Best Medical Coding Products

CodaMetrix is a SaaS platform, hosted in the AWS Cloud environment, that uses AI and ML to interpret structured and unstructured clinical data from the Electronic Health Record (EHR) to reduce time and cost of coding while increasing the quality of claims data. It works in parallel with existing coding processes, automatically capturing chargeable billing codes and providing medical coding teams with context and suggestions for codes that require further review.

CodaMetrix currently supports Epic, GE, Meditech, and Cerner and can be expanded to other EHRs. It is available in a growing number of service lines including Radiology, Pathology, Endoscopy, Surgery, and Evaluation & Management. CMX Insights™ delivers real-time visibility into coding performance, financial impact, and compliance risks—empowering health systems to optimize operations, reduce denials, and drive continuous improvement.

Ambience Healthcare’s AI platform for documentation, CDI, and coding has been deployed at health systems such as Cleveland Clinic, UCSF Health, St. Luke’s Health System, John Muir Health, and Memorial Hermann Health System. Ambience is the only AI scribing and coding solution designed to support 100+ specialties and subspecialties, and is directly integrated with Epic, Cerner, athenahealth, and other leading EHRs. 

By partnering with Ambience, healthcare systems reduce documentation time by an average of 80%, improve clinical documentation integrity, and achieve at least a 5X return on investment with more accurate E&M coding. Ambience is also the only AI solution that provides clinicians with AI-assisted CDI support. Ambience surfaces precise diagnosis codes for clinicians to review based on patient conversations, then structures documentation to support selected codes. 

XpertCoding is an AI enabled autonomous medical coding platform that automates over 90% of medical coding with 99% accuracy within 24 hours. XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

What organizations can expect from XpertDox:

Unmatched Automation and Accuracy

• Fully Automated Medical Coding: Automates 94% of claims without human review, ensuring speed, accuracy, and efficiency with minimal supervision.
• Performance-Based Coding: Tracks quality and performance metrics effectively with support for Category II CPT codes.
• Reduces Coding Errors to Less Than 1%: Ensures compliance and minimizes claim denials, delivering precise and consistent coding outcomes with >99% coding accuracy
• Faster Claim Processing in less than 24 Hours: Accelerates claim submission timelines, ensuring faster reimbursements and reduced backlogs.
• Smart Claim Scrubber: Customizable to align with payor-specific rules, reducing denials and rejections for smoother claim submissions.
• EMR or EHR-Agnostic Solution: Enables easy data extraction and Fully Automated Claim Submission, ensuring uninterrupted workflows with any EMR or EHR system.
• Modifies and Improves 80% of Claims: Streamlines workflows, eliminating bottlenecks and enhancing operational efficiency.

Enhanced Financial Outcomes for Clients

• Flexible Pricing Model: Offers transparent, per-claim pricing for scalable and cost-effective solutions tailored to your needs.
• Delivers a 15% Increase in Charge Capture: Optimizes revenue generation and ensures accurate billing practices.
• Reduces Claim Denials by 22%: Strengthens the revenue cycle and minimizes payment delays.
• Drives 23% Growth in PMPM Payments: Boosts practice revenue by up to 19%, significantly enhancing financial performance.

Revenue Cycle Optimization and Advanced Insights

• Revenue Cycle Dashboard: Provides real-time visibility into key performance metrics and financial health, empowering data-driven decisions.
• Clinical Documentation Improvement (CDI): Optimizes compliance and documentation accuracy for improved financial outcomes and streamlined workflows.
• Advanced Analytics Suite: Benchmarks provider and clinic performance with actionable insights, helping healthcare teams make informed, strategic decisions.
• Proactively Recovers Missed Charges: Identifies and retrieves overlooked charges from previously submitted claims, enhancing revenue integrity.

Secure and Risk-Free Implementation

• HIPAA-Compliant Infrastructure: Ensures secure data privacy and full regulatory compliance, offering peace of mind for healthcare organizations.
• Risk-Free Implementation: Includes zero upfront fees and a complimentary first month, allowing you to experience the benefits without risk.
• ISO 27001, ISO 22301, SOC2 Type II compliant

Proven Results

• Reduces charge entry lag by 40%, ensuring timely claim submissions. Achieves less than 1% coding errors, significantly improving compliance and reducing denials.
• Enhances efficiency and accuracy, enabling healthcare teams to focus more on delivering high-quality patient care.

XpertCoding by XpertDox

XpertCoding is XpertDox's premier autonomous medical coding platform, designed to accelerate the revenue cycle with unmatched accuracy and efficiency. With risk-free implementation, zero upfront fees, and a complimentary first month, healthcare organizations can experience the transformative benefits of XpertCoding firsthand.

