Meet us at

Human Expertise in HIM Leadership

Medical Coding
Coding Reviews & Audits
Clinical Documentation Integrity (CDI)

Interim Management & Staffing
Education
Consultative Services

100% Owned
by Pena4 Family

Onshore
and Offshore

Flexible
Workflows

3 Levels of
Quality Control

Facility & Profee
for all patient types

Driving Smarter Revenue Cycle Results
Connect With Joe at NYHIMA
from June 7th – 10th, 2026 at Booth #14

Joseph J. Gurrieri is dedicated towards advancing HIM and revenue cycle services with innovation, operational efficiency, and human-centered leadership.

With over 25+ years of expertise, Joe will be engaging in exchanging ideas with healthcare professionals on navigating industry change, building sustainable success, and optimize performance in this evolving healthcare landscape.

Driving Smarter Revenue Cycle Results
Connect With Alecia at NYHIMA
from June 7th – 10th, 2026 at Booth #14

Alecia Ajarie is driven towards advancing revenue cycle services through operational improvement, client-centered solutions, and strategic collaboration.

At NJHIMA, she is looking forward to engaging with industry leaders on best practices, innovative RCM strategies, and process improvement to ensure long-term revenue successes.

What we offer

At Pena4, we merge advanced technology with expert human oversight to deliver accurate, compliant,
and timely services and let you focus on patient care!

Patient Access Services

Our services include Patient Scheduling, Registration, Appointment Reminders, Eligibility and Benefits Verification, Authorizations, Referrals, and Interim Management for Patient Access.

Mid-Cycle Services

We offer Medical Coding, Auditing, Charge Validation, Health Record Analysis, CDI Staffing, Reporting, MPI Clean-up, CDM Reviews, Education, H.I.M Interim Management, compliance, data integrity.

Extended Business Office Services

Claim Submission, Error Correction, EDI Management, Claims Processing, ERA/EFT Processing, Payment Posting, Claim Status Check, Denial Analysis, Appeals and Resolution.

Why Partner with Pena4?

With 30+ years of RCM expertise, Pena4 delivers fast, compliant, and scalable solutions. Enjoy 24-hour turnaround, seamless system integration, and flexible coding models - all backed by embedded quality assurance.

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Award-Winning Performance, Trusted Globally!

Recognized as a Great Place to Work 2025-2026, ranked in the OA500 Global Index, and endorsed by 2025 Black Book Market Research with top ranking in Coding Staffing Solutions and HIM Advisory & Consulting Services, our achievements reflect the trust and excellence we deliver every day.

Our Services

Revenue Cycle Management

Optimize your revenue cycle with comprehensive RCM solutions. We manage claims, payments, and analytics for better revenue.

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Medical Coding

Accurate medical coding ensures proper documentation and compliance. Our experts streamline the process for maximum efficiency.

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Clinical Documentation Integrity (CDI)

Enhance patient records with precise clinical documentation. Our CDI services improve accuracy and reimbursement rates.

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Medical Coding Auditing Tool

Our medical coding auditing tool safeguards your revenue cycle integrity. Identify coding errors and optimize compliance with Guru Auditor.

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Medical Billing

Simplify your billing with our end-to-end solutions. We ensure timely payments and reduced claim denials.

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Ready to Transform?

Trust Pena4 to optimize your revenue cycle and learn how we can help you achieve financial and operational excellence.

This is one of very few vendor relationships I have experienced in my 35 years as an HIM where I truly feel like we are partners with the same goal in mind-quality health information.

Cindy Penner

The Ottawa Hospital

I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.

Craig Chase

Catholic Health Services

Very responsive team, expert knowledge, and easy to work with.

John Samuels

Better Health Advisors

Always on point with Turn Around Time requirements.

Lordy Josama

One Brooklyn Health System

Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!

Ray Cosner

Mt. Sinai Health System

It has been such a pleasure to work with Pena4 and their team. They have highly educated coders and I do not need to be involved in their internal processes, they know how to get the job done and with great quality.

Bonnie DiAntonio

RWJ Barnabas South

Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.

Jade Johnson

Mount Sinai Hospital MSH/MSQ

Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.

Valerie Oselmo

BronxCare Health System

Pena4 staff was helpful and accommodating to our professor and students' needs.

Dasantila Sherifi

Rutgers University

Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.

Craig Chase

Catholic Health Services

Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!

Sonia Shiels

Joseph Brant Hospital

We hired HIMonCall to assist with coding to meet our mandated fiscal year deadlines. We were able to meet this deadline successfully with the help of these contract coders and the work was delivered on time, as promised.

Monique Rasmussen

Providence Health Care

Blogs

22Mar

Pena4’s Winning at OA500 as a Leading BPO Globally

Pena4, established in 1998, by founder Manny Pena, has emerged as a global leader offering customized business data processing outsourcing services.

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1Feb

Pena4 Transforms Accounts Receivable Management for One of the Largest Healthcare Facilities in Buffalo, New York

In the evolving world of healthcare, every dollar brings success..

20Nov

Introducing Pena4’s “Guru Auditor”

In the ever-evolving landscape of healthcare’s revenue cycle, ensuring that medical codes accurately...

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04Dec

Pena4's Commitment to Community: A Tradition of Giving Back

At Pena4, giving back isn't just an annual event — it's an intrinsic part of the corporate culture.

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View All Blogs

Still looking for something?

Meet us at

Human Expertise in HIM Leadership

Driving Smarter Revenue Cycle Results Connect With Joe at NYHIMA from June 7th – 10th, 2026 at Booth #14

Driving Smarter Revenue Cycle Results Connect With Alecia at NYHIMA from June 7th – 10th, 2026 at Booth #14

What we offer

Patient Access Services

Mid-Cycle Services

Extended Business Office Services

Why Partner with Pena4?

Award-Winning Performance, Trusted Globally!