CodingCare: AI-Powered Coding Support for Coders and CDI Teams

A tech-enabled solution, providing real time artificial intelligence (AI)-driven insights to ensure accurate Hierarchical Condition Category (HCC) coding before and after patient encounters.

Smarter, More Efficient Coding with Real-Time Alerts

CodingCare enhances coder and Clinical Documentation Improvement (CDI) workflows by providing:
  • Automated AI-driven coding reviews: AI scans electronic health records (EHR) nightly to identify missing or inaccurate codes.

  • Real-time coding alerts: Instant notifications in the EHR allow CDI teams to proactively address HCC coding opportunities.

  • Seamless provider collaboration: Easily communicate with providers within their workflow to clarify documentation and ensure accurate coding.

By embedding AI-powered suggestions into the CDI and coding workflow, CodingCare reduces the time spent on retrospective reviews and ensures accurate documentation before claims are submitted.

How CodingCare Supports CDI and Coding Teams

Automated EHR scans

AI analyzes patient records and provider notes to detect potential coding gaps before claims are finalized.

Prioritized dashboard review

Displays HCC coding opportunities with clear provenance for coder and CDI team review.

Streamlined provider collaboration

Integrates seamlessly with CodingGuide, enabling coders to work directly with providers to ensure proper documentation.

Post-encounter follow-up

Enables efficient query management and follow-up actions, such as scheduling reviews or initiating documentation clarifications.

AI-Powered Solutions for More Accurate Coding and Documentation

Premier’s AI solutions optimize CDI workflows, improve coding accuracy and enhance financial performance.

Clinical Decision Support (CDS)

Provides real-time, evidence-based insights to support CDI teams in their review process.

Bias-resistant and Transparent AI

Designed with fairness, security and explainability to ensure trustworthy recommendations.

Seamless EHR Integration

Works with native EHR systems to embed coding recommendations into the workflow, eliminating the need for manual reviews.

Get Started with CodingCare

Ready to optimize your CDI and coding workflows with AI-powered automation? Contact us today to see how CodingCare can help your team improve HCC coding accuracy and efficiency.