Automated Medical Coding,
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CODIO AI

Any system, by API or RPA

Charts reach CODIO from whatever you already run, by API or RPA, with no rip-and-replace.

Imported, processing, reviewed, executed

Every chart sits in one lifecycle bucket, so the backlog is a number on a screen rather than a question someone has to answer.

Documentation checks before medical coding

The note is scored against what it supports and read for contradiction, such as a site that disagrees with the procedure. A chart that fails is flagged with the reason named.

CDI built into the medical coding pass, not a separate review

Where documentation does not support what is codeable, the gap is flagged as the chart is coded instead of being quietly worked around.

Chart to finished claim, end to end

Reads the chart and produces a submittable claim: codes, modifiers, units and line order.

ICD-10-CM, ICD-10-PCS, CPT, HCPCS, modifiers

ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II, plus screening and drug codes, supplies, drug administration, immunisation, lab, and injury with its external cause.

NCCI, MUE and Medicare coverage as it codes

NCCI edits, MUE limits and Medicare LCD/NCD coverage resolve while the claim is built, not discovered after a payer rejects it.

Checked against the rules, then against the note

MediCodio AI helps validate modifier usage against applicable NCCI edits and the documentation, with specialty-specific requirements taken into account.

Decision making, time or age

Predicted from the documentation across all three methods, with prolonged-service add-ons evaluated alongside it.

Current code sets, CMS policy and fee schedules

Code sets, CMS articles, Medicare coverage determinations and fee schedules, kept current inside the tool.

Named guidelines, each its own validation pass

Excludes1, signs and symptoms, acute and chronic, combination codes, sequela and outpatient sequencing each run as their own pass.

Resolved per specialty, per payer, per client

Payer policy applied over national and local coverage rules, resolving by specialty, then payer, then client.

Changed in the interface, not in a release

Guideline layers, specialty settings and routing rules are set per client in the interface, with no release needed.

Which rules fired, tracked across charts

Which rules fired is tracked across charts, so a rule that stops firing surfaces as a report, not as denials.

Chart, codes and evidence in one pane

The source document renders beside the assigned codes and the evidence behind each one, so a reviewer reads and codes on a single screen rather than in two systems.

Prior encounters and how they were coded

A patient’s earlier charts and how they were coded, so a coder has context on the one in front of them.

The chart text and the rule behind each code

Open any code and see the passage of the chart it came from and the guideline that justified it.

Lookups and edit checks without leaving the chart

Look up a code, check an NCCI or MUE edit, or search the knowledge base and client-specific guidelines without leaving the chart.

Asked and answered inside the workflow

A documentation question goes to the physician and comes back in the platform, with the query, the response and the chart it belongs to held together.

The principal procedure leads the claim

Procedures are sequenced by relative value, so a multi-procedure case does not underpay through line order in a way that never shows up as a denial.

Per chart and per code, on the record

Every change to a chart is logged with who made it, and every code keeps the documentation passage and compliance rule behind it, so an audit response is a lookup rather than a reconstruction.

Every role, scoped to its own view

A coder opens the charts needing judgement, a coding manager sees the team, a revenue lead reads coded revenue, a physician answers queries and an administrator configures the client, each scoped to what their role is permitted to see.

Accuracy, throughput and SLA across the team

Team accuracy, throughput, turnaround and SLA compliance on one screen, with work reassignable before a queue backs up.

Your coded revenue, against your own baseline

Coded revenue reported against the baseline your organisation already recorded, with the measurement method stated beside it rather than a figure to take on trust.

Time left on every chart, thresholds per client

Each chart carries the time since it arrived, its target turnaround and the time remaining, with thresholds set per client rather than once across the platform.

A live dashboard of volume, accuracy and turnaround

Volume, accuracy and turnaround across facilities and specialties, and a coder’s own accuracy trend, throughput and override patterns.

Excel, or straight back into the EMR

Finished medical coding leaves as an Excel export or writes back into the system the chart arrived from.