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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Health equity
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

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.

About CodaMetrix, Inc.:

CodaMetrix is transforming the revenue cycle with an AI-powered Autonomous Coding Platform designed to improve coding quality and performance. Born out of Mass General Brigham and trusted by 25+ leading U.S. health systems, the platform ingests both structured and unstructured clinical data to deliver high-quality medical coding across a growing number of specialties and subspecialties. By reducing manual work and enhancing the precision and completeness of clinical data, CodaMetrix helps organizations build a stronger financial and clinical foundation—achieving a 60% reduction in coding costs, a 70% decrease in claims denials, a 5-week acceleration in time to cash, and an average automation success rate above 96%.

Product Description:

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.

About 3M (Minnesota Mining and Manufacturing):
3M operates as a diversified technology company, manufacturing more than 55,000 products, including adhesives, abrasives, laminates, passive fire protection, dental and orthodontic products, electronic materials, medical products, car-care products, electronic circuits, and optical films. The company operates in the industrial and transportation; health care; safety, security and protection services; consumer and office; display and graphics; and electro and communications businesses. Its industrial and transportation business serves a range of markets, such as appliance, paper and packaging, food and beverage, electronics, automotive original equipment manufacturer, and automotive aftermarket. 3M has operations in more than 65 countries that include 29 international companies with manufacturing operations and 35 companies with laboratories. Its products are available for purchase through distributors and retailers in more than 200 countries, and online directly from the company. 3M was founded in 1902 by [Joshua Jones](https://www.crunchbase.com/person/joshua-jones) and is headquartered in Saint Paul, M.N.

Compatibility level

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Clients

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Product Capabilities

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.

Use Cases

Description:

CodaMetrix provides autonomous coding services for the following specialties for both inpatient and outpatient scenarios:

  • Diagnostic Radiology
  • Interventional Radiology
  • Anatomic Pathology
  • GI and Special Procedures
  • Surgery
  • Bedside Professional Visits
Pediatric use cases:

Yes, CodaMetrix is currently contracted with Children's Health Systems. 

Users:

The primary users of the CodaMetrix platform are designated Medical Coders, who engage with the system to review, validate, and oversee coding outcomes. A core goal of the platform is to relieve physicians of medical coding tasks and reduce administrative burden—enabling them to focus on patient care. In addition, revenue cycle and health system leadership use CMX Insights™ to gain real-time visibility into coding automation, accuracy, financial performance, and compliance. These insights support strategic decision-making, operational efficiency, and long-term revenue integrity across the organization.

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Epic, Cerner, Other, Meditech, athena, Athenahealth, GE

Hardware Compatibility:

Mobile / Tablet (web optimized), Desktop

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, athena, NextGen, GE, eClinicalWorks, McKesson, Athenahealth, Azalea Health/Prognosis, CPSI, Healthland, MEDHOST

Hardware Compatibility:

Desktop, Mobile / Tablet (native app), Mobile / Tablet (web optimized)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:
  • Codametrix offers fully autonomous coding vs. computer assisted coding (suggested code sets) 
  • Professional coder productivity reporting
  • Ease of performing QA and auditing with Coding Manager tools for self service coding QA (including building in custom rules and sampling)
Differentiators vs Competitors:
  • Built by Providers, for Providers: Developed out of Mass General Brigham, CodaMetrix is trained on real, clinically validated data—not synthetic datasets—ensuring high accuracy tailored to the complexity of large health systems.

  • Complete Clinical Context: Our platform ingests both structured and unstructured data to build a longitudinal patient record, enabling smarter, more accurate coding across specialties like radiology, pathology, surgery, and E/M.

  • Human-in-the-Loop Automation: With CMX Amplify™, coders receive real-time feedback and decision support, improving productivity, accuracy, and audit readiness through a continuous learning loop.

  • Accuracy That Reflects Reality: CodaMetrix delivers 96%+ automation accuracy across all eligible automated cases—not just ideal scenarios—driving better reimbursement, compliance, and performance.

  • Actionable Analytics: CMX Insights™ provides real-time visibility into automation, financial impact, and denial trends, helping leaders make data-driven decisions.

  • Provider-Owned & Epic-Proven: As a provider-owned company and trusted Epic Toolbox member, we bring deep expertise in seamless EHR integration and scalable results.
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Health Equity

Keywords

Images

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Videos

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Downloads

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