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Codametrix Autonomous Medical Coding Platform

Codametrix Autonomous Medical Coding Platform

Codametrix Autonomous Medical Coding Platform

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Codametrix Autonomous Medical Coding Platform
Codametrix Autonomous Medical Coding Platform

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Overview


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Avia Summary

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Codametrix Autonomous Medical Coding Platform is a solution provided by CodaMetrix, Inc.. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM) and Coding & Documentation.
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It has 11 verified clients.
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Codametrix Autonomous Medical Coding Platform integrates with major EMRs such as Epic, Cerner, and Other.
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Some other resource(s) that may be helpful in learning about Codametrix Autonomous Medical Coding Platform include: Unlocking the true potential of healthcare RCM: How a digital front door makes all the difference and Top Revenue Cycle Management (RCM) Companies Report | Fall 2024
DESCRIPTION

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

CodaMetrix currently supports Epic, GE, Meditech, and Cerner and can be expanded to other EHRs. It is available in Radiology, Pathology, Endoscopy, Surgery, and Evaluation & Management service lines with planned expansion into Emergency Department (ED) and other specialties. CMX Insights includes a dashboard with analytics on automation rate and accuracy, as well as Coding Decision Support tools.

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Product capabilities

Intelligent Automation

CodaMetrix leverages AI technologies in our platform to learn relationships between clinical documentation and billing codes, as well as to adapt to each customer's unique documentation styles and coding standards. We develop and maintain our own proprietary AI algorithms in-house, including machine learning, deep learning, and natural language processing capabilities. We do not rely on or partner with any third-party AI/machine learning vendors.

AVIA GUIDE
What is intelligent automation?
Utilizes AI and machine learning to automate routine tasks Employs robotic process automation (RPA) for repetitive, rule-based processes Reduces manual data entry and associated errors Example: An RCM solution that automatically codes encounters based on clinical documentation and updates claims in real-time.
Capability Comparison Grid

Codametrix Autonomous Medical Coding Platform

Codametrix Autonomous Medical Coding Platform

Intelligent Automation
Advanced Analytics and Reporting
Compliance and Security
Denial Management and Prevention
EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, Pop health platform, ADT, Access +/or revenue cycle
Use case dependent
Epic, Cerner, Other, Meditech, athena, Athenahealth, GE
Mobile / Tablet (web optimized), Desktop
Use cases and differentiators

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
  • ED expected in 2025 
  • Ambulatory expected in 2025

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

The primary users of the CodaMetrix platform are designated Medical Coders. A goal of our system is to alleviate doctors of the task of medical coding and other administrative burdens.

  • 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)
  • Automation Accuracy: CodaMetrix exceeds 96% in this metric, setting a new standard for the industry.

  • Coding quality: CodaMetrix is built on clinically validated data to ensure superior accuracy and provides the adaptability necessary to serve your specific needs.

  • CodaMetrix offers CMX Amplify™—our coding decision support tool that measures coder productivity, accuracy, and proficiency, while helping generate high-quality data.

  • Performance analytics: The CodaMetrix platform's advanced analytics capabilities position users to make data-driven decisions more effectively. 

  • Provider-owned: CodaMetrix is a provider-owned company that is organizationally designed to deliver proven solutions to our fellow healthcare industry providers.

  • As the Epic Toolbox member that has been live with numerous Epic healthcare organizations for years, we bring unmatched experience to the market, consistently meeting Epic’s integration requirements.
Health Equity

Codametrix Autonomous Medical Coding Platform's approach to Privacy

in the interests of ensuring the security and privacy of the customer data, CodaMetrix has a dedicated site-to-site VPN connection for each CMX customer, meaning that all communications for that environment are routed through the dedicated VPN tunnel. Communications through these dedicated VPN tunnels are encrypted at rest and in transit, ensuring the protection and security of the data. Additionally, CodaMetrix employs a “least-privileged” security model where users are given access to the minimum resources required to perform their job. All PHI is sequestered in PHI-specific accounts and only users who require access to PHI to perform their job are granted access to these accounts. There is also extensive logging that is maintained in a separate AWS account for access and use patterns; CodaMetrix has advanced Google tools monitoring our environment specifically for data loss and warn on potentially leaked information. CodaMetrix has extensive policies in place to keep PHI segregated and keep it from being copied to outside locations.

