JSON twin: https://www.healthaidb.com/software/optum-enterprise-cac-and-cdi.json
Optum
Optum Enterprise CAC and CDI 3D is an integrated, NLP-driven platform that automates computer-assisted coding (CAC) and clinical documentation improvement (CDI) to improve coding accuracy, documentation completeness, and revenue integrity for hospitals and health systems.
A commercial, enterprise-grade solution that combines Optum's Clinical Language Intelligence (NLP) and workflow tools to generate code suggestions, identify documentation gaps, route queries to providers, and provide analytics and quality controls for coding and CDI teams. Deployed as part of revenue cycle and HIM modernization efforts, the platform supports inpatient and outpatient coding, CDI workflows, reporting, and integrations with EHRs and RCM systems.
unknown
2011
P1206
2025-09-07
commercial proprietary
Contact vendor for licensing, implementation and subscription pricing; enterprise sales and quote-based commercial agreements.
enterprise_quote
Modern web browser; Power BI for dashboards; optional on-prem server requirements vary
product
1.0
{
"company_name": "Optum",
"company_url": "https://www.optum.com",
"company_offices": [
"United States",
"India",
"Brazil",
"United Kingdom",
"Canada",
"Australia"
],
"company_founding": "2011",
"product_url": "https://business.optum.com/en/operations-technology/revenue-cycle-management/medical-coding/enterprise-cac-cdi.html",
"categories": [
"clinical",
"revenue cycle",
"clinical documentation improvement (CDI)",
"computer-assisted coding (CAC)",
"analytics"
],
"market_segment": [
"enterprise"
],
"links": [
"https://business.optum.com/en/operations-technology/revenue-cycle-management/medical-coding/enterprise-cac-cdi.html",
"https://business.optum.com/content/dam/optum4/resources/sell-sheet/enterprise-cac-cdi-brochure.pdf",
"https://business.optum.com/en/insights/improve-coding-efficiency-cac-cdi-3d.html",
"https://elion.health/products/optum-enterprise-cac-and-cdi",
"https://klasresearch.com/review/optum-optum360-cdi-3d/79089",
"https://www.optum.com/en/about-us.html",
"https://business.optum.com/en/operations-technology/revenue-cycle-management/medical-coding.html"
],
"summary": "Optum Enterprise CAC and CDI 3D is an integrated, NLP-driven platform that automates computer-assisted coding (CAC) and clinical documentation improvement (CDI) to improve coding accuracy, documentation completeness, and revenue integrity for hospitals and health systems.",
"description": "A commercial, enterprise-grade solution that combines Optum's Clinical Language Intelligence (NLP) and workflow tools to generate code suggestions, identify documentation gaps, route queries to providers, and provide analytics and quality controls for coding and CDI teams. Deployed as part of revenue cycle and HIM modernization efforts, the platform supports inpatient and outpatient coding, CDI workflows, reporting, and integrations with EHRs and RCM systems.",
"target_users": [
"clinical documentation specialists (CDI)",
"medical coders",
"health information management (HIM) staff",
"clinical reviewers",
"revenue cycle/finance teams",
"IT/healthcare informatics administrators",
"hospital administrators"
],
"specialties": [
"acute care/inpatient",
"outpatient/ambulatory",
"revenue integrity",
"clinical documentation improvement",
"medical coding"
],
"regions_available": [
"United States",
"Brazil"
],
"languages_supported": [
"English",
"Portuguese"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for licensing, implementation and subscription pricing; enterprise sales and quote-based commercial agreements.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"on_prem",
"hybrid"
],
"os_platforms": [
"Web",
"iOS",
"Android"
],
"features": [
"Automated clinical case-finding",
"Computer assisted coding with clinical language intelligence",
"Integrated CDI and coding on single platform",
"Concurrent automated record reviews (100% automated reviews)",
"Prioritization/prioritization rules for review queues",
"Coding and reimbursement tools",
"Denial prevention and pre-bill audit identification",
"Workflow management and flexible work queues",
"Analytics and reporting with Power BI dashboards",
"Medical reference library/engine",
"Outpatient infusion charging algorithm (LYNX)",
"Audit and compliance management",
"Data exports and dashboard visualizations",
"Coder productivity and workflow automation",
"Case prioritization based on documentation clarification opportunity"
],
"optional_modules": [
"Coding and Reimbursement",
"Audit and Compliance Manager",
"LYNX Outpatient Infusion Charging",
"Medical Reference Engine",
"Analytics and Reporting",
"Workflow / Work queue management"
],
"integrations": [],
"data_standards": [
"ICD-10",
"CPT",
"SNOMED CT",
"HL7 v2",
"FHIR"
],
"api_available": "unknown",
"system_requirements": "Modern web browser; Power BI for dashboards; optional on-prem server requirements vary",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [],
"security_features": [
"Encryption (in transit & at rest)",
"Role-based access control (RBAC)",
"SSO/SAML support",
"Audit logs"
],
"privacy_features": [
"BAA available",
"Data anonymization/de-identification support",
"Data minimization"
],
"data_residency": "",
"customers": [
"Banner Health",
"John Muir Health"
],
"user_reviews": [
"Optum training was pretty good... did 4 weeks training with a class of ~75, but there was opportunity for 1:1 coaching.",
"We use Optum CAC as well but I am very involved in the actual coding process — what the CAC assigns is just a suggestion.",
"I love it! We've had it for 8 years as an outpatient coder. It definitely speeds up the coding process although not always accurate but very helpful.",
"I'm in my third week of training and so far I love it. My trainer is really nice and answers all your questions.",
"Work-from-home roles tied to Optum had unrealistic performance expectations and strict monitoring for some people.",
"The platform helped improve coding and CDI efficiency for our organization after implementation (client success anecdote).",
"Support and onboarding experience is mixed — some report helpful, responsive trainers; others report frustrating support interactions."
],
"ratings": [
"KLAS Research: 82.3 (reported overall performance score)",
"G2: multiple Optum product reviews listed (varied ratings across products)"
],
"support_channels": [
"email",
"phone",
"support portal/ticketing",
"online chat",
"account/sales contact form"
],
"training_options": [
"documentation (PDFs, sell sheets, product pages)",
"webinars/insights articles",
"live_online demos",
"onsite (implementation services implied)",
"product success stories/case-study guided onboarding"
],
"release_year": "",
"integration_partners": [
"Power BI"
],
"id": "P1206",
"slug": "optum-enterprise-cac-and-cdi",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/optum-enterprise-cac-and-cdi.json"
}
}