医療コーディング市場- 世界の産業規模、シェア、動向、機会、予測、コンポーネント別、地域別、競合、2019年～2029年

医療コーディングの世界市場規模は2023年に341億2,000万米ドル、予測期間中のCAGRは10.21%で2029年には595億5,000万米ドルに達すると予測されています。

医療コーディングの世界市場は、効率的なヘルスケアドキュメンテーションのニーズの高まりと、ヘルスケア償還の需要の高まりにより、大きな成長を遂げています。医療コーディングは、医療診断、処置、治療を世界共通の英数字コードに変換するプロセスであり、ヘルスケア請求、保険請求、患者データ管理を合理化する上で重要な役割を果たしています。医療データの増加に伴い、医療コーディングは正確性、均一性、規制要件の遵守を保証し、効率的な医療管理に不可欠です。

市場の主な促進要因は、慢性疾患の罹患率の増加と人口の高齢化であり、これが世界のヘルスケア利用の増加につながっています。このため、ヘルスケア請求の急増を管理し、タイムリーな払い戻しを確保するために、正確なコーディングの必要性が生じています。電子カルテ（EHR）の採用やヘルスケア分野のデジタル変革も、効率的な医療コーディングシステムの必要性を高めています。これらの技術は、ヘルスケアデータのシームレスな統合、保存、検索を容易にし、コーディングサービスの需要をさらに促進しています。例えば、米国病院協会（American Hospital Association）の2024年報告書によると、米国における入院患者数は約3,400万人です。ヘルスケア施設では、正確でタイムリーな請求処理が求められるため、入院患者数の増加により、医療コーディングと請求処理に関する有資格の専門家に対するニーズが高まり、予測期間中の業界の成長に貢献します。この動向は、患者数が増加する中、ヘルスケア業務をサポートする医療コーダーの重要な役割を浮き彫りにしています。

規制環境も医療コーディング市場を形成する重要な要因の一つです。米国のHIPAA（Health Insurance Portability and Accountability Act：医療保険の相互運用性と説明責任に関する法律）など、各国の政府規制により、医療従事者は標準化されたコーディングシステムを遵守する必要があります。このような規制を遵守することで、透明性を確保し、エラーを減らし、医療請求プロセスにおける不正を最小限に抑えることができます。より具体的で最新のコードを提供するICD-11のような新しいコーディング標準への移行は、世界中で先進的な医療コーディングプラクティスの採用を促進しています。特に北米や欧州などの先進地域のヘルスケアプロバイダーでは、医療コーディングサービスのアウトソーシングが増加しています。アウトソーシングにより、病院やクリニックは、コーディングの正確性とコンプライアンスを保証できるスペシャリストが対応することを保証しながら、中核となるヘルスケア活動に集中することができます。アジア太平洋地域も医療コーディング市場の重要なプレーヤーとして台頭してきており、熟練した労働力と費用対効果の高いサービスが利用できるため、アウトソーシング先として魅力的な存在となっています。

市場促進要因

ヘルスケア支出の増加

電子カルテ（EHR）の普及

コーディングサービスのアウトソーシング

データ精度に対する要求の高まり

主な市場課題

熟練コーダーの不足

高いエラーリスク

主な市場動向

自動化とAIの採用増加

電子カルテ（EHR）との統合

目次

第1章 概要

第2章 調査手法

第3章 エグゼクティブサマリー

第4章 顧客の声

第5章 世界の医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別（アウトソース、社内）
  • 地域別
  • 企業別（2023）
• 市場マップ

第6章 北米の医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別
  • 国別
• 北米：国別分析
  • 米国
  • カナダ
  • メキシコ

第7章 欧州の医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別
  • 国別
• 欧州：国別分析
  • ドイツ
  • 英国
  • イタリア
  • フランス
  • スペイン

第8章 アジア太平洋地域の医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別
  • 国別
• アジア太平洋地域：国別分析
  • 中国
  • インド
  • 日本
  • 韓国
  • オーストラリア

第9章 南米の医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別
  • 国別
• 南米：国別分析
  • ブラジル
  • アルゼンチン
  • コロンビア