AVIA GUIDE
What is privacy?
Builds trust by communicating data privacy, security, and optionality for data use by the care team.
Company information

Reviews


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Overall Score
5.0

6 reviews


0.0

Features

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Ease of use

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Customer Support

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EHR Integrations

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Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

March 27, 2025

verified
new review

March 27, 2025

There’s hope we will reach about 70 percent of our pathology volume in the next year.

“CodaMetrix sends back reports to us with the codes, or it sends back a report of what it knows it can't code, so the human coders then attack those and code them manually. There’s hope we will reach about 70 percent of our pathology volume in the next year. And we do believe there are other opportunities. We are exploring autonomous coding for a variety of specialties.” 

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David S. Mendelson

Vice Chair for Radiology Information Technology , Vice chair for radiology information technology working with Codametrix Autonomous Medical Coding Platform at Mount Sinai Hospital
Review Source
:
codametrix.com/
Helpful(0)

March 27, 2025

verified
new review

March 27, 2025

Our automation rate has increased by 15% since go-live, now reaching 86%

“Since integrating CodaMetrix’s platform into our RCM system in 2022, we have eliminated our historical coding backlog and reduced coder overtime. The improvements have been significant—our automation rate has increased by 15% since go-live, now reaching 86% and exceeding internal goals. The use of AI to automate coding through CodaMetrix’s platform has streamlined our coding processes and enhanced clinical detail, ultimately contributing to better results. We’re exploring expansion into additional service lines within our health system.” 

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Barbara Scully

Associate Vice President of Physician Billing, Associate vice president of physician billing working with Codametrix Autonomous Medical Coding Platform at UMass Memorial Medical Center
Review Source
:
codametrix.com/
Helpful(0)

November 13, 2024

verified

November 13, 2024

The best ‘go-live’ implementation

It was the best ‘go-live’ implementation of an application we’ve experienced to date. CodaMetrix worked hard to understand our needs and processes in order to provide a seamless transition on day 1, with no surprises and no changes to our existing workflow.

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Kristie Janvrin

Assoc. Director, Coding and Ancillary Services, Executive sponsor working with Codametrix Autonomous Medical Coding Platform at Mass General Brigham
Review Source
:
codametrix.com/
Helpful(0)

November 13, 2024

verified

November 13, 2024

Would have taken a full FTE a year to code what it has mastered

Our turnaround time is dramatically different with the assistance with CMX: 4.82 days versus 43.6 and CMX has coded enough work that it would have taken a full FTE a year to code what it has mastered.

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Tammy Bickle

Director, Revenue Cycle, Executive sponsor working with Codametrix Autonomous Medical Coding Platform at OHSU Hospital
Review Source
:
codametrix.com/
Helpful(0)

November 13, 2024

verified

November 13, 2024

Grateful for their support, reduced our expenses

"We had an extremely successful go live and optimization project thanks to the talented and knowledgeable team at CodaMetrix. We are grateful for their support in helping us exceed our automation goal and we are excited to expand the use of this platform to other service lines. This implementation has reduced our expenses and allowed our coders to focus on those accounts that require human intervention to ensure accuracy and compliance."

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Robin Smith

Executive Director, Health System , Executive sponsor working with Codametrix Autonomous Medical Coding Platform at University of Miami Health System
Review Source
:
codametrix.com/
Helpful(0)

November 13, 2024

verified

November 13, 2024

Unprecedented levels of automation

Through the adoption of CodaMetrix we have been able to reach unprecedented levels of automation that have had efficiency & cost reduction ripple effect across our entire organization.

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Kim Davis

Sr. Director, Revenue Services, Executive sponsor working with Codametrix Autonomous Medical Coding Platform at University of Colorado Medicine
Review Source
:
codametrix.com/
Helpful(0)

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