The CodaMetrix platform leverages advanced machine learning and the latest in AI to translate clinical notes into accurate, compliant billing and diagnostic codes—automatically applying them across service lines without introducing new workflows. By ensuring coding is complete, timely, and reflective of the full specificity of each patient encounter and provider note, CodaMetrix helps organizations capture appropriate reimbursement and reduce revenue leakage. Real-time compliance monitoring and continuous auditing against the latest payer guidelines further safeguard accuracy and minimize audit risk—delivering high-quality, intelligent automation that adapts as the healthcare landscape evolves.

CMX Insights™ provides deep visibility into charge-related data received from your EHR, including cases coded autonomously and those routed for manual processing. The platform’s advanced analytics help users understand why a charge was automatically coded or flagged for review, offering transparency into case-level decisioning. With customizable dashboards and drill-down capabilities, CMX Insights™ enables users to track performance across key metrics such as: real-time automation rates, financial impact and reimbursement trends, productivity and throughput monitoring, denial management tracking, and case volumes by date range and specialty. These insights empower health systems to optimize coding operations, reduce revenue cycle friction, and drive continuous improvement across departments.

CodaMetrix is built with security and compliance at its core. We maintain full HIPAA compliance and have achieved both ISO 27001 certification and SOC 2 Type 2 compliance, reflecting our commitment to the highest standards of data protection and operational integrity. Our platform is safeguarded by a robust set of technical and procedural controls, including: End-to-end encryption (in transit and at rest), comprehensive audit trails, role-based access and least-privilege security model, Information Security Management System (ISMS), regular third-party penetration testing, and static and dynamic code vulnerability scanning.

CodaMetrix is committed to reducing denials and accelerating reimbursements. On average, providers using our platform experience a 60% reduction in coding-related denials compared to traditional manual coding methods—helping ensure they get paid accurately and on time for the care they deliver. At Mass General Brigham, a study of radiology claims showed a 58.7% decrease in coding denials, resulting in over $750,000 in cost savings. Similarly, Oregon Health & Science University saw a 70% drop in radiology coding denials after implementing CodaMetrix. Our platform not only improves upfront accuracy but also continuously evolves—leveraging denial data from our customers to further enhance coding performance and ensure alignment with ever-changing payer requirements.

CodaMetrix is committed to safeguarding patient data with strict privacy and security protocols. Each customer environment is protected by a dedicated, encrypted VPN connection. We follow a least-privileged access model, ensuring only authorized users can access PHI, which is securely segregated. Comprehensive logging, monitoring, and data loss prevention tools are in place to detect and prevent unauthorized access or sharing, maintaining full compliance with HIPAA and industry best practices.

CodaMetrix provides responsive, reliable support through our dedicated Support Portal, where designated users can access knowledge base resources, track support cases, and monitor system status. Support tickets can be submitted via email, phone, or our Salesforce-based portal, with all general inquiries triaged within 24 hours. Critical issues, including downtime, are treated as Severity 1 incidents and receive immediate, around-the-clock attention. Our team also monitors workflows outside of business hours to ensure continuity, backed by robust business continuity and disaster recovery plans to minimize disruption and ensure rapid recovery.