CodeFlow
Eliminate coding errors, capture every billable diagnosis, and close the revenue gap with Medical Agent AI coding that achieves 95%+ accuracy — validated across ICD-10, CPT, HCC, and risk adjustment.
AI That Codes Like Your Best Coder — at Scale
CodeFlow's medical coding AI analyzes clinical documentation, identifies every billable diagnosis and procedure, and assigns the most specific, compliant codes — catching HCC conditions your team might miss, maximizing RAF scores, and preventing denials before they happen.
- Reads and interprets clinical narrative, not just keywords
- Identifies HCC conditions and chronic disease documentation gaps
- Suggests modifiers, E/M levels, and secondary diagnoses automatically
- Pre-submission compliance check against 400+ payer edits
- Continuous learning from your organization's coding patterns
Comprehensive Medical Coding Intelligence
Every code type, every specialty, every payer — covered by AI that knows medical coding as deeply as your best coder
HCC & Risk Adjustment Coding
Automated Hierarchical Condition Category coding with intelligent risk stratification, RAF score optimization, and documentation gap alerts. Captures chronic conditions that manual coding routinely misses.
CPT/HCPCS & E/M Leveling
Accurate Current Procedural Terminology and HCPCS code assignment with full modifier logic. AI-determined E/M level recommendations based on MDM or time documentation — reducing under-coding by an average of 18%.
Denial Prevention Engine
Proactive identification of coding errors, bundling issues, LCD/NCD conflicts, and payer-specific edit failures before claim submission. Our pre-submission scrubber checks 400+ payer edits in real time.
Compliance Audit & Oversight
Continuous audit-readiness monitoring with automated review of documentation vs. code specificity. Generates OIG-aligned audit reports and tracks compliance KPIs across your coding team.
Real-Time Revenue Analytics
Live dashboards showing coding patterns, denial rates, coder productivity, revenue impact by code, and payer-specific performance. Identify revenue leakage before it compounds.
Coder Assist & Training
Autonomous second opinions and educational feedback for your coding team. Identifies individual coder accuracy gaps, suggests CPD resources, and tracks improvement over time — elevating your whole team.
From Documentation to Clean Claim
CodeFlow integrates with your existing workflow — no new portals, no disruption.
Submit Clinical Documentation
Feed CodeFlow clinical notes, encounter documentation, or prior coding directly from your EHR or PM system. Supports HL7 FHIR, direct API, or batch file ingestion with zero-touch setup.
AI Analysis & Code Assignment
CodeFlow's medical AI reads the clinical narrative, identifies all diagnosable conditions, assigns the most specific ICD-10 codes, suggests CPT and HCC codes with confidence scores, and pre-screens against payer edits.
Expert Review & Clean Claim
Certified coders review AI output with one-click approval workflow. Fully compliant, clean claims are generated and submitted to your billing system — with denial probability scored before submission.
CodeFlow caught HCC conditions our coders had been missing for over a year. In the first quarter after go-live, our RAF score improved by 0.31 — that's a meaningful increase in per-member revenue that we're now capturing consistently every month.
Measurable Results from Day One
Coding Accuracy
Validated coding accuracy across ICD-10, CPT, and HCC code sets — outperforming manual-only teams and reducing rework that erodes coder productivity and cash flow.
Reduction in Claim Denials
Pre-submission denial prevention catches coding errors, bundling conflicts, and payer-specific edits before submission — dramatically lowering denial rates and A/R aging.
Coder Productivity Increase
AI-assisted workflow allows coding teams to process significantly more claims per day without sacrificing accuracy — stretching your existing team capacity without hiring.
Faster Claim Turnaround
Streamlined AI-to-coder workflow reduces average time from documentation to submitted claim from over a week to 24–48 hours — improving cash flow and reducing A/R days.
Ready to Maximize Coding Accuracy?
See CodeFlow live with your specialty and document types. We'll show you exactly how many revenue dollars you're currently leaving on the table.