Fathom is an autonomous medical coding platform that provides accurate, complete, touchless coding for ICD, CPT/HCPCS, E/M, modifiers, provider assignment, units, shared services, deficiencies, and all other required coding elements across specialties. With Fathom, providers benefit from:

• 90%+ successful automation rates: Of all patient encounters provided to Fathom for coding, around 90% or more are successfully coded autonomously or correctly flagged for documentation deficiencies.
• 96%+ accuracy rates: Ongoing audit programs ensure greater-than-human coding accuracy.
• 30-50% cost savings: Fathom delivers an average 42.3% reduced cost to code.
• Denials reduction: Stronger accuracy and immediate flagging of documentation deficiencies fix coding errors upstream and reduce denials.
• RVU increase: Through higher coding accuracy, especially on E/Ms, Fathom typically results in a meaningful improvement to revenue capture.
• Lightning-fast turnarounds: Fathom typically returns complete coding results for the day's encounters within 2 hours, averaging 57 min.
• Industry-leading SLAs: Contractual commitments to guarantee performance for automation, accuracy, turnaround time, and other metrics.

Through a risk-free trial, Fathom enables providers to validate our coding quality for themselves before turning on production-ready models upon go-live. In production, Fathom receives clinical documentation from EMRs following patient visits, fully codes the encounters according to guidelines and payer rules, and returns complete coding results for claim submission. This consistent application of coding guidelines improves outcomes and enables enterprise-wide compliance.

Powered by Nym's innovative clinical language understanding (CLU) technology, Nym's autonomous medical coding engine fully automates the medical coding process enabling hospitals, health systems, and provider groups to accelerate payment cycles, improve quality, and reduce coding-related costs. 

3M™ M*Modal Fluency Align creates time to care and enables clinicians to focus on the patient while it works in the background. This ambient clinical documentation solution uses our conversational artificial intelligence (AI) and ambient intelligence to automate clinical documentation, making it a byproduct of the patient visit and not a separate, burdensome task for the physician.

Alpha II delivers revenue integrity by enabling proactive denial intervention throughout the revenue cycle. We empower precision through coding, compliance, claims editing, quality reporting, and revenue recovery analysis. Our clients and partners include professional and acute care providers, clearinghouses, billing services, payers, government entities, consultants, and other healthcare software development companies. Serving a broad variety of clients allows us to hone the functionality, design, value, and effectiveness of our solutions with provided experience and insight.

Automate Coding, Accelerate Growth

Arintra, a leader in autonomous medical coding, accelerates and optimizes reimbursements for healthcare organizations. Powered by GenAI, Arintra works seamlessly within your EHR, ensuring smooth adoption with zero workflow disruptions while providing clear, explainable coding decisions to enhance revenue cycle efficiency. Arintra’s automation handles the entire coding process—from chart capture to claim submission— all within EHR. Our customers have seen a 7% revenue uplift, a 12% reduction in A/R days, and a 43% decrease in denials.

• Maximize Revenue with Integrity: Boost revenue by over 7% with Arintra’s automated coding, ensuring accurate capture of all billable services. Identify and address missed coding opportunities to avoid leaving revenue on the table, while improving compliance.
• Optimize Coding Resources & Costs: Automate over 82% of charts, freeing coders to focus on complex cases. Effortlessly scale to handle provider growth or increased chart volumes without adding costly resources, reducing coding costs and staffing challenges.
• Gain Unmatched GenAI Precision: Arintra’s GenAI-powered engine delivers high-accuracy, precise coding six times faster than manual processes, meeting stringent payer requirements, reducing errors, and enhancing compliance.
• Lower Denials with Full Transparency: Cut denial rates by 43% with Arintra’s precise, traceable coding. Our explainable engine ensures more first-pass approvals and provides a complete audit trail, freeing staff from time-consuming denial management.
• Strengthen Compliance & Auditability: Stay audit-ready with Arintra’s transparent coding decisions, backed by clear explanations. Streamline audit reviews, expedite denial resolutions, and ensure full compliance with coding guidelines.

Key Features

• Multispecialty Capability: Arintra supports a wide range of specialties— including internal medicine, family medicine, pediatrics, radiology, cardiology, urology, OB/GYN, behavioral health, and more—allowing you to scale coding automation effortlessly across your organization, from primary care to more complex specialties.
• Seamless EHR Integration: With native integration into EHRs, Arintra operates within your existing EHR workflows, requiring no changes to your processes and minimal IT involvement.
• Clear Explainability: Arintra provides fully traceable, auditable coding decisions with clear explanations directly within the patient chart, enhancing transparency and simplifying compliance processes.
• Coding Guideline Compliant: Arintra’s engine handles all major coding standards, including CPT/HCPCS, HCC, ICD-10, LCD & NCD, CCI edits, and payor-specific rules, ensuring consistent, accurate coding you can trust.
• Rapid Go-Live Results: With Arintra’s native EHR integration, your organization can be up and running in as little as six weeks, delivering immediate gains in coding efficiency and revenue performance.

Our Customers

Top provider groups and leading health systems rely on Arintra to transform their coding operations. They’re thrilled by the remarkable boosts in revenue, accuracy, and compliance we’ve delivered. 

Ready to Supercharge Your Medical Coding?

Schedule a demo today to see how Arintra can maximize your coding operations and effortlessly accelerate your growth. Visit our website at www.arintra.com for more information.