01
Read
Extracts every diagnosis, procedure, and clinical detail from the note.
Medical Coding Engine AI Medical Coding
AI Medical Coding
From Your Clinical Notes
Automated ICD-10 and CPT coding, generated directly from clinical notes. Validates every code and adapts to your local billing standards.
ICD-10CPTLocal Coding StandardsFull Audit TrailCoder-in-the-Loop
Clinical coding reviewValidated
Codes ready for review
Diagnosis extracted✓
ICD-10 and CPT matched✓
Local rules applied✓
Full audit trail availableHealthOrbit AI
The Problem
Automated Medical Coding for Cleaner Claims
Transform clinical notes into accurate ICD-10 and CPT codes. HealthOrbit automates medical coding to reduce manual effort, improve coding consistency, and claim accuracy.
Our Medical Coding Engine closes the gap.How it works
How Medical Coding Engine Works
02
Look up
Matches each detail to the correct ICD-10 and CPT codebooks.
03
Validate
Resolves conflicts, exclusions, and bundling errors before output
04
Apply Local Rules
Applies guidelines and formats output for the billing standards in your region
Standards
Built for Your Billing Standards
Configures the coding rules where you operate. ICD-10 and CPT validation as the foundation. Local modifier rules and output formats applied on top.
Multi-Standard Validation
Checks every code against ICD-10 and CPT guidelines. Conflicts, exclusions, and bundling errors resolved before the claim moves forward.
Export-Ready Output
Structured output for your billing system in JSON, Excel, and CSV. Fits into existing RCM workflows without rebuilding anything.
Full Audit Trail
Every coding decision logged with the guideline that triggered it. Reviewable, defensible, and ready for compliance checks.
Built for
Who Uses Medical Coding Engine?
Medical Coders and Clinicians
Review AI-assigned codes instead of coding from scratch. More time for complex cases, less time on routine visits.
RCM and Billing Companies
Consistent coding across high claim volumes. Fewer rejections, faster cycles, less manual rework at scale.
Digital and Integration Teams
JSON, Excel, and CSV export. Connects to existing billing systems and RCM platforms without custom development.
Trust by design
Built on Auditable, Secure Foundations
ICD-10. CPT. Local Coding Standards. Full Audit Trail. Coder-in-the-Loop.
Full Audit Trail
Every code logged with the guideline that triggered it. Every decision is traceable and reviewable.
Data Security
Clinical notes processed under internationally recognised security standards. Your patient data is never used to train AI models.
Coder-in-the-Loop
No code reaches your billing team without review and sign-off. The engine assigns. Your team approves.
Standards Alignment
Validated against ICD-10 and CPT guidelines. Configurable for regional billing rules and payer-specific requirements.
Book a Demo
See AI Medical Coding on Your Own Case Mix
Book 30 minutes with our team. See exactly how HealthOrbit AI handles real clinical notes from start to finish. No strings attached.
For healthcare providers and billing teams, wherever you operate.- ✓30-minute live product walkthrough
- ✓Live coding output from your own note types
- ✓Pilot plan ready in two to four weeks
FAQs
Frequently Asked Questions
What is an AI medical coding engine?
Software that reads a clinical note, assigns accurate medical codes, and validates them against current guidelines. Nothing reaches your billing team until every code is checked.
How accurate is it?
Around 95% with complete clinical documentation. More importantly, every code is traceable to the clinical detail and guideline that generated it, not a coder’s interpretation under time pressure.
Does it work across different countries and billing systems?
Yes. The engine validates against ICD-10 and CPT as the foundation, then applies local modifier rules and output formats based on where you are billing. It was not built around one market and retrofitted for others.
Can it reduce claim denials?
Yes. Many denials originate from avoidable errors, bundling conflicts, sequencing mistakes, and missing modifiers. The Coding Engine catches these before submission, reducing the volume of claims that come back for correction.
Does this replace medical coders?
No. The engine assigns codes first. Your coders review, adjust if needed, and sign off. Complex cases still require expert judgement.