CodaMetrix

JSON twin: https://www.healthaidb.com/software/codametrix.json

Company Name

CodaMetrix

Product URL

https://www.codametrix.com

Company URL

https://www.codametrix.com

Categories

• clinical Care
• administrative Operations
• diagnostic Support
• patient Facing
• revenue Cycle
• healthcare It
• clinical Decision Support
• coding Automation
• ehr Integration
• Clinical
• Administrative
• Diagnostic
• Revenue Cycle Management
• Ai In Healthcare
• Medical Coding
• Healthcare Automation

Summary

CodaMetrix offers an AI-powered platform that automates medical coding, enhancing accuracy and efficiency in healthcare revenue cycles.

Description

CodaMetrix provides an AI-driven platform that autonomously converts clinical documentation into billing codes, streamlining the coding process and improving revenue cycle management. Developed in partnership with Mass General Brigham, the platform supports multiple specialties, including radiology, pathology, evaluation & management, endoscopy, and surgery. It integrates seamlessly with electronic health records (EHRs), offering real-time audit capabilities and continuous learning to adapt to evolving payer guidelines. The platform has demonstrated significant benefits, such as a 60% reduction in coding denials and a 30% savings in coding costs. CodaMetrix serves over 25 health system partners across 26 states, representing more than 200 hospitals and 50,000 providers. The company was founded in 2019 and has secured a total of $95 million in funding through Series A and B rounds. Its platform is available in the Epic Toolbox, further enhancing its integration capabilities. The company has offices in the United States and has been recognized by KLAS Research as No. 1 in the 'Reduce Cost of Care' category. CodaMetrix's mission is to transform healthcare operations by improving coding quality and performance through advanced AI technologies.

Api Available

yes

Certifications

• SOC 2 Type II
• ISO 27001

Company Founding

2019

Company Offices

• United States

Compliance

• HIPAA
• SOC 2 Type II
• ISO 27001

Customers

• Health Systems Representing $180B In Net Patient Revenue

Data Residency

United States

Data Standards

• FHIR
• HL7 v2

Deployment Model

• SaaS

Features

• AI-powered contextual medical coding automation
• Real-time code generation at point data availability
• Support for multiple specialties (radiology, pathology, surgery, endoscopy, E/M)
• Longitudinal patient-centric view of coded care
• Continuous machine learning from coder feedback
• Enterprise-grade scalability and batch processing
• Coding quality standardization and audit trails
• Turnaround time and denial reduction workflows
• Embedded analytics and reporting
• Bi-directional feedback loop with EHR coders

Id

SW1126

Integration Partners

• Tebra (previously Kareo + PatientPop)
• AdvancedMD
• RXNT
• XpertCoding
• NextGen Practice Management
• Clinion
• 3M Codefinder
• Codify

Integrations

• Epic (Toolbox-designated, bi-directional workflow)
• Oracle Cerner (via HL7 and FHIR APIs)
• GE HealthCare (partnerships/integration announced)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• CMX Automate (autonomous coding engine)
• CMX Care (health-system unified coding platform)

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• HIPAA-compliant operations / BAA available
• Audit trails for coding decisions

Product Code

SW1126

Product Name

CodaMetrix

Ratings

• 0.0 on G2.com

Regions Available

• United States

Related Urls

• https://elion.health/products/codametrix

Release Year

2019

Security Features

• Encryption (in transit and at rest)
• Role-based access control (RBAC)
• SSO/SAML
• Audit logging
• Multi-factor authentication (2FA)

Specialties

• Radiology
• Pathology
• Evaluation & Management
• Endoscopy
• Surgery

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• coders
• health system administrators
• revenue cycle managers
• healthcare providers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• CodaMetrix has significantly reduced our manual coding workload, leading to faster claim submissions and improved accuracy.