第10章 中東・アフリカの医療コーディング市場展望

• 市場規模・予測
  • 金額別
• 市場シェア・予測
  • コンポーネント別
  • 国別
• 中東・アフリカ：国別分析
  • 南アフリカ
  • サウジアラビア
  • アラブ首長国連邦

第11章 市場力学

• 促進要因
• 課題

第12章 市場動向と発展

• 合併および買収（該当する場合）
• 製品の発売（該当する場合）
• 最近の動向

第13章 ポーターのファイブフォース分析

• 業界内の競合
• 新規参入の可能性
• サプライヤーの力
• 顧客の力
• 代替品の脅威

第14章 競合情勢

• Aviacode Inc.
• Dolbey Systems, Inc.
• GeBBS Healthcare Solutions
• Maxim Healthcare Services
• Nuance Communications Inc.
• Optum, Inc.
• Oracle
• Parexel International（MA）Corporation
• Startek
• Coding Network, LLC

第15章 戦略的提言

第16章 調査会社について・免責事項

Global Medical Coding Market was valued at USD 34.12 billion in 2023 and is expected to reach USD 59.55 Billion by 2029 with a CAGR of 10.21% during the forecast period. The global medical coding market is experiencing significant growth, driven by the increasing need for efficient healthcare documentation and rising demand for healthcare reimbursement. Medical coding, the process of translating medical diagnoses, procedures, and treatments into universal alphanumeric codes, plays a critical role in streamlining healthcare billing, insurance claims, and patient data management. With the growing volume of healthcare data, medical coding ensures accuracy, uniformity, and compliance with regulatory requirements, which is essential for efficient healthcare administration.

The primary drivers of the market are the growing incidence of chronic diseases and an aging population, which has led to an increase in healthcare utilization worldwide. This, in turn, has created a need for accurate coding to manage the surge in healthcare claims and ensure timely reimbursements. The adoption of electronic health records (EHRs) and the digital transformation of the healthcare sector have also contributed to the growing need for efficient medical coding systems. These technologies facilitate seamless integration, storage, and retrieval of healthcare data, further propelling the demand for coding services. For instance, the American Hospital Association's 2024 report revealed approximately 34 million hospital admissions in the U.S. This high volume of admissions is expected to increase the demand for skilled medical coders and billers to handle medical billing efficiently. As healthcare facilities require accurate and timely billing processes, the growing number of hospital admissions will drive the need for qualified professionals in medical coding and billing, contributing to the industry's growth during the forecast period. This trend highlights the critical role of medical coders in supporting healthcare operations amid rising patient volumes.

The regulatory environment is another crucial factor shaping the medical coding market. Government mandates in various countries, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, require healthcare providers to adhere to standardized coding systems. Compliance with such regulations ensures transparency, reduces errors, and minimizes fraud in the healthcare billing process. The transition to newer coding standards like ICD-11, which offers more specific and updated codes, is driving the adoption of advanced medical coding practices worldwide. The market is witnessing increased outsourcing of medical coding services, particularly by healthcare providers in developed regions like North America and Europe. Outsourcing helps hospitals and clinics focus on core healthcare activities while ensuring that coding is handled by specialists who can guarantee accuracy and compliance. The Asia-Pacific region is also emerging as a significant player in the medical coding market, driven by the availability of skilled labor and cost-effective services, making it an attractive destination for outsourcing.

Key Market Drivers

Increasing Healthcare Expenditure

Increasing healthcare expenditure is a significant driver of the global medical coding market. As healthcare spending rises due to an aging population, the prevalence of chronic diseases, and advancements in medical technologies, the volume of patient data requiring accurate documentation grows. Medical coding plays a critical role in managing this data, ensuring consistency in healthcare records and facilitating smooth billing and reimbursement processes. Higher healthcare expenditure also leads to more diagnostic tests, treatments, and procedures, each of which needs to be properly coded to ensure compliance with regulatory standards and successful insurance claims. Government initiatives and private sector investments in expanding healthcare infrastructure contribute to the demand for efficient coding systems to manage patient data, streamline administrative tasks, and reduce errors. This trend of increasing healthcare expenditure thus fuels the growth of the global medical coding market by necessitating improved data management and documentation practices. For instance, The Bureau of Labor Statistics projects an 8% growth in medical records and health information jobs from 2022 to 2032, emphasizing the increasing demand for effective healthcare solutions. This growth reflects the expanding healthcare industry and the need for accurate health information management to support patient care, regulatory compliance, and billing processes. The rising number of jobs in this field underscores the importance of advanced medical records systems and health information technologies, which can streamline operations, improve data accuracy, and enhance overall efficiency in healthcare facilities, addressing the evolving needs of the sector.

