healthicity-audit-manager

JSON twin: https://www.healthaidb.com/software/healthicity-audit-manager.json

Company Name

Healthicity

Product URL

https://www.healthicity.com/solutions/auditing/software-management

Company URL

https://www.healthicity.com

Categories

Summary

Cloud-based medical auditing software that streamlines audit workflow, scoring, reporting and education for providers, payers and auditing organizations.

Description

Healthicity Audit Manager (Audit Manager+) is a web-based auditing platform that centralizes audit workflow, customizable checklists and scoring rules, parallel/synchronous auditing (audit coder and provider simultaneously), line-level reporting, QA oversight, real-time claim editing/alerts and comprehensive code set support (CPT, HCPCS, ICD-10, CDT, revenue/claim data elements). It includes enterprise and multi-account offerings, add-ons for reporting, claims data import (Claims Connect) and analytics, and is delivered as a subscription SaaS solution.

Api Available

unknown

Certifications

Company Founding

2015

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0710

Integration Parners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Enterprise starting at $8,000/year (public); multi-account and add-ons: contact vendor for pricing; implementation costs not included; schedule a demo/trial via vendor.

Pricing Model

subscription

Privacy Features

Ratings

Regions Available

Release Year

2015

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Healthicity",
  "company_url": "https://www.healthicity.com",
  "company_offices": [
    "United States",
    "United Kingdom"
  ],
  "company_founding": "2015",
  "product_url": "https://www.healthicity.com/solutions/auditing/software-management",
  "categories": [
    "auditing",
    "compliance",
    "revenue cycle",
    "analytics",
    "education & training"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.healthicity.com",
    "https://www.healthicity.com/solutions/auditing/software-management",
    "https://www.healthicity.com/about",
    "https://healthicity.zendesk.com/hc/en-us/articles/32664959242139-Audit-Manager-Release-Notes-2025",
    "https://www.healthicity.com/blog/healthicitys-recent-soc-2-report-results-are-in",
    "https://elion.health/products/healthicity-audit-manager",
    "https://www.g2.com/products/healthicity-audit-manager/reviews",
    "https://www.capterra.com/p/157283/Audit-Manager/",
    "https://www.healthicity.com/privacy-policy"
  ],
  "summary": "Cloud-based medical auditing software that streamlines audit workflow, scoring, reporting and education for providers, payers and auditing organizations.",
  "description": "Healthicity Audit Manager (Audit Manager+) is a web-based auditing platform that centralizes audit workflow, customizable checklists and scoring rules, parallel/synchronous auditing (audit coder and provider simultaneously), line-level reporting, QA oversight, real-time claim editing/alerts and comprehensive code set support (CPT, HCPCS, ICD-10, CDT, revenue/claim data elements). It includes enterprise and multi-account offerings, add-ons for reporting, claims data import (Claims Connect) and analytics, and is delivered as a subscription SaaS solution.",
  "target_users": [
    "auditors",
    "medical coders",
    "physicians/providers",
    "revenue cycle managers",
    "compliance officers",
    "quality assurance staff",
    "consulting organizations",
    "health plan/payer audit teams",
    "administrators"
  ],
  "specialties": [
    "medical coding",
    "revenue cycle",
    "clinical documentation",
    "billing/claims auditing",
    "dental auditing",
    "risk adjustment/HCC",
    "professional services",
    "facility/acute care"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Enterprise starting at $8,000/year (public); multi-account and add-ons: contact vendor for pricing; implementation costs not included; schedule a demo/trial via vendor.",
  "license": "commercial proprietary",
  "deployment_model": [
    "cloud/SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Enhanced customizable checklists",
    "Parallel / synchronous auditing (audit multiple auditees simultaneously)",
    "Customizable scoring rules and metrics",
    "Multi-level and line-level reporting",
    "QA oversight and skill-based tracking",
    "Advanced workflow management and dashboards",
    "Real-time editing and claim alerts (including integrated code edits like NCCI)",
    "Comprehensive code set coverage (CPT, HCPCS, CDT, ICD-10, HCC, etc.)",
    "Audit guideline customization",
    "Claim-level and data-element level audit capture",
    "Customizable templates",
    "Auto-save audit worksheet and performance optimizations",
    "Assignment and workload balancing",
    "Record attachments and medical record inclusion in reports"
  ],
  "optional_modules": [
    "Premium Reporting (BI-based advanced reporting)",
    "Claims Connect (automated claims data import)",
    "Analytics / risk identification dashboards"
  ],
  "integrations": [],
  "data_standards": [
    "CPT",
    "HCPCS",
    "CDT",
    "ICD-10-CM",
    "ICD-10-PCS",
    "NCCI",
    "HCC"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2"
  ],
  "certifications": [
    "SOC 2 (reported)"
  ],
  "security_features": [
    "Role-based access / multi-account sub-account controls",
    "Audit / activity tracking"
  ],
  "privacy_features": [],
  "data_residency": "",
  "customers": [],
  "user_reviews": [
    "Very helpful when it came to organizing audits and seeing what needed done and when.",
    "I love this product, it has really transformed our department and given us a useful tool to use in education.",
    "Initially prior to 2021 E/M guideline changes, the program required more manual work but overall helped streamline audits and reporting."
  ],
  "ratings": [
    "SourceForge 4.5/5 (Audit Manager product page)",
    "Capterra user summary 8/10 (aggregated reviews snippet)"
  ],
  "support_channels": [
    "email",
    "phone",
    "ticketing",
    "documentation"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2015",
  "integration_parners": [],
  "id": "P0710",
  "slug": "healthicity-audit-manager",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/healthicity-audit-manager.json"
  }
}