# Medical Coding * **Definition:** The process of translating healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes for billing and clinical documentation. * **Taxonomy:** Healthcare Topics / Medical Coding ## News * Selected news on the topic of **Medical Coding**, for healthcare technology leaders * 2.1K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 4/10/2025 | [**Google Cloud healthcare agentic AI and AI transformation solutions - PwC**](https://www.pwc.com/us/en/technology/alliances/google-cloud/healthcare-ai-agents-solutions.html) | [[PWC]] | | 4/9/2025 | [**What Are the Best Medical Coding Outsourcing Companies?**](https://medcitynews.com/2025/04/what-are-the-best-medical-coding-outsourcing-companies/) | [[MedCity News]] | | 4/7/2025 | [**ScribeEMR: Revolutionizing Healthcare Through Innovative Solutions**](https://www.beckershospitalreview.com/innovation/scribeemr-revolutionizing-healthcare-through-innovative-solutions/) | [[Beckers Hospital Review]] | | 3/13/2025 | [**Building Trust in Medical Software Development through Certifications**](https://medcitynews.com/2025/03/building-trust-in-medical-software-development-through-certifications/) | [[MedCity News]] | | 3/5/2025 | [**Announcements at HIMSS25**](https://www.healthitanswers.net/announcements-at-himss25/) | [[Health IT Answers]] | | 1/2/2025 | [**XpertDox and Nao Medical Announce Partnership to Transform Revenue Cycle ... - PR Newswire**](https://www.prnewswire.com/news-releases/xpertdox-and-nao-medical-announce-partnership-to-transform-revenue-cycle-and-improve-clinical-documentation-through-ai-driven-innovation-302340717.html) | [[PR Newswire]] | | 12/11/2024 | [**Fathom Advances Data Protection and Privacy in Autonomous Medical Coding with HITRUST i1 Certification**](http://www.businesswire.com/news/home/20241211772633/en/Fathom-Advances-Data-Protection-and-Privacy-in-Autonomous-Medical-Coding-with-HITRUST-i1-Certification/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 12/11/2024 | [**Fathom Advances Data Protection and Privacy in Autonomous Medical Coding with HITRUST i1 Certification**](http://www.businesswire.com/news/home/20241211772633/en/Fathom-Advances-Data-Protection-and-Privacy-in-Autonomous-Medical-Coding-with-HITRUST-i1-Certification/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 12/1/2024 | [**Maverick Medical AI Announces Completion of The Implementation of Its Real-Time Autonomous Medical Coding Solution at RadNet**](http://www.businesswire.com/news/home/20241201085315/en/Maverick-Medical-AI-Announces-Completion-of-The-Implementation-of-Its-Real-Time-Autonomous-Medical-Coding-Solution-at-RadNet/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 12/1/2024 | [**Maverick Medical AI Announces Completion of The Implementation of Its Real-Time Autonomous Medical Coding Solution at RadNet**](http://www.businesswire.com/news/home/20241201085315/en/Maverick-Medical-AI-Announces-Completion-of-The-Implementation-of-Its-Real-Time-Autonomous-Medical-Coding-Solution-at-RadNet/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 11/21/2024 | [**Medical Coding Market Assessment: Predictive Metrics and Future Insights with a projected ...**](https://www.linkedin.com/pulse/medical-coding-market-assessment-predictive-metrics-future-y1foe) | [[Linkedin]] | | 11/7/2024 | [**Maverick Medical AI Launches Maverick CodePilot™: A Revolutionary Solution for Real-Time Medical Coding Intelligence at the Point of Care**](http://www.businesswire.com/news/home/20241107343100/en/Maverick-Medical-AI-Launches-Maverick-CodePilot%E2%84%A2-A-Revolutionary-Solution-for-Real-Time-Medical-Coding-Intelligence-at-the-Point-of-Care/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 11/7/2024 | [**Maverick Medical AI Launches Maverick CodePilot™: A Revolutionary Solution for Real-Time Medical Coding Intelligence at the Point of Care**](http://www.businesswire.com/news/home/20241107343100/en/Maverick-Medical-AI-Launches-Maverick-CodePilot%E2%84%A2-A-Revolutionary-Solution-for-Real-Time-Medical-Coding-Intelligence-at-the-Point-of-Care/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 11/6/2024 | [**XpertDox Partners with Lone Star Circle of Care to Optimize Medical Coding Using AI**](https://www.prnewswire.com/news-releases/xpertdox-partners-with-lone-star-circle-of-care-to-optimize-medical-coding-using-ai-302297150.html) | [[PR Newswire]] | | 10/10/2024 | [**Suki Raises $70M to Advance AI-Powered Solutions for Healthcare**](https://hitconsultant.net/2024/10/10/suki-raises-70m-to-advance-ai-powered-solutions-for-healthcare/) | [[HIT Consultant]] | | 8/21/2024 | [**Artificial Intelligence In Medical Coding Global Market Size, Share Report, Industry Trends ...