Adoption of Electronic Health Records (EHRs)

The adoption of Electronic Health Records (EHRs) is a key driver for the growth of the global medical coding market. EHRs have revolutionized healthcare data management by providing a centralized digital system for storing patient information, making it easier for healthcare providers to access and share records. This transition to digital data has increased the need for accurate and standardized medical coding to ensure seamless integration and interoperability between healthcare systems. Proper coding in EHRs ensures that patient information is correctly documented for billing, insurance claims, and regulatory compliance. EHRs facilitate automated coding processes, which help reduce errors and improve efficiency in healthcare administration. As more healthcare providers adopt EHR systems, the demand for skilled medical coders and efficient coding software grows, driving the expansion of the medical coding market globally, while supporting better healthcare delivery and financial outcomes.

Outsourcing of Coding Services

Outsourcing of coding services is a significant factor contributing to the growth of the global medical coding market. Healthcare providers, particularly in developed regions such as North America and Europe, are increasingly outsourcing their coding requirements to specialized service providers. This trend helps hospitals and clinics focus on their core activities while ensuring accurate and efficient coding by experts. Outsourcing also helps reduce operational costs, maintain compliance with complex coding standards, and manage the high volume of patient data generated daily. Countries like India and the Philippines are emerging as popular outsourcing destinations due to their availability of skilled medical coders and cost-effective services. This trend has not only expanded access to trained professionals but also ensured timely coding and reimbursement processes for healthcare providers. As the demand for specialized expertise and cost-effective coding solutions rises, the outsourcing of coding services is expected to continue driving market growth.

Rising Demand for Data Accuracy

The rising demand for data accuracy is a crucial driver of the global medical coding market. Accurate medical coding ensures that patient information, including diagnoses, treatments, and procedures, is consistently documented, which is vital for effective healthcare management and decision-making. Data accuracy in coding helps healthcare providers reduce billing errors, avoid claim denials, and ensure proper reimbursement from insurance companies. It is critical for healthcare analytics, as accurate data supports quality assessments, clinical research, and population health studies. With the increasing emphasis on value-based healthcare, where patient outcomes are closely monitored, accurate coding becomes even more essential to track performance metrics and healthcare quality. Regulatory compliance also relies heavily on data precision, as coding inaccuracies can lead to penalties and audits. Thus, the growing focus on data accuracy to enhance healthcare quality and financial efficiency is driving the expansion of the global medical coding market.

Key Market Challenges

Shortage of Skilled Coders

The shortage of skilled medical coders is a major challenge for the global medical coding market. With the rising demand for accurate coding to manage increased healthcare data, there is a growing need for certified coders who possess specialized knowledge in coding standards like ICD, CPT, and HCPCS. However, the complexity of medical coding requires extensive training and continuous education, leading to a limited pool of qualified professionals. This shortage can result in delays, increased error rates, and inefficiencies in processing healthcare claims and reimbursements, ultimately affecting the financial performance of healthcare providers and overall patient care quality.

High Risk of Errors

The high risk of errors is a significant challenge in the global medical coding market. Medical coding is a meticulous process, involving the conversion of complex medical information into standardized codes. Even minor errors can lead to claim denials, delayed reimbursements, or non-compliance with regulatory requirements. These errors can result in financial losses for healthcare providers and potentially impact patient care. The constantly evolving coding standards and the extensive number of codes add to the difficulty of maintaining accuracy. To minimize errors, healthcare organizations need to invest in ongoing coder training and quality control measures, increasing operational costs.

