Denials and rework
Coding errors and missing documentation lead to rejections that take weeks to resubmit.
AI Medical Coder · Revenue integrity
InstaPract AI Medical Coder reads clinical documentation, suggests diagnosis and procedure codes with the evidence behind each one, and catches documentation and payer-rule gaps before the claim is submitted.
The problem
Coding errors and missing documentation lead to rejections that take weeks to resubmit.
Comorbidities and procedures that were treated but never coded mean care delivered and never paid for.
Experienced coders are hard to hire, and backlogs grow every month-end.
How AI Medical Coder works
AI Medical Coder works alongside your coding team. It does the first pass on every encounter so your coders can verify and approve rather than start from scratch.
Get a coding review →It pulls the signed note from AI Scribe or your EMR, along with orders, lab results, procedures and the patient's problem list.
Clinical language models identify diagnoses, severity, laterality, procedures and visit complexity, and ignore conditions that were ruled out.
Each suggested code links to the exact sentence in the note that supports it and carries a confidence score. It supports ICD-10-CM and CPT, as well as ICD-10-AM and ACHI for KSA.
It checks payer rules, code combinations and medical necessity. When documentation is missing, it sends the doctor a short query instead of letting the claim fail.
Your coder accepts or edits each code in a single worklist, and the approved codes flow to your RCM or claims platform over FHIR/HL7 or API. Every decision is kept for audit.
Inside the product
High-confidence encounters move quickly, and edge cases are flagged for an expert. Coders can always see why a code was suggested.
Query sent to Dr. [Name]: “Elevated BP noted. Please confirm whether a diagnosis of hypertension applies to this visit.”
Illustrative example fictional encounter
Capabilities
ICD-10-CM and CPT for the UAE, ICD-10-AM and ACHI for Saudi Arabia, configured per facility.
Every code points to its supporting text, so coders and auditors can verify it in seconds.
Applies code-pair edits, medical-necessity rules and payer-specific requirements before submission.
Short, compliant documentation queries sent straight to the doctor's inbox.
Shows denial patterns by payer, department and doctor, so you can fix root causes.
Every suggestion, edit and approval is logged with the user and a timestamp.
Clear backlogs and raise accuracy at the same time.
Get coding expertise without adding headcount.
Serve more clients with the same team.
Code virtual consults automatically as they close.
Integrations
Compliance
AI Medical Coder suggests codes and never submits on its own. It is SOC 2 Type II and ISO 27001:2022 certified, and HIPAA, GDPR and DHA compliant, with in-region hosting.
No. It does the first pass so your coders can review more encounters with higher accuracy. Final approval always stays with your team.
ICD-10-CM and CPT, which are common in the UAE, and ICD-10-AM and ACHI for Saudi Arabia. Code sets are configured per facility and payer.
No. AI Medical Coder reads notes from any EMR, but pairing it with AI Scribe gives the most complete documentation.
We run a de-identified sample of your encounters through AI Medical Coder and send you a report on code variances, documentation gaps and potential revenue impact.
It runs as a cloud service hosted in-region or in your own cloud tenancy, and connects to your EMR and claims systems through standard interfaces.
Get a free coding accuracy review on a de-identified sample.