Coding & Note Reviews

Enhance accuracy and efficiency with AI-powered medical coding and documentation reviews.

About the service

Our AI-powered coding automation service combines machine learning technology with deep healthcare domain expertise to transform the medical coding process for skilled nursing facilities. By analyzing clinical documentation and patient records, our system can automatically suggest appropriate ICD-10, CPT, and other coding classifications with remarkable accuracy.

Beyond just code assignment, our solution also reviews clinical notes to identify documentation gaps, potential compliance issues, and opportunities for more comprehensive coding. This dual approach ensures that your facility captures all appropriate charges while maintaining full regulatory compliance.

Our technology

Natural Language Processing (NLP)

Our advanced NLP algorithms can read and interpret clinical notes, detecting key medical terminology, diagnoses, procedures, and other billable elements that might otherwise be missed in manual coding reviews.

Clinical context awareness

Unlike basic text analysis, our NLP engine understands medical context, relationships between conditions, and the specific documentation requirements for skilled nursing facilities.

Continuous learning

Our system improves over time as it processes more of your facility's documentation, adapting to your specific patient population and documentation patterns.

AI-Assisted Documentation Review

Beyond coding, our system analyzes documentation for completeness, specificity, and compliance with requirements for skilled nursing facilities.

Documentation gap analysis

Identifies missing elements in clinical documentation that could lead to downcoding or denials, with specific recommendations for improvement.

Compliance safeguards

Automatically flags potential compliance issues in both coding and documentation, helping prevent audit risks and regulatory problems.

Key benefits

Increased revenue capture

By identifying missing or incomplete codes, our system typically increases billable charges by 7-12%, ensuring your facility is fully compensated for all services provided.

Reduced denial rates

With more accurate coding and improved documentation, denials due to coding errors or insufficient documentation typically decrease by 35-40%.

Faster coding turnaround

Our AI system processes documentation and suggests codes in real-time, reducing the coding turnaround time by up to 75% compared to traditional manual coding.

Improved documentation quality

With real-time feedback and recommendations, clinical documentation improves over time, supporting better patient care and more accurate reimbursement.

Ready to transform your coding process?

Contact our team to schedule a demo and learn how our AI-powered coding automation can help your facility increase revenue and reduce denials.

Contact our team