Medical Coding Delays Cost Millions in Revenue
Medical coders take 2-5 days to code charts, delaying billing cycles and cash flow. Coding errors cause 15-20% claim denial rates, and appeals take months. Coders cost $40-60K annually per FTE, and coding backlogs grow during staff shortages. Undercoding leaves 10-15% revenue on the table, while overcoding risks fraud audits.
AI Medical Coder That Never Misses a Code
Claude-powered coding assistant that reads SOAP notes, identifies documented procedures and diagnoses, suggests CPT and ICD-10 codes with confidence scores, checks for bundling rules and modifiers, and flags missing documentation needed for higher-level codes.
Reads SOAP notes from EHR or uploaded files
Suggests CPT procedure codes based on documented services
Recommends ICD-10 diagnosis codes with specificity (4-7 characters)
Checks CCI edits and bundling rules automatically
Suggests modifiers (-25, -59, -76) when appropriate
Flags missing documentation for E/M level justification
From Clinical Note to Clean Claim
Import Note
Pull SOAP note from EHR via FHIR API or upload manually. AI reads entire clinical documentation.
Code Suggestion
Claude analyzes procedures performed and diagnoses documented. Suggests CPT/ICD-10 codes with confidence scores.
Compliance Check
System checks CCI edits, modifier requirements, medical necessity. Flags potential denials.
Coder Review
Medical coder reviews AI suggestions, makes adjustments. Coding time reduced by 60%.
Key Features
Medical Necessity Check
AI verifies diagnosis codes support procedure codes. Prevents denials for lack of medical necessity.
E/M Level Optimizer
Analyzes HPI, exam, MDM elements. Suggests 99213 vs. 99214 based on documented complexity.
Bundling Intelligence
Knows CCI edits and NCCI bundles. Prevents coding procedures that will not reimburse separately.
Audit Defense
Generates coding rationale with note excerpts. Proves code selection if audited by payer or OIG.
Medical Coding AI Stack
Who Benefits?
Physician Groups
Code charts same-day instead of next-week. Accelerate billing cycle and improve cash flow.
Hospitals
Reduce coding backlog during staff shortages. Maintain revenue cycle without hiring more coders.
Ambulatory Surgery Centers
Ensure accurate coding for complex procedures. Maximize reimbursement with proper modifiers.