Where artificial intelligence meets HCC coding expertise.
MedicalCoder AI
Launching soon —
Free during beta
The AI copilot for HCC coders is almost ready
MedicalCoderAI evaluates coder actions in real time and flags CAPTURED vs MISSED OPPORTUNITY — grounded in ICD-10-CM Official Guidelines, CMS-HCC V24 and V28 model logic, and RADV audit standards. Built by healthcare professionals for risk-adjustment teams.
WHAT MedicalCoder AI DOES
WHAT’S COMING
Smarter coding. Cleaner audits. Faster reviews.
MedicalCoderAI brings AI-powered intelligence to every coding decision — without replacing the expertise of certified coders.
Feature 1
Title: CAPTURED vs MISSED Framework
Description: Every clinical scenario is evaluated against captured codes and missed opportunities, with clear reasoning for both — no black boxes.
Feature 2
Title: ICD-10-CM Guidelines Built In
Description: Aligned with Official Guidelines I.A.15 (causal relationships), I.B.9 (combination codes), and other rules that drive HCC capture.
Feature 3
Title: Combination Code Intelligence Description: Catches the high-impact combinations like E11.22 (diabetes with CKD), I50.x (heart failure family), J44.x (COPD), and dozens more.
Feature 4
Title: CMS-HCC V24 and V28 Aware
Description: Understands both current and transitioning risk-adjustment models — and the practical impact on your workflows.
Feature 5
Title: RADV Audit-Readiness
Description: Built with audit standards in mind. Every coding suggestion includes the documentation logic that supports it.
Feature 6
Title: Transparent Reasoning
Description: See exactly why MedicalCoderAI reached every conclusion. Trust through transparency, not opaque AI.
WHY WE’RE TAKING OUR TIME
OUR APPROACH
Healthcare deserves better than rushed AI
Before we open MedicalCoderAI to the public, we’re doing what most AI tools skip: rigorous testing against real coding scenarios, refinement of our prompt logic for complex combination codes, and validation against RADV and OIG compliance considerations.
We’d rather launch a tool that coders trust than one that just looks impressive in a demo. When MedicalCoderAI goes live, it’ll be ready for actual production use — not a flashy proof of concept.
3 trust signals
✓ Built by healthcare professionals Not by tech companies treating coding as a generic NLP problem.
✓ Grounded in official guidelines Every output cites the ICD-10-CM rule or HCC logic behind it.
✓ Compliance first HIPAA, RADV, and OIG considerations baked in from day one.
WHAT BETA USERS GET
BETA BENEFITS
First to know. First to access. First to shape the roadmap.
Beta members get more than early access. They become founding contributors to a tool built by and for the HCC coding community.
Benefits List
✓ Free access during the entire beta period — no credit card required
✓ Direct line to the team — your feedback shapes the product roadmap
✓ Lifetime founding member status — discounted pricing when we launch publicly
✓ Early access to new features — including upcoming training modules and audit tools
SIGNUP CTA
Be among the first when we launch
Drop your email and we’ll notify you the moment MedicalCoderAI opens for beta access. No spam, ever — just one launch announcement and occasional product updates.
ALTERNATIVE FOR ORGANISATIONS
Looking for a coding partner now?
While MedicalCoderAI is in beta, our Value-Based Care Coding Services are available today. Expert HCC and risk-adjustment coding for Medicare Advantage plans, ACOs, and provider groups — delivered by certified professionals who specialize in CMS-HCC.