AI-powered inpatient medical coding. 36 validation rules. Live MS-DRG grouping. Full audit trail. HIPAA compliant. Built for RCM teams.
DISCHARGE SUMMARY
HPI: 68yo female with ischemic cardiomyopathy (EF 25%), CKD stage 3b, and type 2 DM with nephropathy presenting with acute decompensated HF.
Course: IV Lasix. BNP 4,210→1,800. Echo EF 25%, severe MR. Developed AKI (Cr 2.8 from 1.9). Hyperkalemia K+ 5.9. Malnutrition (albumin 2.8).
PMH: AFib, HTN, CABG x3 (2018), ICD (2020), BMI 34...
Acute on chronic combined systolic and diastolic HF
Acute kidney failure, unspecified
CKD stage 3b
Type 2 DM with diabetic CKD
Hyperkalemia
Moderate protein-calorie malnutrition
Chronic atrial fibrillation
Morbid obesity, BMI 34
Presence of aortocoronary bypass graft
Heart failure & shock w/ MCC
Revenue Drivers
N17.9
N18.32
Compliance 8
25 mins
Average time spent manually coding a complex inpatient chart
Industry Standard
6+ mos
Time required to fully onboard and train a new inpatient coder
RCM Benchmarks
30%+
Coder vacancy rate leaving RCM teams chronically understaffed
AHIMA Workforce Study
Cross-referencing hundreds of pages of clinical documentation against 160,000+ codes and complex CMS guidelines takes time your team doesn't have. An experienced coder can only process 15 to 20 charts a day before fatigue sets in.
Your best coders are buried in the backlog, and hiring your way out isn't an option anymore. You don't need more people hunting for evidence you need to give your existing team a massive head start.
Upload clinical PDFs, paste discharge summary text, or receive records via HL7 FHIR integration. Supports discharge summaries, H&P notes, operative notes, labs, and medication lists. AI extracts patient demographics, clinical entities, and procedures automatically.
The AI reads documentation and assigns ICD-10-CM diagnoses, ICD-10-PCS procedures, POA indicators, MEAT analysis, and discharge disposition. Every code linked to evidence in the source text with confidence scores.
+ 3 more codes with evidence...
36 compliance rules fire in real-time. The official MS-DRG v43.1 grouper assigns the DRG and estimated payment. Blocking issues, warnings, and revenue impact shown instantly.
Coder reviews AI output, adjusts codes, resolves physician queries. Full audit trail logged. 25-minute chart becomes a 5-minute review.
Every feature exists because a coder needed it. No fluff modules, no unused dashboards.
Clinical record with evidence highlighting on the left. Code editor with diagnoses and procedures in the center. DRG, payment, and compliance on the right. Everything visible at once.
68yo F with ischemic cardiomyopathy, CKD 3b. Developed AKI during diuresis...
3-step AI pipeline: entity extraction, RAG code retrieval, final ranking. Evidence quotes, reasoning, and confidence scores for every code.
Step 1: Entity Extraction
14 clinical entities identified
Step 2: RAG Code Retrieval
BM25 + SapBERT → 200 → top 50
Step 3: Final Ranking
9 codes with evidence + confidence
14 blocking rules, 11 warnings, 5 info notes. Covers MCE edits, Excludes1/2, code-first, POA enforcement, HAC penalties, CC/MCC exclusions, symptom-as-PDX, and more.
Official CMS v43.1 grouper runs on every edit. See DRG, relative weight, estimated payment, GMLOS, AMLOS, and severity tier change in real-time.
Build procedure codes axis by axis. 917 PCS tables, 79,000 codes. Each selection filters valid next values. 6 PCS validation rules including sex conflicts, noncovered, and limited coverage.
+ 3 more axes completed
Chronological log of every AI and human action. Per-code evidence and reasoning from AI. Physician query tracking. Tamper-evident for OIG audits and RAC reviews.
+ 2 more entries
See which MCC/CC codes drive severity. Table 6J exclusion detection. HAC penalty impact. Post-acute transfer adjustment warnings. Editable facility base rate.
Mark codes for physician query with reason. Track pending queries. Block submission until all resolved. Every state change logged in audit trail.
Every code on every claim runs through 30 ICD-10-CM rules and 6 PCS rules before a coder can submit. Built from CMS Official Coding Guidelines, MCE edit files, 180,000+ Table 6J exclusion pairs, HAC code lists, and 332,000+ POA-exempt codes.
Codes on claim
Acute on chronic combined HF
Acute kidney failure
CKD stage 3b
Type 2 DM with diabetic CKD
Hyperkalemia
Protein-calorie malnutrition
Chronic atrial fibrillation
Morbid obesity, BMI 34
Validation results
Real-time MS-DRG assignment with payment estimation. The official CMS v43.1 grouper runs on every code change. Watch what happens when a single MCC code is removed.
Codes on claim
Acute systolic heart failure
Acute kidney failure, unspecified
Chronic kidney disease, stage 4
Hyperkalemia
One code. $3,632 swing. This is why real-time DRG grouping matters. Coders see the financial impact of every decision before they submit, not after the claim gets denied.
Heart failure & shock with MCC
FY2026 IPPS national base rate
$6,752.61 default, editable per facility. Payment = Relative Weight × Base Rate.
Chronological, chat-style audit log. AI entries show per-code evidence and reasoning. Human entries track every add, remove, swap, POA change, and physician query. All persisted to database for compliance auditing.
AI assigned I50.41 as PDX
Evidence: 'ischemic cardiomyopathy, EF 25%' — Reasoning: Principal diagnosis per UHDDS, condition established after study
AI assigned N17.9 (MCC)
Evidence: 'acute kidney injury, Cr peaked at 2.8 from baseline 1.9'
AI assigned E44.0 (MCC)
Evidence: 'albumin 2.8, prealbumin 12' — moderate protein-calorie malnutrition
AI assigned E87.5 (CC)
Evidence: 'hyperkalemia K+ 5.9, treated with Kayexalate'
+ 6 more entries logged+ 4 more entries logged
Scale your coding capacity without scaling your headcount.
Starter
For RCM teams getting started with AI-assisted coding.
Growth
For growing firms that need more capacity and throughput.
Enterprise
For large operations that need isolation and SLAs.
Competitors charge up to $1.00 per chart. We're built to make AI-assisted workflows accessible and highly profitable for RCM teams of all sizes.
See results in your first session. HIPAA compliant. Deploys in minutes.