**](https://www.whatech.com/og/markets-research/medical/869649-artificial-intelligence-in-medical-coding-global-market-size-share-report-industry-trends-and-growth-analysis-and-forecast-by-2033.html) | whatech.com | | 8/19/2024 | [**Healthtech promising growth avenues to mid-career professionals**](https://www.msn.com/en-us/health/other/healthtech-promising-growth-avenues-to-mid-career-professionals/ar-AA1p6jdv) | msn.com | | 8/13/2024 | [**XpertDox Teams Up with QuickVisit Urgent Care to Automate Medical Coding by Leveraging AI in Rural Clinics**](https://www.prnewswire.com/news-releases/xpertdox-teams-up-with-quickvisit-urgent-care-to-automate-medical-coding-by-leveraging-ai-in-rural-clinics-302220907.html) | [[PR Newswire]] | | 7/23/2024 | [**Maverick Medical AI Expands US Presence with New Partnership Offering Its Breakthrough Real-Time Autonomous Medical Coding Solution**](http://www.businesswire.com/news/home/20240723521480/en/Maverick-Medical-AI-Expands-US-Presence-with-New-Partnership-Offering-Its-Breakthrough-Real-Time-Autonomous-Medical-Coding-Solution/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 7/13/2024 | [**Medical Coding Market Size Worth US$ 40.55 Billion By 2032, Demand Faster Claims, Embrace Digital Billing, And Prioritize Cloud-Based Access for Remote Coding - SNS Insider**](https://www.globenewswire.com/news-release/2024/07/13/2912686/0/en/Medical-Coding-Market-Size-Worth-US-40-55-Billion-By-2032-Demand-Faster-Claims-Embrace-Digital-Billing-And-Prioritize-Cloud-Based-Access-for-Remote-Coding-SNS-Insider.html) | [[Globe Newswire]] | | 7/1/2024 | [**Inside AI-driven medical coding**](https://www.healthcaredive.com/spons/inside-ai-driven-medical-coding/719460/) | [[Healthcare Dive]] | | 7/1/2024 | [**Automating the Medical Coding Process: The Goal of XpertDox**](https://techbullion.com/automating-the-medical-coding-process-the-goal-of-xpertdox/) | techbullion.com | | 6/20/2024 | [**AKASA Unveils Generative AI Coding Solution**](https://hitconsultant.net/2024/06/20/akasa-unveils-generative-ai-coding-solution/) | [[HIT Consultant]] | | 6/17/2024 | [**AKASA Unveils AKASA Medical CodingTM for Enhanced Revenue Cycle Management With Generative AI**](https://www.beckershospitalreview.com/finance/akasa-unveils-akasa-medical-codingtm-for-enhanced-revenue-cycle-management-with-generative-ai.html) | [[Beckers Hospital Review]] | | 6/17/2024 | [**AKASA Unveils AKASA Medical CodingTM for Enhanced Revenue Cycle Management with Generative AI**](https://finance.yahoo.com/news/akasa-unveils-akasa-medical-codingtm-130300819.html) | [[Yahoo Finance]] | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **KODE**: An on-demand solution connecting healthcare providers to certified coders, aiming to reduce administrative costs and improve revenue cycle management. - **CodaMetrix**: Focuses on improving medical coding accuracy and efficiency through advanced technology solutions. - **CareCloud**: Provides cloud-based healthcare IT solutions, including medical coding and revenue cycle management services. - **Maverick Medical AI**: A provider of autonomous medical coding solutions that achieved an 85% direct-to-bill rate and over 93% accuracy. - **Med Claims Compliance**: A company integrating AI technology with human oversight to enhance accuracy and streamline workflows in medical coding. - **Nym**: A leader in autonomous medical coding, utilizing Clinical Language Understanding technology to enhance coding accuracy and productivity. - **Fathom**: Recognized for its autonomous medical coding platform that leverages deep learning technology to automate coding processes with high accuracy. - **XpertDox**: A provider of AI-powered medical coding software, partnering with QuickVisit