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ICD-10/CPT Auto-Coding Agent

As clinical content populates the note, this agent continuously analyzes diagnoses and procedures, mapping them to ICD-10 and CPT codes with confidence scores. It validates codes against documentation to ensure coding compliance, suggests specificity improvements, and collaborates with the note structurer to ensure documentation supports assigned codes for proper reimbursement.

Agent ID
auto-coder
Sector Hospital Management & Clinical Operations
Status
Operational

Problem Statement

The challenge addressed

Medical coding is complex, time-consuming, and error-prone. Incorrect codes lead to claim denials, compliance issues, and revenue loss. Coders must analyze documentation and map to over 73,000 ICD-10...

Core Logic

How the agent solves it

As clinical content populates the note, this agent continuously analyzes diagnoses and procedures, mapping them to ICD-10 and CPT codes with confidence scores. It validates codes against documentation...