Medical Coding AI for Compliance and Efficient Audits
Automate medical coding audits with AI-powered solutions designed to minimize errors, ensure compliance, and streamline reimbursement for healthcare providers and coding agencies.
Trusted by the best in the industry
AI-Powered Medical Coding Audits for Accuracy and Compliance
Real-Time AI-Powered Auditing
- AI analyzes clinical documentation and flags potential errors before claims are submitted.
- Ensures compliance with the latest coding guidelines, payer rules, and regulatory standards.
- Continuously improves auditing capabilities through feedback and new data.
End-to-End Automation for Medical Coding Audits
- Automates coding, edits, and appeals with transparent audit trails
- Uses AI to optimize coding processes based on real-time payer feedback
- Reduces administrative burdens and accelerates revenue cycle time
Continuous Learning for Improved Accuracy
- AI adapts to payer responses, ensuring up-to-date compliance
- Weekly retraining enhances accuracy by 0.5 percentage points each month
- Provides full coverage for ICD-10, CPT, HCPCS, and 36+ specialties
Optimize Medical Coding Audits with Intelligent AI Automation
Smarter Audits for Accurate Coding
AI streamlines coding validation, ensuring accuracy and compliance before claim submission.
- Provide auditors with context-aware prompts and policy guidance for compliance.
- Log detailed audit trails and rationale for every code decision.
- Integrate with Epic, Cerner, Athenahealth, and PM systems via HL7/FHIR.
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Point-of-Care HCC & Quality Optimization
RapidCDI™ captures risk-adjusted codes and quality gaps at the point of care.
- Aggregate multi-encounter patient data into a single risk snapshot.
- Map codes to the latest V28 standards, including severity and SDOH hierarchies.
- Reduce clinician workload with one-click acceptance or rejection of AI suggestions.
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Denial Prevention & Recovery
RapidScrub and RapidRecovery reduce claim denials and recover revenue efficiently.
- Apply machine-learned smart edits refreshed daily from payer bulletins.
- Detect coverage gaps and under-payments before submission.
- Automate appeals with success-based pricing for faster recoveries.
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What Sets Us Apart
Proven Results
- Reduce denials by up to 40% with RapidScrub
- Lift coder productivity by 170% with RapidCode
- Increase collections and accelerate the revenue cycle with RapidClaims' automation
Security That Matters
- HIPAA, SOC 2, and ISO 27001 certified infrastructure
- Role-based access, encrypted workflows, and full audit trails for transparency
- Advanced safeguards explicitly designed for healthcare data
Real Partnership
- Fast-track implementation in just weeks
- Continuous optimization with feedback from seasoned RCM professionals
- Access to live support with expert guidance to optimize your coding audits
Results You Can Trust
RapidClaims delivered what other vendors only promised. We've seen a 30% reduction in AR days within one quarter, unlocking $2.5M in accelerated cash flow. Their platform adapts to our specific workflows instead of forcing us to change our processes.
CFO, Major Health System
$2.5M
Accelerated cash flow
30%
Reduction in AR days
"With RapidClaims, we're maximizing our limited resources while improving revenue capture by 5%. Our team now spends more time on patient care and less on administrative tasks."
Director HIM, Federally Qualified Health Center
5%
↑ increased revenue
40%
Reduction in coding and billing costs
RapidRisk transformed our value-based care documentation, improving RAF by 15% and reducing documentation gaps by 22%. This directly impacts our shared savings and quality metrics.
Medical Director, Leading Accountable Care Organization
15%
↑ RAF
45%
New conditions identified
Our clean claim rate jumped from 92% to 99% with a 96% first pass yield rate. With RapidClaims, we improved the productivity of our coding staff by 100%. Our team only focuses on complex cases that require human expertise.
VP Revenue Cycle, Multi-Specialty Physician Group
27%
Reduction in claim denials
70%
Reduction in cost to collect
Ready to Improve Your Medical Coding Audits?
Use AI-powered audits with RapidClaims. Our platform ensures real-time accuracy, clear audit trails, and seamless integration for compliance.
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Frequently Asked Questions
Transform Your Revenue Cycle in 30 Days or Less
Join leading healthcare organizations already seeing results with RapidClaims.
