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 logo
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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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
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: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HITRUST CSF, SOC 2 Type 2, HIPAA
Revedy offers AI-driven medical coding software designed to automate and enhance the efficiency of CPT and ICD-10 coding processes. It integrates with existing EHR, HIM, and billing systems through its API, and key features include automated coding, interactive coding support, compliance tools, and detailed ROI analysis.
Company Info
Founded: 1902
Headcount: 5001-10000
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.
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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.
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.
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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
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

Company Info
Founded: 2020
Headcount: 5001-10000
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
CorroHealth is a provider of revenue cycle management solutions and analytics. Their solutions include clinical services focused on documentation integrity and compliance, autonomous and outsourced medical coding, and billing management tools.
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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.
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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.
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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.
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Maverick Medical AI

Maverick Medical AI

Company Info
Founded: 2018
Headcount: 11-50
Customers
Verified Customers: 3
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Maverick is an AI-powered autonomous medical coding solution.
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.
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Phare Health

Phare Health

Company Info
Founded: 2023
Headcount: 1-10
Customers
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
Phare Health is a developer of AI technology addressing revenue cycle management functions. Their primary focus is on medical coding and expanding autonomous coverage of hospital and inpatient encounters.
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Semantic Health

Semantic Health

Company Info
Founded: 2019
Headcount: 11-50
Customers
Verified Customers: 1
Customers Served: Hospital / Health System
Product Overview
Semantic Health is an AI CDI platform that reviews all coded data before billing, assessing and validating the accuracy and completeness of medical codes from clinical documentation. The platform integrates with existing electronic health records, allowing it to pull and process patient charts in real-time, and enables hospitals to identify and correct coding errors or omissions.
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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 is an AI-enabled medical coding product for automatically processing patient encounters. It integrates with billing systems and EHRs, and uses 1000+ ML models for precision coding.
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.
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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.