Key Market Trends

Increased Adoption of Automation and AI

The increased adoption of automation and artificial intelligence (AI) is significantly transforming the global medical coding market. These technologies are streamlining coding processes by minimizing manual tasks and reducing the potential for human error. AI-powered coding software can quickly analyze medical records, identify appropriate codes, and even learn from previous coding patterns, enhancing efficiency and accuracy. This automation not only speeds up the coding process but also allows healthcare providers to focus on core clinical activities rather than administrative burdens. Furthermore, advanced AI algorithms can assist in predicting coding trends and optimizing reimbursement processes, ultimately leading to better financial outcomes for healthcare organizations. As healthcare data continues to grow, the integration of automation and AI is becoming essential to manage this volume effectively. The trend towards automated coding solutions is expected to continue, making the coding process more efficient and reliable while improving overall healthcare delivery.

Integration with Electronic Health Records (EHRs)

The integration of medical coding with Electronic Health Records (EHRs) is a pivotal trend in the global medical coding market. EHR systems centralize patient data, including medical histories, diagnoses, treatments, and billing information, facilitating seamless access for healthcare providers. This integration ensures that medical coding is accurately aligned with the patient's medical records, significantly enhancing the efficiency of the billing and claims process. By automating coding within EHRs, healthcare organizations can reduce manual entry errors and improve coding accuracy, leading to faster reimbursements and minimized claim denials. The integrated EHR systems can facilitate real-time updates to coding standards, ensuring compliance with regulatory changes. As healthcare organizations continue to adopt EHR solutions, the demand for integrated coding capabilities will grow, ultimately leading to better data management, improved patient outcomes, and enhanced operational efficiency in the healthcare sector. This trend emphasizes the critical role of technology in modernizing healthcare documentation practices.

Segmental Insights

Component Insights

Based on the component, outsourced medical coding is dominating the global medical coding market due to several compelling reasons. It offers cost efficiency, allowing healthcare providers to reduce labour costs associated with hiring, training, and maintaining in-house coding staff. Outsourcing also provides access to specialized expertise, as outsourcing firms often employ certified coders with extensive experience in various coding systems, ensuring greater accuracy and compliance. The flexibility and scalability of outsourced services enable organizations to adjust coding resources based on fluctuating patient volumes without the burden of permanent staffing changes. The outsourcing allows healthcare providers to focus on their core competencies-patient care-rather than administrative tasks, enhancing operational efficiency. Finally, many outsourcing companies invest in advanced technologies and automation tools, further improving coding speed and accuracy. Together, these factors contribute to the increasing preference for outsourced medical coding, making it the dominant choice in the global healthcare landscape.

Regional Insights

North America dominates the global medical coding market primarily due to its advanced healthcare infrastructure and high healthcare expenditure. The presence of numerous healthcare providers, insurance companies, and regulatory bodies drives the demand for accurate coding services to ensure compliance and timely reimbursements. The transition to electronic health records (EHRs) and the adoption of advanced coding standards, such as ICD-10, create a need for skilled coders. The region also benefits from a well-established outsourcing industry, offering access to specialized expertise, further enhancing its position in the global medical coding market.

Key Market Players

• Aviacode Inc.
• Dolbey Systems, Inc.
• GeBBS Healthcare Solutions
• Maxim Healthcare Services
• Nuance Communications Inc.
• Optum, Inc.
• Oracle
• Parexel International (MA) Corporation
• Startek
• Coding Network, LLC

Report Scope:

In this report, the Global Medical Coding Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Medical Coding Market, By Component:

• Outsourced
• In-house

Medical Coding Market, By Region:

• North America
  • United States
  • Canada
  • Mexico
• Europe
  • France
  • United Kingdom
  • Italy
  • Germany
  • Spain
• Asia-Pacific
  • China
  • India
  • Japan
  • Australia
  • South Korea
• South America
  • Brazil
  • Argentina
  • Colombia
• Middle East & Africa
  • South Africa
  • Saudi Arabia
  • UAE

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the Global Medical Coding Market.

