Due to diversity and globalization, outsourcing has become increasingly in demand. Now outsourcing medical billing and coding has gained the limelight due to becoming a strategic decision for healthcare professionals and organizations. The primary competencies of outsourced medical billing and coding companies that are required for influencing others to plan an active and productive workforce are leadership, effective communication, and building relationships. For a healthcare organization, the strategic role of outsourcing medical billing and coding companies is to understand border business realities, billing and coding issues, and strategic realities. Healthcare organizations are expanding in different markets, putting pressure on in-house medical billing and coding professionals to become highly skilled workers to align them best with the challenges of the new market. The article with discover the outsourcing options for medical billing and coding services.