Autonomous Medical Coding Services that Maximize Accuracy and Revenue
AI that Documents. Codes. Delivers.
A flexible AI-driven coding solution designed to improve accuracy, productivity, and financial performance across professional fee, facility, or end-to-end workflows.
Clinical Note
Chief Complaint:
Patient presents with chest pain and shortness of breath that started 2 hours ago.
History of Present Illness:
The patient is a 65-year-old female with a history of hypertension and diabetes mellitus type 2 who presents with acute onset chest pain. Pain is described as crushing, radiating to left arm. Associated symptoms include nausea and diaphoresis.
Physical Examination:
Vital signs: BP 180/100, HR 102, RR 22, O2 sat 94% on room air. Patient appears anxious and diaphoretic. Cardiovascular exam reveals regular rhythm with no murmurs. Lungs show bilateral rales.
Assessment:
Acute coronary syndrome with hypertensive crisis. Patient also has poorly controlled diabetes mellitus type 2.
Plan:
Administer aspirin, nitroglycerin, and antihypertensive medications. Order EKG, troponins, and chest X-ray. Cardiology consultation.
Generated Codes
InstaCode
InstaCode is an AI-driven coding solution designed to support professional fee, facility, or end-to-end documentation and coding workflows. Organizations can deploy InstaCode as a standalone coding platform or combine it with InstaNote to create a unified documentation and coding workflow. The platform adapts to existing clinical and revenue cycle operations, helping organizations improve accuracy, productivity, and financial performance at scale.
Autonomous Coding
Our transparent, data-driven approach to autonomous coding enables you to scale coding capacity without sacrificing accuracy or control.
Increase Efficiency and Optimize Coding Capacity
Standardized documentation inputs and configurable validation rules help increase coder productivity while maintaining accuracy and compliance. The platform supports intake, validation, reconciliation, and standardization across multiple file formats and data sources.
Direct Results with Data
Coding and revenue cycle performance should be measurable and transparent. InstaCode provides visibility into coding activity and outcomes rather than relying on opaque automation. Built-in reporting and dashboards support detailed monitoring, trending analysis, and executive-level oversight.
Flexible Solutions, Coding Your Way
Organizations can deploy InstaCode as a SaaS solution or leverage DeliverHealth coding and audit services. Coding can be performed by internal teams, AI-assisted workflows, or a hybrid model. This flexibility supports in-house operations while maintaining visibility into productivity and quality. InstaCode provides configurable workflows and audit tools that adapt to your operational model.
SmartAudit Automation
Improve Coding Accuracy, Reduce Denials, and Accelerate Revenue
Whether coding is performed by internal teams, AI-assisted workflows, or DeliverHealth services, InstaCode supports configurable audit and review processes. Rules-based routing provides transparency into coding decisions, quality controls, and outcomes.
How We Deliver Fast And Reliable Coding Automation
Data Ingestion
Our AI coding engine pulls clinical notes from your integrated system. It can also pull billable codes and coding suggestions directly from InstaNote, our AI-powered documentation solution that instantly turns your patient conversations into structured clinical notes.
Coding in PerformPlatform
The PerformPlatform is our autonomous coding engine that powers InstaCode. The engine reviews the ingested data, then edits and finalizes the codes.
Validation and Compliance Checks
With access to your system of record (EHR) for validation, the PerformPlatform produces billing-ready medical codes, with outputs in Detailed Financial Transaction (DFT) file format.
System for Continuous Improvement
Our system uses operational insights, including edits and acceptance rates, to fine-tune rules over time.
Common Coding Errors That Cost You Revenue and Time
Stop letting avoidable coding errors cost your healthcare organization revenue and time. You can use InstaCode to eliminate the following common errors:
Undercoding
It happens when you assign a lower-level code than what your documentation supports. InstaCode helps you accurately capture the intensity and cost of the services you perform, leading to more accurate reimbursements.
Missing Modifiers
Modifiers add extra context to help payors interpret your claims correctly. With missing modifiers, payors can deny or underpay your claims. Our AI-powered coding solutions are context-aware, inferring modifiers where required.
Documentation Mapping Errors
Errors like incomplete documentation prevent your clinical records from directly translating into billable codes. Because InstaNote and InstaCode support seamless documentation-to-coding workflows, we can help structure your clinical notes to align with coding logic.
Core Features That Power Our Autonomous Coding Platform
InstaCode uses advanced AI to enable full autonomous coding while giving you the freedom to switch to manual coding when you need it. Here are the core features that power our coding platform:
Early Coding Insight
Generate medical coding suggestions directly from your clinical documentation.
Robust Rules Engine
A robust rules engine to promote coding accuracy.
Prior Authorization
Align documentation, coding, and payor requirements with prior authorization features.
Native EHR Integrations
Integrate with leading platforms across the healthcare industry to enable seamless workflows.
Flexible Execution
Code directly in your EHR or on our PerformPlatform.
Denial Prevention
Identify and help address frequent documentation and coding issues.
Transform Your Revenue Cycle Today
Discover how InstaCode supports flexible, AI-driven coding workflows that improve accuracy, productivity, and financial performance.
Frequently Asked Questions (FAQs)
Here are answers to some commonly asked questions about autonomous medical coding services: