client.
Who We ServeEmergency Physician Groups
Accurate E/M coding, audit support, and compliance for emergency medicine practices of every size.
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Who We ServeFreestanding Emergency Departments
Specialized coding and compliance expertise for freestanding EDs navigating unique payer rules.
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Who We ServeUrgent Care Networks
Scalable coding programs built for multi-site urgent care groups with high-volume patient encounters.
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Who We ServeRevenue Cycle Directors
Deep-dive audits, coder QA, and data reporting that gives RCDs the visibility to lead with confidence.
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Who We ServeHealthcare CFOs & Medical Directors
Executive-ready reporting and strategic compliance counsel for leaders accountable to the bottom line.
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Who We ServeHealthcare Attorneys & Legal Teams
Expert witness testimony, litigation support, and coding analysis that holds up in court.
See how we helpStay Ahead of Payer Changes and Coding Updates.
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Ready to Work With America's Most Trusted Medical Coding Researchers?
Talk to our team today. No sales pitch, just an honest conversation about your coding and compliance needs and how we can help.