Version

1.0

Alternatives

See related products

Canonical JSON

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  "product_name": "CodaMetrix",
  "company_name": "CodaMetrix",
  "product_url": "https://www.codametrix.com",
  "company_url": "https://www.codametrix.com",
  "related_urls": [
    "https://elion.health/products/codametrix"
  ],
  "product_code": "SW1126",
  "summary": "CodaMetrix offers an AI-powered platform that automates medical coding, enhancing accuracy and efficiency in healthcare revenue cycles.",
  "description": "CodaMetrix provides an AI-driven platform that autonomously converts clinical documentation into billing codes, streamlining the coding process and improving revenue cycle management. Developed in partnership with Mass General Brigham, the platform supports multiple specialties, including radiology, pathology, evaluation & management, endoscopy, and surgery. It integrates seamlessly with electronic health records (EHRs), offering real-time audit capabilities and continuous learning to adapt to evolving payer guidelines. The platform has demonstrated significant benefits, such as a 60% reduction in coding denials and a 30% savings in coding costs. CodaMetrix serves over 25 health system partners across 26 states, representing more than 200 hospitals and 50,000 providers. The company was founded in 2019 and has secured a total of $95 million in funding through Series A and B rounds. Its platform is available in the Epic Toolbox, further enhancing its integration capabilities. The company has offices in the United States and has been recognized by KLAS Research as No. 1 in the 'Reduce Cost of Care' category. CodaMetrix's mission is to transform healthcare operations by improving coding quality and performance through advanced AI technologies.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "diagnostic Support",
    "patient Facing",
    "revenue Cycle",
    "healthcare It",
    "clinical Decision Support",
    "coding Automation",
    "ehr Integration",
    "Clinical",
    "Administrative",
    "Diagnostic",
    "Patient-facing",
    "Revenue Cycle Management",
    "Healthcare It",
    "Ai In Healthcare",
    "Medical Coding",
    "Ehr Integration",
    "Healthcare Automation"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "coders",
    "health system administrators",
    "revenue cycle managers",
    "healthcare providers"
  ],
  "specialties": [
    "Radiology",
    "Pathology",
    "Evaluation & Management",
    "Endoscopy",
    "Surgery"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2019",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "AI-powered contextual medical coding automation",
    "Real-time code generation at point data availability",
    "Support for multiple specialties (radiology, pathology, surgery, endoscopy, E/M)",
    "Longitudinal patient-centric view of coded care",
    "Continuous machine learning from coder feedback",
    "Enterprise-grade scalability and batch processing",
    "Coding quality standardization and audit trails",
    "Turnaround time and denial reduction workflows",
    "Embedded analytics and reporting",
    "Bi-directional feedback loop with EHR coders"
  ],
  "optional_modules": [
    "CMX Automate (autonomous coding engine)",
    "CMX Care (health-system unified coding platform)"
  ],
  "integrations": [
    "Epic (Toolbox-designated, bi-directional workflow)",
    "Oracle Cerner (via HL7 and FHIR APIs)",
    "GE HealthCare (partnerships/integration announced)"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II",
    "ISO 27001"
  ],
  "certifications": [
    "SOC 2 Type II",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "SSO/SAML",
    "Audit logging",
    "Multi-factor authentication (2FA)"
  ],
  "privacy_features": [
    "HIPAA-compliant operations / BAA available",
    "Audit trails for coding decisions"
  ],
  "data_residency": "United States",
  "customers": [
    "Health Systems Representing $180B In Net Patient Revenue"
  ],
  "user_reviews": [
    "CodaMetrix has significantly reduced our manual coding workload, leading to faster claim submissions and improved accuracy."
  ],
  "ratings": [
    "0.0 on G2.com"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2019",
  "integration_partners": [
    "Tebra (previously Kareo + PatientPop)",
    "AdvancedMD",
    "RXNT",
    "XpertCoding",
    "NextGen Practice Management",
    "Clinion",
    "3M Codefinder",
    "Codify"
  ],
  "id": "SW1126",
  "slug": "codametrix",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/codametrix.json"
  }
}