Features
Everything your coding team needs to work smarter, reduce denials, and get paid faster.
AI-Powered Code Suggestions
Claude AI analyzes clinical documentation and suggests accurate codes in seconds.
Smart Analysis
Analyzes clinical notes and suggests ICD-10 and CPT codes with confidence scores.
Clear Reasoning
Every suggestion includes an explanation of why the code was selected.
PHI Protection
Patient data is sanitized before AI processing to protect privacy.
Real-Time Eligibility Checks
HIPAA 270/271 electronic eligibility verification via Claim.MD.
Coverage Status
Verify active coverage before service to prevent billing issues.
Benefit Details
View copays, deductibles, coinsurance, and out-of-pocket maximums.
Eligibility History
Track verification history with status badges and response times.
Intelligent Claim Scrubbing
Catch errors before submission with comprehensive validation rules.
CCI Edit Detection
Automatic Correct Coding Initiative edit detection and alerts.
LCD/NCD Validation
30+ Medicare coverage policies validate medical necessity before submission.
Gender Code Rules
700+ gender-specific code validations prevent common billing errors.
NPI/Tax ID Validation
Validate provider identifiers before claim submission.
Payer-Specific Rules
Timely filing validation and payer contract requirements.
Authorization Check
Validates prior auth requirements during claim generation.
Denial Management & Appeals
Turn denials into recoveries with AI-powered appeal generation.
12 Appeal Templates
CARC-specific templates for common denial reasons including CO-4, CO-50, CO-97, and more.
One-Click Generation
Generate professional appeal letters with patient and claim data auto-filled.
Appeal Tracking
Full lifecycle tracking from draft to resolution with recovery metrics.
Coding Workbench
A modern interface designed for coder efficiency.
Split-Screen View
View clinical notes and codes side-by-side for faster review.
Keyboard Shortcuts
Ctrl+Enter to complete, Ctrl+S to save, and more power-user shortcuts.
Auto-Save Drafts
Never lose your work with automatic draft saving and visual feedback.
Revenue Cycle Dashboard
Executive-level KPIs and trend analysis at your fingertips.
Revenue Trends
6-month trend analysis for charges, payments, and adjustments.
Timely Filing Report
Monitor filing deadlines and never miss a submission window.
Variance Analysis
Compare expected vs actual reimbursement by payer.
Ready to Transform Your Coding Workflow?
See how SmartCoding.ai can help your practice code faster and get paid sooner.