CODING.AI automates the majority of medical coding volumes for healthcare providers, leading to more accurate claims, fewer denials, and higher reimbursements, backed by industry-leading Service Level Agreements (SLAs). Clients typically achieve a minimum of 30% savings compared to manual or computer-assisted coding by automating at least 70% of their medical coding. This platform helps organizations reduce denials and increase reimbursements without significant infrastructure investment or additional headcount. Powered by deep learning algorithms, CODING.AI is recognized for its accuracy, contractually guaranteeing 95% or greater coding accuracy. The solution is deployed within a fully HIPAA and SOC2 compliant cloud environment on Microsoft Azure, ensuring best-in-class performance, security, and scalability. All patient health information (PHI) and personally identifiable information (PII) are secured with military-grade AES 256-bit encryption, with multiple hosting options available. It handles CPT, ICD-10, Modifiers, and E/M-level calculations, leveraging proprietary Natural Language Processing (NLP) algorithms to interpret unstructured charts and offering built-in encoder features, automatic regulatory updates, and compliance edits.

Features & Benefits

• Guaranteed Coding Accuracy
  • Ensures 95% or greater accuracy per CMS (NCCI), commercial payer, and client/facility guidelines.
• Automated Coding Capabilities
  • Provides CPT, ICD-10, Modifiers, and E/M-level calculation auto-coding.
• Flexible Access
  • Available via API or a web-based workflow.
• Cloud-Native Deployment
  • Offers a cloud-based solution with zero software installs, zero server maintenance, and unlimited storage through deployment within Microsoft Azure.
• Role-Based Access
  • Features role-based logins for coding managers, onsite or remote coders, and/or auditors.
• Real-time Monitoring
  • Allows monitoring of coding status in real-time.
• Advanced NLP Algorithms
  • Utilizes proprietary Medical Language Processing (MLP) built-in to interpret unstructured charts in various file formats.
• Integrated Encoder Features
  • Includes deep-semantic search, crosswalks, and ICD-10/CPT code set index.
• Automatic Regulatory Updates
  • Ensures compliance with automatic updates of medical code sets from CMS and other governing bodies to avoid claim denials caused by non-compliance.
• Built-in Compliance Edits
  • Incorporates NCCI edits, MCE, OCE, MUE edits, and LCD/NCD determinations to comply with prevailing coding standards.
• Comprehensive Coding Support
  • Supports both physician and facility coding for all outpatient specialties.
• Denial Prediction & Prevention
  • Features built-in capabilities to predict and prevent claim denials.
• Analytics Dashboard
  • Provides a comprehensive medical coding analytics dashboard with custom reporting.
• Bulk Chart Upload
  • Enables bulk upload of medical charts via sFTP, API, HL7, and other file-sharing protocols.
• Robust Data Security
  • Secures all patient health information (PHI) and personally identifiable information (PII) with 256-bit AES encryption.
• HIPAA & SOC 2 Compliance
  • All BUDDI.AI applications (including Coding.AI) are fully HIPAA and SOC 2 compliant.
• Extensive Integrations
  • Integrates with all major EMRs and billing modules via HL7 and X12N protocols.
• MIPS Automation (Optional)
  • Offers MIPS measures automation with submission via qualified registry to CMS.