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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 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.

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Product capabilities

Intelligent Automation

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.

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

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

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.

  • 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.
Health Equity

Codametrix Autonomous Medical Coding Platform's approach to Privacy

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.

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

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