Case Study30 of 40 providersUrology (Surgical)

Surgical urology group: $305K–$357K in estimated annual savings with AI-powered coding.

30 providers onboarded. 81% straight-to-bill. Live in under 6 weeks.

$305–357K

Est. annual savings

81%

Straight-to-bill (Feb '26)

1.89 days

Median charge lag

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01 The Setting

Surgical urology coding, at scale.

The group featured here operates a surgical urology line that accounts for roughly 75% of total chart volume across the practice. Going into October 2025, the coding operation faced four pressures simultaneously — each of which the engagement was scoped to address.

02 Challenge & Solution

Four pressures, four mechanisms.

The Challenge column below is from the engagement's pre-deployment scoping. The Solution column describes what RapidClaims delivered.

The Challenge: $400K+ per-year uncaptured revenue — projected annual loss from conservative coding patterns across the surgical urology line. 32 charts per coder per day — one of the lowest productivity benchmarks across specialties. Unspecified ICD codes driving denials — avoidable denials concentrated in high-complexity surgical cases where specificity matters most. 30% national coder shortage — scaling capacity through headcount was not a viable lever.

The Solution: Purpose-built for urology coding — trained on surgical urology workflows, not a generic LLM dropped onto charts. Live in under six weeks — fewer than 500 charts to calibrate before the platform was operating in production. Outsourced coders removed — in-house team now audits exceptions instead of coding every chart. No EHR migration, no disruption — deployed on top of the existing stack, no workflow rewrite.

03 Headline Results · Year One

Estimated annual savings: $305–357K.

Annual savings are the sum of two components: revenue recovered through more accurate RVU capture, and operational savings from removing outsourced coder spend and increasing in-house coder productivity.

81%

Straight-to-bill (Feb '26)

1.89 d

Median Charge Lag

04 Automation Ramp

From 55% to 81% in four months.

Between November 2025 and February 2026, the share of encounters proceeding straight to billing without manual coder review climbed from 55.1% to 81%. The industry-typical band for autonomous coding sits between 40% and 60%.

05 Volume & Accuracy

Volume grew 36%. Accuracy held above 98%.

Monthly chart volume processed by the platform rose from 3,561 in November 2025 to 4,839 in February 2026 — a 36% increase. Across the same four months, CPT accuracy stayed above 98% and ICD accuracy crossed the 99% threshold in December and held above it.

06 Coding Quality

Specificity improved where it matters for payers.

Beyond automation and accuracy, the engagement changed the composition of the code set itself. Unspecified ICD codes — the category most associated with avoidable denials — fell by 7%. The share of charts coded with multiple ICDs rose by 4.8%. Single-ICD charts fell by 21%.

07 In Their Words

From the group's leadership team.

"Same-day turnaround from day one. Our coders went from fighting backlog to handling only the cases that actually need a human eye."

Director of Coding Operations, Surgical urology group

08 The Bottom Line

Four months. Thirty providers. The summary metrics.

Across 30 of 40 providers onboarded, the engagement delivered estimated annual savings of $305–357K, an 81% straight-to-bill rate by February 2026, CPT accuracy of 98.5% with ICD accuracy of 99.4% overall, and a charge lag of 1.89 days — down from 8–10 days pre-engagement. Monthly chart volume grew 36% across the four-month window while accuracy and STB held.

Across 30 providers, RapidClaims delivered $305–357K in estimated annual savings, 81% straight-to-bill, and 98%+ coding accuracy — with charge lag reduced from 8–10 days to 1.89 days, and quality maintained while monthly volume grew 36%.

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