Available Customizations:

Global Medical Coding Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Table of Contents

1. Product Overview

• 1.1. Market Definition
• 1.2. Scope of the Market
  • 1.2.1. Markets Covered
  • 1.2.2. Years Considered for Study
  • 1.2.3. Key Market Segmentations

2. Research Methodology

• 2.1. Objective of the Study
• 2.2. Baseline Methodology
• 2.3. Key Industry Partners
• 2.4. Major Association and Secondary Sources
• 2.5. Forecasting Methodology
• 2.6. Data Triangulation & Validations
• 2.7. Assumptions and Limitations

3. Executive Summary

• 3.1. Overview of the Market
• 3.2. Overview of Key Market Segmentations
• 3.3. Overview of Key Market Players
• 3.4. Overview of Key Regions/Countries
• 3.5. Overview of Market Drivers, Challenges, Trends

4. Voice of Customer

5. Global Medical Coding Market Outlook

• 5.1. Market Size & Forecast
  • 5.1.1. By Value
• 5.2. Market Share & Forecast
  • 5.2.1. By Component (Outsourced, In-house)
  • 5.2.2. By Region
  • 5.2.3. By Company (2023)
• 5.3. Market Map

6. North America Medical Coding Market Outlook

• 6.1. Market Size & Forecast
  • 6.1.1. By Value
• 6.2. Market Share & Forecast
  • 6.2.1. By Component
  • 6.2.2. By Country
• 6.3. North America: Country Analysis
  • 6.3.1. United States Medical Coding Market Outlook
    • 6.3.1.1. Market Size & Forecast
      • 6.3.1.1.1. By Value
    • 6.3.1.2. Market Share & Forecast
      • 6.3.1.2.1. By Component
  • 6.3.2. Canada Medical Coding Market Outlook
    • 6.3.2.1. Market Size & Forecast
      • 6.3.2.1.1. By Value
    • 6.3.2.2. Market Share & Forecast
      • 6.3.2.2.1. By Component
  • 6.3.3. Mexico Medical Coding Market Outlook
    • 6.3.3.1. Market Size & Forecast
      • 6.3.3.1.1. By Value
    • 6.3.3.2. Market Share & Forecast
      • 6.3.3.2.1. By Component

7. Europe Medical Coding Market Outlook

• 7.1. Market Size & Forecast
  • 7.1.1. By Value
• 7.2. Market Share & Forecast
  • 7.2.1. By Component
  • 7.2.2. By Country
• 7.3. Europe: Country Analysis
  • 7.3.1. Germany Medical Coding Market Outlook
    • 7.3.1.1. Market Size & Forecast
      • 7.3.1.1.1. By Value
    • 7.3.1.2. Market Share & Forecast
      • 7.3.1.2.1. By Component
  • 7.3.2. United Kingdom Medical Coding Market Outlook
    • 7.3.2.1. Market Size & Forecast
      • 7.3.2.1.1. By Value
    • 7.3.2.2. Market Share & Forecast
      • 7.3.2.2.1. By Component
  • 7.3.3. Italy Medical Coding Market Outlook
    • 7.3.3.1. Market Size & Forecast
      • 7.3.3.1.1. By Value
    • 7.3.3.2. Market Share & Forecast
      • 7.3.3.2.1. By Component
  • 7.3.4. France Medical Coding Market Outlook
    • 7.3.4.1. Market Size & Forecast
      • 7.3.4.1.1. By Value
    • 7.3.4.2. Market Share & Forecast
      • 7.3.4.2.1. By Component
  • 7.3.5. Spain Medical Coding Market Outlook
    • 7.3.5.1. Market Size & Forecast
      • 7.3.5.1.1. By Value
    • 7.3.5.2. Market Share & Forecast
      • 7.3.5.2.1. By Component