Urgent Care to improve coding efficiency. - **IKS Health**: Recognized as a top provider of clinical documentation and medical coding services, integrating technology and human expertise. - **KAID Health**: A company that partners with healthcare providers to enhance care quality through AI and medical coding support. ### Partnerships and Collaborations - **KAID Health and Park Medical Centers**: Collaborating to improve billing accuracy and care quality using AI and medical coding support. - **Exdion Health and Urgent Care Centers**: Implementing ProMaxAI to transform medical coding and reimbursement processes. - **KODE**: Founded by Brian Dessoy and Brad Sawdon, KODE connects healthcare providers to a community of medical coding professionals, enhancing revenue cycle management. - **CodaMetrix and Mayo Clinic/Yale Medicine**: Collaborating to leverage AI-driven coding for improved healthcare administration. - **XpertDox and QuickVisit Urgent Care**: Improved medical coding efficiency through AI-powered software, reducing charge entry lag and coding errors. - **XpertDox and Health Information Associates**: Collaboration to enhance coding accuracy and compliance through educational updates. - **XpertDox and Nao Medical**: Integration of AI medical coding software to enhance clinical documentation and improve workflows, resulting in increased charge capture and reduced claim denials. - **XpertDox and Lone Star Circle of Care**: This partnership aims to enhance medical coding processes and improve revenue cycle efficiency. - **Tanner Health and Corti**: A strategic partnership to enhance healthcare operations through AI-driven medical coding solutions, aiming to reduce administrative burdens. - **Arintra and Epic**: Collaboration allowing Epic customers to automate medical coding workflows, improving claims accuracy and revenue cycle performance. - **Nym and Epic**: Nym received Toolbox designation from Epic for its medical coding engine, enhancing productivity and coding quality. - **Maverick Medical AI and National Medical Provider**: Enhanced presence in the U.S. outpatient radiology sector with rapid implementation and high accuracy. - **Nabla and Carle Health**: Implementing AI technology to improve clinical documentation and reduce physician workloads. - **Maverick Medical AI, NewVue.ai, and RADPAIR**: A strategic partnership to enhance radiology workflows and revenue cycle management, showcased at RSNA 2024. - **Mount Sinai Hospital**: Established the Hamilton and Amabel James Center for AI and Human Health to integrate AI with healthcare delivery. - **Reveleer**: Opened a Global Capability Center in Chennai, India, to enhance operations and meet the demand for AI-powered value-based care solutions. ### Innovations, Trends, and Initiatives - **CAIMC Certification**: The Certified AI Medical Coder credential focuses on integrating AI into medical coding, enhancing accuracy and productivity. - **AI-Powered Coding Solutions**: Technological advancements in AI and machine learning are enhancing the accuracy and efficiency of medical coding. - **AI in Medical Coding**: The integration of AI technologies like CodaMetrix and ProMaxAI aims to automate and enhance coding accuracy, reducing administrative burdens. - **Autonomous Coding**: The healthcare industry is shifting towards fully automating the coding process using AI and machine learning to enhance efficiency. - **Digital Marketplaces**: Transforming healthcare by connecting providers with specialized coders, ensuring accuracy and compliance. - **AI-Driven Coding Software**: Emerging tools are designed to provide real-time feedback on coding errors, improving billing accuracy and compliance. - **AKASA Medical Coding**: Utilizes proprietary GenAI technology to provide reliable code recommendations, outperforming generic models by up to 40%. - **ICD-11 Implementation**: Expected to improve the efficiency and accuracy of medical coding, making it easier to integrate with modern technology. - **AI in Medical Coding Market Growth**: Projected to grow to $4.64 billion by 2028, driven by advancements in natural language processing and healthcare analytics. - **Maverick CodePilot**: A real-time autonomous coding