CodaMetrix

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AI-powered platform for autonomous medical coding that enhances revenue cycle management.

Pricing Model: Subscription
Updated: 06/05/2025
Employees
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Founded in
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Funding Series
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Funding Amount
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CodaMetrix is an advanced AI-powered solution designed to revolutionize the revenue cycle management process through autonomous medical coding. Targeted at healthcare providers and medical institutions, CodaMetrix addresses the complexities of medical coding, facilitating more efficient and accurate processes while reducing the need for manual intervention. The platform’s core advantage lies in its ability to seamlessly integrate into existing workflows, ensuring minimal disruption while providing immediate returns on investment. Its robust AI capabilities automate over 96% of cases across multiple specialties, offering considerable cost savings and a significant reduction in coding denials.

The platform serves more than twenty premier provider organizations, representing over 200 hospitals and 50,000 providers, demonstrating its widespread acceptance and utility in the healthcare industry. By transforming medical data into actionable insights, CodaMetrix aids in progressing from fee-for-service to value-based care models, ensuring adaptability to evolving healthcare requirements.

Pros:

  • Reduces costs and enhances efficiency with advanced automation
  • Improves accuracy by reducing coding denials
  • Streamlines operational workflows
  • Offers proven ROI and provider satisfaction improvement

Cons:

  • Initial setup and integration might require time and resources
  • May require adjustments based on specific institutional needs
  • Dependence on technology can pose a risk in case of system failures

Features:

  • Touchless medical coding - Automates a wide range of coding tasks without altering current workflows.
  • AI-driven insights - Provides actionable insights to support fee-for-service to value-based care transitions.
  • Error reduction - Minimizes coding errors and denials significantly, thus optimizing revenue.
  • Multi-specialty coverage - Supports a variety of medical specialties, extending utility across different fields.

Integrations:

  • Electronic Health Records (EHR) systems - Seamlessly integrates with existing EHR platforms to optimize coding processes.
  • Revenue cycle management systems - Enhances the efficiency of revenue cycle operations by automating coding tasks.

Pricing:

  • Subscription Model - Based on usage and number of providers covered.

Implementation Timeline

Not Disclosed

Onboarding

Not Disclosed

Sandbox

Not Disclosed

Compliance

Not Disclosed

Buying Persona

CRO, CFO, Director, RevOps, Customer Success Manager, VP, FP&A Manager, Sales Finance Manager

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