AI Medical Coding Solution
ICD-10, CPT & HCPCS
Most denied claims don't fail at the payer. They fail weeks earlier, at the coding desk. A modifier left off. A bundling conflict nobody caught during review. An ICD-10 code that looked right but didn't match the physician's note.
Each of these is fixable on its own. The problem is they repeat, quietly, across hundreds of encounters. By the time the denial rate shows up in a report, the revenue is already gone.
GenMediTech's AI Medical Coding Solution, powered by MedCodifier, catches this before it starts. It turns clinical documentation into validated, submission-ready codes before a claim ever reaches the payer.
ICD-10-CM, CPT & HCPCS
Three Code Systems Supported
Real-Time
Code Assignment & Validation
NCCI + MUE
Pre-Submission Compliance Checks
From $19/mo
Flexible Plans for Every Team Size
SOC 2
HIPAA-Compliant Infrastructure
Why Manual Coding Breaks Down at Scale
Medical coding looks simple from the outside, but it isn't. A coder handling thirty charts a day has to check coverage rules, catch billing conflicts, and apply the right modifiers, all at once. When volume is manageable, experienced coders keep up. When charts pile up, errors creep in.
Growing practices hit this problem early: more providers, more patients, more charts, but the coding team stays the same size. Eventually, the denial rate tells the story.
What Does MedCodifier Actually Do?
It doesn't take the coder out of the process. It removes the most error-prone part.
It doesn't take the coder out of the process. It removes the most error-prone part: the initial read, the code selection, the pre-submission compliance check. Coders stay focused on what needs their judgment, complex cases, payer disputes, and documentation that needs provider follow-up.
The system pulls from physician notes, operative reports, and encounter records. It assigns ICD-10-CM, CPT, and HCPCS codes, explains the reasoning behind each one, and flags anything likely to fail a payer edit before the claim is built.
How Does MedCodifier Work?
Three stages. No disruption to your existing workflow. No reformatting required.
The Documentation Comes In
Physician notes, surgical reports, telehealth records, whatever the encounter type. No reformatting needed. Structured and unstructured inputs both work.
Codes Get Assigned, With the Reasoning Behind Them
MedCodifier reads the clinical content, pulls out diagnoses and procedures, and assigns codes. Each suggestion shows why it was selected and what part of the note supports it.
The Claim Gets Checked Before It Goes Anywhere
Before the claim is built, MedCodifier runs it through NCCI edits, MUE thresholds, LCD/NCD coverage rules, and payer-specific modifier rules. Problems get caught now, not after the payer sends it back.
What MedCodifier Handles for Your Team
From code assignment to claim population — every step covered in one pass.
Accurate ICD-10-CM, CPT, and HCPCS Code Assignment
Code sets shift every year. AMA updates CPT codes annually. CMS revises ICD-10-CM every October. Manual workflows often code against outdated references without anyone noticing. MedCodifier stays current and applies it automatically.
- Primary and secondary diagnosis sequencing
- Procedure code selection
- Add-on code identification
- No codebook required
Intelligent Code Search
Search ICD-10, CPT, and HCPCS codes directly, with reimbursement data, MUEs, and modifier guidance surfaced alongside each result, so coders aren't cross-referencing multiple tools to confirm a code.
NCCI Bundling Analysis and Modifier Application
Every claim goes through bundling analysis before submission. MedCodifier identifies NCCI conflicts, recommends the correct modifiers to support separate billing where clinically justified, and keeps a full audit trail for compliance review.
Reimbursement Data Across Payers
Expected reimbursement rates for Medicare, Medicaid, and commercial payers are surfaced at the point of coding, giving billing staff what they need to catch undercoding before a claim is finalized, not after an EOB comes back short.
Documentation Gap Identification
When the note doesn't support the code — missing specificity, absent laterality, an incomplete procedure description — MedCodifier flags it. Coders close the gap before charge entry, removing a major source of preventable denials.
AI-Assisted Note Completion
Flags missing documentation elements as the note is written, so the chart supports the code from the start instead of getting flagged after the fact.
CMS-1500 and UB-04 Claim Population
Coded data maps directly onto CMS-1500 and UB-04 forms — diagnosis pointers, place of service codes, revenue codes, units, charge amounts, modifier fields, NPI, and taxonomy. Claims come out complete and ready for clearinghouse submission.
Built for Practices That Can't Afford Coding Errors
Specialty-aware, payer-specific, and compliant from the first claim.
Multi-Specialty Coding Logic
Primary care, cardiology, orthopedics, general surgery, and behavioral health each carry their own documentation standards and payer expectations. MedCodifier applies specialty-specific coding logic to every encounter instead of running every chart through the same generic ruleset.
Payer-Specific Validation
A code combination that clears Medicare edits doesn't automatically satisfy a commercial payer's bundling rules. Every claim is validated against the specific payer's requirements before submission, not after a denial forces a rework.
HIPAA-Compliant, SOC 2-Certified Infrastructure
All clinical data moves through an encrypted, HIPAA-compliant environment that is SOC 2 certified. Access is governed by role-based controls, and every action in the system is logged for audit purposes.
EHR and Billing Platform Integration
Encounter data comes in directly from the EHR. Coded claims go back into the billing platform. Nothing is re-entered manually, and nothing falls through the gap between two systems.
Plans for Every Coding Team
MedCodifier scales from a single coder to a full hospital coding department.
or $9/month billed yearly
For individual coders and small practices.
- ICD & CPT code search
- AI-powered coding assistance
- Real-time validation
- Basic documentation
- Mobile access
or $19/month billed yearly
Everything in Basic, plus the tools that close denials before they happen.
- Everything in Basic
- Claim creation
- Bundling analysis
- Priority support
- Analytics dashboard
For large healthcare systems and hospitals.
- Unlimited codes
- Custom AI training
- Dedicated support
- Custom integrations
- On-premise deployment
Frequently Asked Questions
Common questions about MedCodifier, how it works alongside your team, and what it keeps current.
Does MedCodifier replace our coders?
No. It handles the first read and the compliance check. Coders and providers still review and approve every code.
How is this different from our current coding software?
Most coding tools just look up codes. MedCodifier reads the actual documentation, assigns the code with reasoning, and runs payer compliance checks before submission — all in one pass.
Does it stay current with annual code changes?
Yes. CPT updates annually through the AMA, and ICD-10-CM is revised by CMS every October. MedCodifier applies current code sets automatically.
Which EHR and billing platforms does it work with?
MedCodifier pulls encounter data from your EHR and pushes coded claims into your billing platform, with no manual re-entry.
Is patient data secure?
Yes. MedCodifier runs on encrypted, HIPAA-compliant, SOC 2-certified infrastructure with role-based access and a full audit trail.
Can it handle multiple specialties?
Yes. Coding logic is applied by specialty, not run through one generic template.
See MedCodifier in Your Workflow, No Commitment Needed
Your coders are good at their jobs. MedCodifier just makes sure the part that's hardest to catch — the quiet, repeating errors — stops costing you before anyone notices.
If you want to see exactly how it fits into your current setup, book a 30-minute demo with our team. We'll walk through your specific encounter types, show you how the code assignment and pre-submission checks work, and answer anything you want to dig into.
Our GenMediTech team will respond as quickly as possible.
Contact GenMediTech
Our GenMediTech team will respond as quickly as possible.