solution that integrates into physician workflows, providing immediate coding intelligence. - **KODE Management Platform**: An AI-enabled platform providing instant access to certified coders, addressing staffing inefficiencies and reducing administrative costs. - **Reteta**: A clinical care application utilizing Ambient AI to streamline medical documentation and automate medical coding with high accuracy. - **Nym's Autonomous Coding Engine**: Utilizes Clinical Language Understanding technology to improve operational efficiency and financial performance. - **Generative AI Solutions**: Emerging tools like AKASA Medical Coding are designed to improve coding accuracy and efficiency, significantly outperforming traditional models. - **Cloud Computing in Healthcare BPO**: Cloud solutions are enhancing operational efficiency and reducing costs in medical billing and coding services. - **Decentralized Clinical Trials**: Innovative platforms are being developed to enhance data management and compliance in clinical trials, indirectly impacting coding practices. - **Generative AI in RCM**: Healthcare providers are exploring generative AI use cases in revenue cycle management, reporting improvements in billing accuracy and reductions in claim denials. ### Challenges and Concerns - **Underutilization of Medical Codes**: Current practices often prioritize reimbursement over clinical value, leading to a reliance on a limited set of codes. - **Shortage of Trained Coders**: The medical coding industry faces a shortage of skilled professionals, which could impact efficiency. - **Coding Errors and Financial Losses**: Coding errors are estimated to cost the healthcare industry around $36 billion annually, highlighting the need for improved coding practices. - **Job Displacement**: Automation in medical coding raises concerns about potential job losses for human coders. - **Job Security**: Medical coders express concerns about AI's accuracy and its potential impact on job security within the coding profession. - **Regulatory Changes**: Ongoing changes in coding standards and regulations pose challenges for healthcare providers in maintaining compliance. - **Staffing Shortages**: The healthcare sector faces significant burnout and staffing shortages, particularly in medical coding and health information management, leading to increased errors. - **Claim Denials**: The rising rate of claim denials, costing hospitals approximately $20 billion annually, underscores the need for revenue cycle optimization and proactive measures. - **Inaccuracies in AI Transcription**: Early implementations of AI in medical coding reveal limitations, including high rates of inaccuracies in transcription technologies. - **Integration Issues**: Challenges in integrating AI solutions with existing electronic health records systems hinder the adoption of generative AI in revenue cycle management. - **Labor Shortages**: Significant labor shortages in healthcare, particularly in billing departments, lead to increased errors and administrative burdens that detract from patient care. - **Data Security**: Concerns regarding data security and the need for proper training for healthcare professionals in adopting new technologies. - **AI Limitations**: While AI can enhance efficiency, it cannot fully replace human oversight, especially in complex coding tasks. - **Cybersecurity Risks**: Widespread cyberattacks have revealed vulnerabilities in healthcare systems, necessitating advanced AI-driven solutions to enhance data security. - **AI Hallucinations**: The risk of AI generating false data, particularly in healthcare, necessitates human oversight to ensure accuracy. - **Accuracy of AI Tools**: Skepticism exists regarding the effectiveness of new AI-driven coding tools, with some believing they will only provide incremental improvements. - **Data Privacy and Security**: Concerns persist regarding the ethical use of AI in healthcare, particularly related to patient data security and compliance with regulations. - **Workforce Shortages**: Hospitals face significant challenges due to staffing shortages, regulatory complexities, and economic pressures. ## Related Topics [[Medical Billing]]; [[AI in Medical Coding]]