8. Asia-Pacific Medical Coding Market Outlook

• 8.1. Market Size & Forecast
  • 8.1.1. By Value
• 8.2. Market Share & Forecast
  • 8.2.1. By Component
  • 8.2.2. By Country
• 8.3. Asia-Pacific: Country Analysis
  • 8.3.1. China Medical Coding Market Outlook
    • 8.3.1.1. Market Size & Forecast
      • 8.3.1.1.1. By Value
    • 8.3.1.2. Market Share & Forecast
      • 8.3.1.2.1. By Component
  • 8.3.2. India Medical Coding Market Outlook
    • 8.3.2.1. Market Size & Forecast
      • 8.3.2.1.1. By Value
    • 8.3.2.2. Market Share & Forecast
      • 8.3.2.2.1. By Component
  • 8.3.3. Japan Medical Coding Market Outlook
    • 8.3.3.1. Market Size & Forecast
      • 8.3.3.1.1. By Value
    • 8.3.3.2. Market Share & Forecast
      • 8.3.3.2.1. By Component
  • 8.3.4. South Korea Medical Coding Market Outlook
    • 8.3.4.1. Market Size & Forecast
      • 8.3.4.1.1. By Value
    • 8.3.4.2. Market Share & Forecast
      • 8.3.4.2.1. By Component
  • 8.3.5. Australia Medical Coding Market Outlook
    • 8.3.5.1. Market Size & Forecast
      • 8.3.5.1.1. By Value
    • 8.3.5.2. Market Share & Forecast
      • 8.3.5.2.1. By Component

9. South America Medical Coding Market Outlook

• 9.1. Market Size & Forecast
  • 9.1.1. By Value
• 9.2. Market Share & Forecast
  • 9.2.1. By Component
  • 9.2.2. By Country
• 9.3. South America: Country Analysis
  • 9.3.1. Brazil Medical Coding Market Outlook
    • 9.3.1.1. Market Size & Forecast
      • 9.3.1.1.1. By Value
    • 9.3.1.2. Market Share & Forecast
      • 9.3.1.2.1. By Component
  • 9.3.2. Argentina Medical Coding Market Outlook
    • 9.3.2.1. Market Size & Forecast
      • 9.3.2.1.1. By Value
    • 9.3.2.2. Market Share & Forecast
      • 9.3.2.2.1. By Component
  • 9.3.3. Colombia Medical Coding Market Outlook
    • 9.3.3.1. Market Size & Forecast
      • 9.3.3.1.1. By Value
    • 9.3.3.2. Market Share & Forecast
      • 9.3.3.2.1. By Component

10. Middle East and Africa Medical Coding Market Outlook

• 10.1. Market Size & Forecast
  • 10.1.1. By Value
• 10.2. Market Share & Forecast
  • 10.2.1. By Component
  • 10.2.2. By Country
• 10.3. MEA: Country Analysis
  • 10.3.1. South Africa Medical Coding Market Outlook
    • 10.3.1.1. Market Size & Forecast
      • 10.3.1.1.1. By Value
    • 10.3.1.2. Market Share & Forecast
      • 10.3.1.2.1. By Component
  • 10.3.2. Saudi Arabia Medical Coding Market Outlook
    • 10.3.2.1. Market Size & Forecast
      • 10.3.2.1.1. By Value
    • 10.3.2.2. Market Share & Forecast
      • 10.3.2.2.1. By Component
  • 10.3.3. UAE Medical Coding Market Outlook
    • 10.3.3.1. Market Size & Forecast
      • 10.3.3.1.1. By Value
    • 10.3.3.2. Market Share & Forecast
      • 10.3.3.2.1. By Component

11. Market Dynamics

• 11.1. Drivers
• 11.2. Challenges

12. Market Trends & Developments

• 12.1. Merger & Acquisition (If Any)
• 12.2. Product Launches (If Any)
• 12.3. Recent Developments

13. Porter's Five Forces Analysis

• 13.1. Competition in the Industry
• 13.2. Potential of New Entrants
• 13.3. Power of Suppliers
• 13.4. Power of Customers
• 13.5. Threat of Substitute Products

14. Competitive Landscape

• 14.1. Aviacode Inc.
  • 14.1.1. Business Overview
  • 14.1.2. Company Snapshot
  • 14.1.3. Products & Services
  • 14.1.4. Financials (As Reported)
  • 14.1.5. Recent Developments
  • 14.1.6. Key Personnel Details
  • 14.1.7. SWOT Analysis
• 14.2. Dolbey Systems, Inc.
• 14.3. GeBBS Healthcare Solutions
• 14.4. Maxim Healthcare Services
• 14.5. Nuance Communications Inc.
• 14.6. Optum, Inc.
• 14.7. Oracle
• 14.8. Parexel International (MA) Corporation
• 14.9. Startek
• 14.10. Coding Network, LLC

15. Strategic Recommendations

16. About Us & Disclaimer