Medical Coding
Medical Coding products support converting healthcare diagnoses, procedures, services, and equipment into universal medical alphanumeric codes, including ICD-10 and HCPCS codes. Products in this category range from databases and reference materials for manual coding through automated AI tools that generate codes from clinical documentation. These products are designed to enhance accuracy, efficiency, and compliance with evolving standards and regulations in healthcare documentation and billing.
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Fathom
Claimed
Fathom
Company Info
Founded: 2016
Headcount: 51-200
Customers
Verified Customers: 12
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Fathom is an autonomous medical coding platform that uses deep learning and LLMs to provide accurate, complete coding for ED, radiology, primary care, surgery, hospitalist, and other high-volume specialties. Fathom provides automated coding that submits directly to billing, and for any charts that cannot be fully processed, they are routed to a manual coding team. Similarly, Fathom can be set up to audit in-house coders, finding potential denials or inaccurate coding.
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Medicodio
Claimed
Medicodio Codio
Company Info
Founded: 2021
Headcount: 11-50
Customers
Verified Customers: 2
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA, ISO 27001
Codio is a tool by Medicodio that automates medical coding. It connects to electronic health records systems and uses optical character recognition, APIs, and robotic process automation to help with medical coding. The tool can handle codes for different medical specialties and checks for compliance, making the coding process more accurate and less manual for healthcare professionals.
Milagro
Claimed
Milagro
Company Info
Founded: 2015
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Milagro offers an autonomous medical coding solution that provides real-time coding capabilities and compliance with coding guidelines. Milagro can handle multiple specialties, including cardiology, anesthesia, and orthopedics, and integrates into existing workflows within four weeks.
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Nym
Claimed
Nym
Company Info
Founded: 2018
Headcount: 51-200
Customers
Verified Customers: 6
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Nym is an AI medical coding product that deciphers clinical language in patient charts and assigns ICD-10 and CPT codes to them using advanced machine learning and semantic technologies. They offer services for outpatient coding for both professional and facility charges, as well as inpatient coding for professional charges. Nym’s semantic and contextual understanding enables the product to generate accurate and compliant coding with detailed audit trails for further validation. This allows them to handle a range of medical coding scenarios from ancillary procedures like radiology and pathology to more complex situations such as emergency care and ambulatory procedures with minimal human intervention.
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Revedy
Claimed
Revedy
Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 1, HIPAA
Revedy provides AI-powered medical coding software with solutions for CPT, ICD-10, and HCC coding, along with compliance support. It integrates with major EHR platforms, offers interactive coding tools, and supports specialized use cases like intraoperative neuromonitoring (IONM). The platform also provides scribing services and analytics for revenue optimization.
Aideo Technologies
Aideo
Company Info
Founded: 2019
Headcount: 51-200
Customers
Verified Customers: 9
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2
Aideo is a medical coding vendor offering technologies and services to improve coding efficiency. Their suite of solutions includes a coder platform to support in-house coders’ efficiency, an autocode product that delivers both completed and predicted codes, and a services product for specialized coding assistance.
AKASA
AKASA Medical Coding
Company Info
Founded: 2018
Headcount: 201-500
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
AKASA Medical Coding leverages generative AI to review and analyze clinical documentation, providing coding recommendations and AI-generated justifications to improve coder productivity and revenue performance. The platform is customized for each health system, ensuring that coding is tailored to their specific data and standards, thereby reducing errors and increasing efficiency in handling complex inpatient settings.
Arintra
Arintra
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Ambulatory Practice, Digital Health Provider, Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Arintra's autonomous coding solution emphasizes support for primary care along with other clinical specialties. It automates the coding of patient charts from outpatient, inpatient, and urgent care settings, with a particular focus on high-volume environments like primary care and emergency departments. The platform integrates with EHRs to provide direct-to-billing codes without altering existing workflows, enabling primary care providers to reduce manual workload and improve accuracy in coding and reimbursement processes.
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CodaMetrix
CodaMetrix
Company Info
Founded: 2019
Headcount: 51-200
Customers
Verified Customers: 10
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA, ISO 27001
CodaMetrix is an AI medical coding platform for multiple specialties, particularly in radiology and pathology, within large healthcare systems. The platform uses NLP and machine learning to translate clinical notes into accurate billing and diagnostic codes. CodaMetrix also provides real-time compliance monitoring and detailed audit trails to ensure adherence to coding standards and reduce the risk of audits
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CorroHealth
CorroHealth PULSE
Company Info
Founded: 2020
Headcount: 5001-10000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
PULSE by CorroHealth is an AI-powered medical coding platform designed to automate coding workflows with up to 97% accuracy. It integrates with any EHR system, supports both fee-for-service and value-based care coding, and provides transparent auditing. Using large language models and machine learning, it enhances productivity, processes records quickly, and offers analytics for strategic insights.
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Hank
Hank AI
Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
HANK.ai
provides AI-powered solutions for healthcare revenue cycle management, focusing on automation, medical coding, document management, and data entry. Key products include AutoCoder, which automates anesthesia and surgical encounters, and Claim Maker, which enables easier claims submission. The platform also offers document management, which scans documents and images into machine-readable data.
