Automated medical coding for the outpatient claim.
CPT®, HCPCS and ICD-10-CM codes, E/M levels, modifiers, units and diagnosis pointers, assigned as encounters are signed and backed by the provider's documentation.
Every code set on the professional claim
One signed note, every code set on the claim, each tied to the words that support it.
68-year-old here for an annual wellness visit; also reports sore throat and fever for two days.
Rapid strep antigen performed in office: positive.
Tobacco use: never smoker.
Annual depression screening: negative.
Streptococcal pharyngitis.
Amoxicillin 500 mg twice daily for 10 days. Sore throat evaluated separately from today's wellness visit.
How AI medical coding fits your workflow
From a signed chart to a claim ready to submit, without anyone re-keying codes.
Encounter signed
The provider signs the note in the EHR. Nothing changes in how they document.
Coded automatically
Diagnoses, services, E/M level, modifiers, units and pointers are coded together, with documentation support for each.
Checked before release
Encounters with a level discrepancy or missing documentation go to your coders, with the reason.
Written back for billing
Approved codes go back into the encounter, ready for claim submission.
Your coders stay in control
Automation handles the routine visits. Your coding team handles judgment calls, and sees exactly why an encounter was sent to them.
- Review queue for encounters that need a coder, with the reason for each.
- Documentation support for every code, so review takes minutes, not a full chart read.
Measured on your own encounters
Before go-live, we code a sample of your past encounters and your coders review every line with us.
- Agreement with your coders by code type: E/M level, CPT®/HCPCS, ICD-10-CM, modifiers.
- Share of encounters that would go straight to billing.
- Coding issues found that your current process missed.
You see the results before a single claim is billed.
AI medical coding FAQ
What is AI medical coding?
AI medical coding software reads the provider's documentation for an encounter and assigns the codes a claim needs: CPT® and HCPCS codes for the services, ICD-10-CM codes for the diagnoses, the E/M level for the visit, and the modifiers, units and diagnosis pointers that tie them together. Done well, it codes routine encounters in minutes and sends the ones that need judgment to a certified coder.
Does it replace our coders?
No. It takes the routine, high-volume encounters off their desk so they can focus on the charts that need expertise: documentation questions, unusual services, payer disputes. You decide which encounters always go to a person.
How are E/M levels assigned?
Office and outpatient visits (99202–99205 and 99212–99215) are leveled on medical decision making under the AMA E/M guidelines: the number and complexity of problems addressed, the amount and complexity of data reviewed and analyzed, and the risk of patient management. The level is the one supported by two of the three elements, applied the same way on every visit.
Will it upcode to increase revenue?
No. It is designed so every code is backed by the provider's documentation. When the documented level and the level the provider selected disagree, in either direction, the encounter goes to a coder instead of being changed automatically.
How accurate is it?
We measure accuracy on your own encounters before go-live: we code a sample of your past charts and your coders review every line with us. You see the agreement rate by code type before a single claim is billed. We don't quote a generic accuracy number, because yours is the one that matters.
Which specialties do you support?
Outpatient and ambulatory care: urgent care, primary care and family medicine, pediatrics, and behavioral health, including psychiatric medication management visits. We do not code inpatient, surgical or facility claims.
See how your encounters would be coded.
A 30-minute walkthrough, then a validation plan on your own charts: what we connect, how we measure, and what it costs.