AI-Powered Medical Coding with Complete Transparency
Hybrid human/AI coding with ICD-10-CM/PCS and CPT/HCPCS code suggestion, confidence scoring, provider query workflow, clinical note quality grading, and denial prevention.
Complete Coding Visibility
Track every encounter through its complete coding lifecycle with real-time status updates and automatic workflow progression.
Enterprise Medical Coding Platform
Comprehensive coding workflow with AI-powered optimization at every step.
AI Code Suggestion Engine
ICD-10-CM/PCS and CPT/HCPCS code recommendations with confidence scores, clinical reasoning, and supporting evidence from documentation.
Clinical Documentation Integrity
Automated note quality assessment with CDI scoring, specificity analysis, completeness checks, and actionable feedback.
Provider Query Workflow
Structured clarification queries sent to providers when documentation needs additional detail, with tracking and resolution management.
Denial Prevention Engine
Pre-submission risk scoring that identifies potential coding issues before claims are submitted, reducing denial rates.
Medical Necessity Letters
AI-generated medical necessity documentation with clinical justification for procedures requiring additional payer review.
Streamlined Coding Process
From encounter to finalized codes, every case follows an optimized path.
Encounter Received
From clinical note
AI Codes Suggested
With confidence scores
Coder Reviews
Accept/modify/reject
Queries Resolved
Provider clarification
Finalized
Ready for billing
Complete Coding Ecosystem
Beyond code suggestion - manage automation, assignments, and analytics.
Configurable Automation Modes
Three modes: Manual-Only (human reviews all), AI-Assisted (AI suggests, human confirms), AI-First (AI codes, human reviews exceptions).
User Assignment & Tagging
Assign encounters to specific coders, tag with custom labels, and manage workload distribution with priority queues.
Coding Analytics Dashboard
Comprehensive analytics with coder productivity metrics, AI accuracy tracking, denial root cause analysis, and revenue impact reporting.
Why Choose Our Coding Solution
Purpose-built for healthcare organizations that demand transparent, AI-powered medical coding.
Transparent AI Reasoning
See exactly why each code was suggested with clinical evidence
Confidence Scoring
AI confidence levels help prioritize coder review efforts
Provider Query Workflow
Structured queries improve documentation completeness
Denial Prevention
Catch coding issues before claims submission
CDI Analytics
Track documentation quality trends across providers
Flexible Automation
Choose your automation level per encounter type
Optimize Your Coding Workflow
- Reduce coding turnaround time with AI-assisted workflows
- Improve first-pass acceptance rates with denial prevention
- Enhance documentation quality with automated CDI feedback
- Optimize coder productivity with smart work queue management
- Ensure compliance with LCD/NCD medical necessity checks
Standards & Compliance
Ready to Transform Your Medical Coding?
See how our AI-powered medical coding platform can improve accuracy and efficiency. Schedule a personalized demo today.
