Code Every Encounter in Under 5 Minutes
AI-powered clinical coding that reads your documentation, suggests CPT and ICD-10 codes with evidence citations, and learns your payer mix — cutting coding time by 80%.
Coders Are Overwhelmed — And Backlogs Cost You Revenue
Manual coding workflows were designed for a simpler era. Today's complexity is breaking the system — and your revenue cycle is paying the price.
30–45 min
Time to code one complex encounter
Each complex case requires a coder to read notes, research codes, check payer rules, and validate — for every single encounter in the queue.
15–25%
Of claims rejected due to coding errors
Incorrect codes, missing modifiers, and bundling violations are the #1 cause of denials — errors a fatigued coder makes on their 50th chart of the day.
47%
Coder burnout rate in healthcare
The coding talent shortage is acute. Experienced coders are leaving. The average practice is operating at 60% of needed coding capacity.
Everything Your Coders Need, Nothing They Don't
Eight purpose-built capabilities that work together to eliminate the bottlenecks at every stage of the coding workflow.
Real-Time Code Suggestions
AI reads your clinical notes as they're entered and suggests appropriate CPT and ICD-10 codes before the coder even opens the chart.
InstantEvidence-Linked Citations
Every suggested code is mapped to specific text spans in the documentation. Coders see exactly why the AI suggested each code.
Full transparencyPayer Rule Validation
Before any code is submitted, AI checks it against the patient's specific payer's coverage policies, prior auth requirements, and LCD/NCD rules.
50+ payersBundling & Modifier Detection
Automatically flags NCCI bundling conflicts, identifies when modifiers are required, and prevents common coding errors that trigger denials.
Zero errorsConfidence Scoring
Each suggestion comes with a confidence score (0–100%). High-confidence codes auto-advance; borderline codes flag for human review.
Auto-approve ≥90%CPT/ICD-10 Validation
Real-time validation against the current CPT and ICD-10-CM code sets. AI never suggests deprecated, invalid, or mismatched codes.
Always currentLearning From Your Coders
Every accepted or rejected suggestion trains the model on your specialty, payer mix, and documentation style. Gets smarter every week.
Continuously learningCDI Integration
Flags documentation gaps that could cause denials before submission — prompting physicians to add specificity while the patient is still in the system.
Pre-billHow It Works
From clinical note to submitted claim in four steps — each one faster and more accurate than what your team does today.
Clinical Notes Uploaded
Encounter notes arrive from your EHR or are pasted directly. NexaClaim's NLP engine reads every line of clinical documentation in milliseconds.
AI Suggests Codes
GPT-4o-powered clinical NLP identifies diagnoses, procedures, and modifiers — mapping each suggestion to specific evidence in the notes with confidence scores.
Coder Reviews & Approves
Suggestions appear in a clean review interface. High-confidence codes auto-advance; flagged codes get human review in seconds, not minutes.
Submit With Confidence
Validated, payer-checked codes are submitted. Real-time feedback on rejections triggers immediate re-coding — no 30-day wait for EOBs.
Real Results From Real Practices
Across specialties, NexaClaim AI delivers measurable improvements in speed, accuracy, and revenue within weeks of deployment.
Large Cardiology Group
12 physicians
Challenge
3-day coding backlog, 2 FTE coders overwhelmed, 18% CPT rejection rate on complex procedures
Result
Backlog eliminated in week 1. Now coding same-day. Rejection rate dropped to 2.1%.
Orthopedic Surgery Center
High-complexity procedures
Challenge
Highly complex procedure coding taking 45 min/case; couldn't scale without hiring
Result
Average case time down to 6 minutes. Added 3 new surgeons without adding coding staff.
Multi-Specialty Clinic
8 specialties
Challenge
Coding accuracy varied wildly by specialty; compliance risk was high
Result
Standardized accuracy across all 8 specialties. Coding audit score improved from 71% to 96%.
The Numbers Speak For Themselves
AI coding accuracy rate
Average time per encounter
Reduction in coding labor
Post-submission rejection rate
Connects To Your EHR In Days
NexaClaim integrates with every major EHR via HL7 FHIR, direct connectors, or our universal import. Most practices are live in under two weeks.
HL7 FHIR R4 API
Standard FHIR R4 resources map directly to NexaClaim's data model. Works with any EHR that supports FHIR.
Direct EHR Connectors
Native connectors for Epic, Cerner, and athenahealth eliminate manual data entry and sync encounter data automatically.
Universal Import
CSV, PDF, and copy-paste import for smaller practices without FHIR support. No EHR requirement to get started.
Common Questions About AI Coding
Everything your team needs to know before deploying AI-assisted coding in your practice.
Still have questions? Talk to our team — we respond within one business day.
Stop Leaving Revenue on the Table
Join 50+ physician groups who have recovered millions in denied revenue with NexaClaim AI. Get started in 15 minutes with a free denial audit.
No credit card required. See results in under 24 hours.