Imagine Software
ImagineCoding
Company Info
Founded: 2000
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, SOC 2 Type 1
ImagineCoding is a medical coding software designed to automate the coding of high-volume, complex procedure codes (CPT) and diagnostic codes (ICD-10) using machine learning and artificial intelligence. The software includes features such as an Auto-Coder tool that applies coding rules automatically, AI-driven coding that learns from historical data to enhance accuracy, and a coding portal for manual review of complex cases. Additionally, the software offers a performance dashboard to monitor coder productivity and identify errors, helping reduce the risk of billing mistakes.
Kode Health
Kode Health
Company Info
Founded: 2020
Headcount: 11-50
Customers
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Kode Health is an on-demand medical coding platform that connects healthcare providers with certified, on-demand medical coders. Healthcare providers utilize Kode Health to address workflow and staffing fluctuations by accessing their network of coders through their coding platform that also integrates with EHR systems.
Maverick Medical AI
Maverick Medical AI
Company Info
Founded: 2018
Headcount: 11-50
Customers
Verified Customers: 3
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Maverick Medical AI offers autonomous medical coding through its mCoder platform, focusing on high accuracy and a fast Direct-to-Bill process. The platform supports ICD and CPT coding with deep learning algorithms and real-time error correction. It integrates with existing systems to automate a large portion of coding workflows, aiming to minimize reliance on human coders while maintaining compliance with payer-specific policies.
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Olli Health
Olli Health
Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Olli Health provides certified home health coding and OASIS review services, utilizing their proprietary CodePilot+ technology to analyze clinical documentation. This approach aims to produce accurate, revenue-maximizing, and audit-proof claims more efficiently and cost-effectively than traditional methods. By streamlining the coding process, Olli Health seeks to enhance compliance and financial performance for home health agencies.
Company Info
Founded: 2011
Headcount: 5001-10000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Health Plan
Product Overview
Security and Compliance Certifications: HIPAA
Optum Enterprise CAC (Computer-Assisted Coding) and CDI 3D is an integrated platform designed to enhance clinical documentation and coding accuracy through the use of NLP. The system reviews cases, identifying opportunities for documentation improvement and coding specificity, and automating workflows to reduce administrative burden. It includes modules for audit and compliance, analytics and reporting, and workflow management.
Phare Health
Phare Health
Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
Phare Health is a UK-based provider of AI tools for hospitals, focusing on financial health management through coding and revenue cycle support. The platform identifies missed reimbursements, enhances coding accuracy with real-time suggestions, and automates routine tasks, allowing coding teams to focus on higher-value audits. It supports healthcare providers by converting unstructured data into actionable insights to optimize cash flow and operational performance.
Semantic Health
Semantic Health
Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
Semantic Health offers an AI-driven platform designed for real-time medical coding, auditing, and clinical documentation improvement (CDI). It performs pre-bill audits, reviewing 100% of coded charts to detect errors and identify revenue opportunities with minimal workflow disruption. The platform integrates with major EHR systems and provides insights for various healthcare providers, including acute care and pediatric hospitals.
Solventum
Solventum 360 Encompass
Company Info
Founded: 1902
Headcount: 10000+
Customers
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
The 3M 360 Encompass System integrates computer-assisted coding (CAC) and CDI into a single platform. It uses NLP and AI to automatically suggest medical codes based on patient documentation, improving the accuracy and efficiency of the coding process. The system prioritizes high-risk cases for review, tracks quality metrics like Hospital Acquired Conditions (HACs), and supports real-time clinical intelligence reporting. It aims to enhance compliance, optimize reimbursement, and facilitate better patient care by providing comprehensive tools for coders and CDI specialists.
Synaptec Health
Synaptec Health
Company Info
Founded: 2018
Headcount: 11-50
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Synaptec Health offers AI-powered automated medical coding solutions that process patient charts rapidly and accurately. The platform supports ICD-10, E/M, and CPT coding, integrating with a variety of healthcare systems through standard formats like HL7 and JSON. It provides real-time auditing, helps detect downcoding and missing documentation, and offers pay-per-use pricing without setup fees.
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TruBridge
TruBridge Encoder
Company Info
Founded: 1979
Headcount: 1001-5000
Customers
Verified Customers: 2
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
TruBridge Encoder is a cloud-based medical coding tool that assists healthcare providers in accurately assigning medical codes using comprehensive and up-to-date references. It supports coders with timely updates to clinical content and offers resources for accurate code assignment.
XpertDox
XpertCoding
Company Info
Founded: 2015
Headcount: 11-50
Customers
Verified Customers: 8
Customers Served: Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
XpertCoding is an AI-enabled medical coding solution that uses machine learning to automate the coding of medical claims. It supports claims submission within 24 hours, and offers a HIPAA-compliant dashboard for performance tracking as well as a data analytics module for optimizing operations across facilities.
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