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AI-Powered Medical Coding

HIPAA-compliant coding at 98%+ accuracy

A hybrid model where certified coders work alongside our MedProRCM platform. NLP extracts and normalizes clinical documentation, deterministic rules propose codes, and credentialed coders validate every submission — so you get automation speed with human-grade accountability and audit evidence.

98%+
coding accuracy
40%
less manual effort
↓ denials
cleaner first-pass claims

What we deliver

Full-spectrum coding

ICD-10-CM/PCS, CPT, HCPCS, DRG and HCC risk-adjustment coding across specialties.

Charge capture & audit

Pre-bill audits, denial root-cause analysis and coding quality scorecards by coder and provider.

Clinical documentation improvement

Structured feedback loops that lift documentation quality at the source.

AI-assisted throughput

NLP extraction and ML suggestions that cut manual effort by 30–40% per chart.

PHI protection

Documents masked before processing; HIPAA-aligned controls, access logging and BAAs in place.

Flexible delivery

Full outsourcing, overflow capacity or co-sourced teams in your own workflow tools.

How we engage

  1. 1

    Baseline audit

    Sample review to quantify accuracy, denial drivers and revenue leakage.

  2. 2

    Transition

    Workflow, access and compliance setup with a parallel-run quality gate.

  3. 3

    Steady state

    SLA-managed production with weekly quality and productivity reporting.

  4. 4

    Optimize

    Automation expansion and CDI feedback to keep raising first-pass yield.

Engagement models

  • Full-service coding
  • Overflow & backlog clearance
  • Coding audit & QA
  • HCC risk adjustment program

Industries served

  • Health systems
  • Physician groups
  • RCM providers
  • Payers

Talk to us about AI-Powered Medical Coding

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