CodeSightTM
Automated medical coding. No manual review. No lag.
Formerly Medmio Coding Rules Engine (CRE)TM.
Six models. One verdict.
A six-stage orchestration of ML models and frontier LLMs — reading the note, checking payer rules, and routing by confidence at the point of care.
How it works.
A CMS-trained ensemble — NLP extraction, gradient-boosted classifiers, and a payer rulebook in a single inference pipeline with confidence-threshold routing.
Note Generated
Clinician completes the visit note in the EHR or via voice dictation.
AI Processes
CodeSightTM ensemble parses the clinical data and applies payer rules in real time.
Codes Assigned
ICD-10, CPT, and modifiers posted with confidence scoring and a review queue.
Revenue Posted
Charges flow to your billing queue. DFT sent to the payer via HL7 / X12.
Why it wins.
Recover Lost Revenue
Clinically defensible codes mean fewer denials. Correct modifiers prevent underpayment. Automated charge capture eliminates missed charges.
Reduce Charge Lag
Real-time HL7 triggers eliminate queuing time. Codes assigned in seconds, not days. Charges hit the billing queue immediately after visit close.
Lower Audit Risk
Confidence scoring creates audit trails. Every code is defensible. Payer rules prevent coding errors that trigger audits.
A short look at the engine.
Conceptual overview — for an actual product walkthrough, start a free pilot.
Hosted on YouTube. Click to play — no autoplay.
Frequently Asked Questions
Accuracy varies by specialty and clinical complexity, but CodeSightTM’s ensemble approach consistently outperforms single-model solutions and outperforms manual human coders in both speed and accuracy. We provide confidence scores so you can review low-confidence codes before billing.
CodeSightTM integrates via HL7v2 and FHIR REST APIs, which are supported by virtually all modern EHRs. We have pre-built integrations for Athenahealth, eClinicalWorks, Epic, Cerner, and others. Contact us for a compatibility check with your specific EHR.
Implementation typically takes 2-6 weeks from contract to production, depending on your EHR and integration complexity. We handle all HL7 mapping, testing, and staff training. Your team stays involved throughout, and we provide 24/7 support during go-live.
Yes. CodeSightTM is HIPAA-compliant and meets HITECH requirements. All data is encrypted in transit (TLS 1.2+) and at rest (256-bit AES). We undergo regular security audits and penetration testing. Data is processed in AWS with BAA in place. We never use your data for model training.
Yes. You control the confidence threshold for auto-billing. Codes below your threshold are flagged for manual review before posting. Most practices set thresholds at 95%+, but you can adjust based on your risk tolerance and audit history.
CodeSightTM's coding accuracy and payer rules dramatically reduce denials. When denials do occur, our RCM Analytics module tracks denial codes and reasons, helping you spot systemic issues (like bundling violations or missing modifiers) for quick remediation.