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Audience Solutions

Coding Analyzer

For coding and documentation analysis

The Coding Analyzer is an augmentation tool for coders and billers that provides the necessary alerts to manage medical coding, thereby dramatically speeding up the process. This provides a consistent and transparent view of the financial opportunities and risks to the organization.

Coding Analyzer

For coding and documentation analysis

The Coding Analyzer is an augmentation tool for coders and billers that provides the necessary alerts to manage medical coding, thereby dramatically speeding up the process. This provides a consistent and transparent view of the financial opportunities and risks to the organization.

The Coding Analyzer provides empirical (statistically based) risks and perspectives on related conditions, drugs, tests, and other factors. This provides a holistic perspective for both clinical and billing services.

The Coding Analyzer:

  • Mines both structured and unstructured data
  • Uses NLP and machine learning to gain insights from data
  • Provides collaboration tools between providers and billers

The solution helps improve operational efficiency by:

  • Using advanced NLP algorithms to convert clinical notes into the relevant ICD codes.
  • Allowing providers and payers to be reimbursed based on health status or “actuarial risk” of a patient population. It is designed to pay health plans more precisely for the anticipated health costs of a patient population by adjusting payments based on demographics and health status. These attributes are used to generate a risk score – a measure of a patient’s cost to a plan.

"For complex surgeries, there can be a huge variability in documentation and coding and this requires coders to have a great deal of knowledge of anatomy and regulations associated with a specific subspecialty. With CloudMedx, we are looking to automate parts of this process and improve communication between all stakeholders so that this process is streamlined and made efficient."

Richard Capra Chief Administrative Officer, UCSF Orthopedics Department