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HealthcareVedaCore Care
Coding accuracy that survives the payer audit
ICD and procedure coding is suggested from the chart with justification, and audited before the bill leaves the hospital.
A tertiary care hospital · Kochi, India
34%
Reduction in under-coding leakage
1,900
Charts coded monthly
100%
Codes justified from chart text
The challenge
- Under-coding quietly leaked revenue on complex inpatient cases.
- Payer audits challenged codes the team could not defend from the chart.
- Experienced coders were scarce and difficult to retain.
What we built
- Code suggestions generated from the full chart with the supporting note passage attached.
- A pre-bill audit pass flags unsupported and missing codes for coder review.
- Feedback from every coder correction is fed back into the model of the hospital's case mix.
The results
- Revenue leakage from under-coding dropped by a third.
- Audit challenges are answered with the chart passage itself.
- New coders reach productivity in weeks rather than months.
“Every code now comes with the sentence in the chart that supports it.”