Agentic AI for Revenue Cycle Management
Medikode deploys specialized AI agents across coding, audit, validation, risk adjustment, and remittance — working alongside your team, 24/7.
~95%
Coding accuracy
40–60%
RCM cost reduction
HIPAA
Customer-hosted
Five AI agents, working the cycle
Each agent is trained on the workflows it owns — not a generic LLM patched into a form.
Generates ICD-10 and CPT codes directly from clinical text at ~95% accuracy, reducing manual effort and rework.
Verifies assigned codes against chart documentation to catch unsupported codes before claims go out.
Checks code-pair combinations against compliance edits and payer-specific rules in real time.
Computes RAF scores using CMS-HCC models and surfaces documentation gaps that affect reimbursement.
Converts EOB documents into standardized ERA output, eliminating manual remittance posting.
Coming next
Medikode isn't a bolt-on feature. It's a purpose-built agentic workforce designed for the complexity of healthcare revenue.
Five agents spanning the full revenue cycle so you replace a patchwork of tools with a single coordinated workforce.
Agents reason through multi-step payer logic — not rule-based RPA scripts that break when payers change their portals.
Deploy inside your own infrastructure. Your PHI never leaves your environment.
Agents surface recommendations for expert review. Your coders stay in control; AI handles the volume.
Implementation Services
Our team handles end-to-end deployment — workflow assessment, agent configuration, EHR and billing system integration, staff change management, and outcome reporting.