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.

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%.

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.

XpertDox is a healthcare technology company committed to reducing administrative burdens for physicians, healthcare teams, and leaders while enhancing patient care through AI-driven solutions. XpertDox employs AI, RPA, and Big Data technologies to improve healthcare outcomes.

XpertDox's commitment to innovation is demonstrated by its flagship product, XpertCoding, an autonomous medical coding software with Clinical Documentation Improvement(CDI) designed to accelerate the revenue cycle by processing medical claims with high accuracy in less than 24 hours.

XpertDox was founded in 2015 and is currently based in Scottsdale, Arizona.

• 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)

• 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.

1. XpertCoding is an AI-powered, fully autonomous medical coding solution, whereas EHRs only offer computer-assisted coding that requires provider input and a coding team.
2. XpertCoding provides a Dashboard to monitor claims and perform advanced analytics across all their location, whereas EHRs do not offer a coding-focused Dashboard.
3. XpertDox offers a Clinical Documentation Improvement module not offered by most EHRs.

XpertCoding Differentiators

1. XpertCoding Achieves Automation Rates Exceeding 94%. Far surpassing competitors who typically automate only 60-80% of claims, XpertCoding minimizes manual intervention, ensuring faster and more accurate claim processing.
2. Designed for a Wide Range of Organizations: Unlike most competitors XpertCoding is built to work with RCM organizations, billing companies, small practices, healthcare systems, and hospitals, providing scalable solutions that adapt to the unique needs of any healthcare setup. 
3. Risk-Free Trial with Complimentary Coding Services for One Month: Unlike most competitors, XpertCoding offers a no-cost trial, allowing organizations to experience the platform's capabilities before committing.
4. Rapid Implementation with Minimal Training Time: It requires less than four weeks for onboarding and claim processing, compared to competitors' lengthy timelines, which may span several months or even a year.
5. Comprehensive and Robust Dashboard: Provides real-time monitoring, advanced data analytics, Clinical Documentation Improvement (CDI), payer-specific performance analytics, and a detailed audit trail, empowering healthcare teams with actionable insights.
6. Customizable Smart Claim Scrubber: Tailored to align with payor-specific rules, reducing claim denials and rejections to ensure smoother claim submissions.
7. Seamless Connection Without IT Support: XpertCoding connects easily with any EMR or EHR system and operates without requiring IT support from clients, making implementation hassle-free.
8. Certifications for Security and Compliance: Fully certified for HIPAA, ISO 27001, and SOC 2 Type 2, guaranteeing the highest standards of data privacy and regulatory compliance.
9. ISO 22301 Certified for Business Continuity: Ensures uninterrupted service delivery during disruptions, providing operational resilience unmatched by many competitors.
10. Proactive Charge Recovery and Revenue Optimization: Identifies and retrieves missed charges on previously submitted claims, optimizing revenue integrity. 
11. XpertCoding aligns billing with payor-specific contracts, ensuring precision and compliance.
12. Category II Coding and Value-Based Care Support: Supports Category II CPT codes, enabling organizations to track quality metrics effectively and integrate seamlessly with value-based care frameworks.
13. Optimized for FQHCs and Medicaid Providers: Fully compliant with FQHC requirements and Medicaid coding guidelines, XpertCoding ensures organizations remain compliant while maximizing revenue cycle efficiency.
14. Modifier Support for Enhanced Claim Accuracy: Provides full support for modifiers, ensuring accurate coding for services with special circumstances. 
15. Compared to other competitors in autonomous or AI-assisted coding, XpertDox has demonstrated results across various organization types.
16. Designed to scale for RCM and Billing Companies: Streamlined operations, reduced coding errors, and accelerated claim submissions.
17. Optimal for Mid-to-large scale Practices: Minimal IT requirements and transparent pricing models make XpertCoding an ideal fit for smaller setups.
18. Hospitals and Healthcare Systems: Comprehensive dashboards, charge recovery, and CDI tools support enterprise-level needs.
19. Faster Claim Processing and Reduced Lag: Reduces charge entry lag by 40%, enabling faster claim submission and reimbursement cycles.
20. Improved Accuracy and Compliance: With coding errors reduced to less than 1%, XpertCoding ensures better compliance and fewer denials.