AKASA Coding leverages generative AI and large language models fine-tuned on health system-specific data to automate and enhance medical coding and CDI processes. It reviews clinical documentation, suggests appropriate codes, provides justifications and direct evidence for recommendations, and flags missed revenue or quality opportunities. The platform is tailored to each client's workflows, boosting coder productivity, accuracy, and revenue capture while reducing administrative costs and error rates. It blends machine learning with expert-in-the-loop mechanisms for exception handling and continuous improvement.

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.

CodaMetrix is an AI medical coding platform covering multiple specialities including radiology, pathology, surgery, endoscopy, and evaluation & management within large healthcare systems. The platform leverages 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 to minimize audit risk.

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.

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 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.

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.

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.

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 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.

Amy is an AI-powered medical coding solution that analyzes clinical notes to assign diagnosis and procedure codes with a claimed accuracy above 99%. It is designed to reduce cognitive workload, identify coding errors (including undercoding and overcoding), and improve coding turnaround time. Amy incorporates human-in-the-loop workflows, prompting for manual review when uncertain, and adapts to evolving medical coding guidelines through continuous learning.

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.

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.

IKS Health provides a comprehensive Care Enablement Platform that integrates technology, analytics, and expert services to support healthcare organizations across clinical, operational, and financial domains. Their offerings include AI-driven revenue cycle management (RCM), clinical documentation improvement, medical coding, and virtual scribing, all designed to reduce administrative burden and enhance patient care.

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 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 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.

Murphi.ai provides an AI-driven platform focused on automating medical coding and documentation for healthcare providers. It uses natural language processing to analyze clinical notes and suggest accurate ICD-10 and CPT codes in real time, aiming to support coders, physicians, and revenue cycle teams. The platform can integrate with EHR systems and includes auditing features to help ensure coding compliance and identify potential discrepancies.

Nimblemind provides AI-driven clinical coding tools designed to help healthcare organizations improve the accuracy and efficiency of medical coding. Its platform uses natural language processing to extract relevant clinical data from medical records and suggest appropriate ICD-10 and HCC codes for review by human coders. The tool integrates with existing health IT systems and is aimed at health plans, risk adjustment teams, and provider organizations participating in value-based care.

Optum Enterprise CAC (Computer-Assisted Coding) and CDI 3D is an AI-powered integrated platform designed to enhance clinical documentation and coding accuracy through the use of Optum’s Clinical Language Intelligence (CLI). 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.

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.

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 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.

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.