Career Step, established in 1992, is one of the leading providers of online medical transcription and medical coding training services in the United States. The institute partners with federal, state and local agencies and private businesses to provide training opportunities in medical coding and medical transcription for individuals who have special funding or special reporting requirements. Career Step also works with public and private job referral and employment agencies to educate counselors and potential students about the employment opportunities for medical coding specialists and medical transcriptionists. Additionally, the institute provides an online pre-employment testing service for medical transcription companies and a medical coding training program. It maintains relationships with prominent community colleges, vocational and technical schools, career centers and universities nationwide that offers its training programs to their students under an exclusive licensing agreement. Career Step is headquartered in Springville, Utah.