xpertcoding: AI Medical Coding and BI Platform
xpertcoding helps healthcare providers and payors automate medical coding. It is designed for organizations that need to manage revenue cycles and HCC risk adjustment.
At a glance
- Category
- Healthcare
- Best for
- Hospitals, Medical Practices, Healthcare Providers, Healthcare Payors
- Pricing
- Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
- Key use cases
- Automating Medical Coding, Revenue Cycle Analytics, Risk Adjustment Management, Documentation Feedback
- Integrations
- API, RPA, SMART on FHIR, HL7-ADT messaging, athenahealth
- Official website
- www.xpertdox.com/xpertcoding/
xpertcoding is an autonomous medical coding solution that uses AI and natural language processing to assign medical codes to healthcare claims. It is designed for hospitals, medical practices, and healthcare payors looking to reduce manual coding efforts and monitor performance through data analytics.
The platform includes a Business Intelligence (BI) component with dashboards for tracking claims, performance metrics, and risk adjustment. It also supports clinical documentation improvement by providing feedback to address documentation gaps.
Buyers should confirm implementation timelines, which the vendor states range from under one week for certain major EHRs up to eight weeks for custom systems. To support the handling of sensitive health data, the software is HIPAA compliant and holds ISO/IEC 27001, ISO/IEC 22301, and SOC 2 Type 2 certifications.
Key Features
Uses AI and natural language processing to automate the assignment of medical codes for healthcare claims.
Provides a screen to view coded claims and key performance metrics for revenue cycle oversight.
Designed to help improve HCC coding accuracy and support RAF scores in accordance with CMS models.
Offers tailored feedback to address gaps in medical documentation to support coding accuracy.
Tracks modifications made by the coding engine to support transparency and compliance.
Provides graphical insights into the reasons why certain claims were flagged for manual review.
Use Cases
Using AI to assign codes to healthcare claims to reduce manual entry.
Monitoring claims performance and operational metrics via BI dashboards.
Using the HCC dashboard to manage RAF scores and CMS compliance.
Identifying and addressing documentation gaps through clinical improvement insights.
Best For
Integrations
Pricing
Pricing was not clearly available from the provided evidence. Buyers should confirm current pricing on the vendor website.
FAQ
It is an AI-powered platform used to automate medical coding for healthcare claims and provide BI analytics for revenue cycle management.
Yes, it connects to EHRs via API, RPA, SMART on FHIR, and HL7-ADT messaging. Implementation timelines range from under one week to eight weeks depending on the system.
Yes, the platform is HIPAA compliant and holds ISO/IEC 27001, ISO/IEC 22301, and SOC 2 Type 2 certifications.
Source category: Healthcare
Source subcategory: Medical Coding
