The American Academy of Professional Coders (AAPC) provides certified credentials to medical coders in physician offices, hospital outpatient facilities, and ambulatory surgical centers and in payer organizations. All members of AAPC agree to a Code of Ethics that ensures high levels of professionalism, integrity and ethical behavior. The three certifications CPC, CPC-H, and CPC-P are the gold standard certifications for medical coding.

Perot Systems is a worldwide provider of information technology services and business solution. AAPC announced that, Perot Systems has been selected to represent AAPC in South India including the south Indian cities of Chennai, Bangalore, and Hyderabad. Thus teaming up with AAPC for representation in South India Perot Systems will be conducting the certifications in South India. There is also American rural coding initiative to serve medical coders in the rural parts of the USA itself.

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Outsource Strategies International (OSI) is a US based medical transcription company offering both domestic as well as offshore India / Philippines based outsourcing in medical billing, medical coding and medical transcription.