RevCodeMD

AI Driven Auto‑Coding — 98% accuracy, audit‑ready

Bio‑LLM Coding, From Free‑Text to CPT/ICD in Seconds

RevCodeMD ingests free‑flowing PHI documents (encounters, H&P, procedures, discharge summaries) and returns CPT and ICD codes in seconds. A targeted 98% coding accuracy is achieved via domain‑tuned Bio‑LLM models and a continuous auto‑correction loop.

Predictions are validated against payer and specialty rules. Any corrections from coders are automatically fed back to the Coding Engine, reinforcing the model and getting smarter with each claim.

Built on our RCM services foundation, RevCodeMD aligns coding quality with downstream KPIs—clean claim rate, first‑pass approvals, and denial avoidance—so you bill right the first time.

AI-Powered Auto-Coding

CPT & ICD in seconds

98% Accuracy

Audit-ready predictions

Continuous Learning

150,000 GPU hours weekly

Next-Gen Bio-LLM

Learns from expert feedback

RevCodeMD Capabilities

Engineered to raise coding quality and accelerate reimbursement—securely and at scale.

PHI‑Aware Ingestion

Robust de‑identification & normalization pipelines for clinical narratives and notes.

CPT/ICD Suggestions

Top‑N code candidates with confidence and rationales for coder review.

Auto‑Correction Engine

Corrections stream back to train adapters—closing the loop automatically.

Compliance Guardrails

HIPAA‑aligned handling, role‑based access, and full audit trails.

RAG to Code Sets

Retrieval over ICD‑10‑CM/PCS, CPT, HCPCS, and payer policies for grounded answers.

Pre‑Submit Edits

Payer‑specific validations raise clean claim & first‑pass rates.

FHIR/HL7 Integration

Drop‑in connectors for EMR/EHR systems and claim adjudication platforms.

Coder‑in‑the‑Loop

Human oversight, explainability, and acceptance thresholds per specialty.

Bio‑LLM Architecture & Training

Purpose‑built for medical coding with domain adapters and continuous evaluation.

Model & Tokens

  • Parameter targets: configurable 8B–12B trainable parameters for on‑prem latency; 20B–70B+ managed‑service option.
  • Context length: 8k–32k tokens for long clinical narratives.
  • Tokenizer: medical subword merges; ICD/CPT symbols kept intact for exact code spans.
  • Adapters: LoRA/QLoRA domain heads (≈50–200M trainable) per specialty/payer.

Training & Ops

  • Compute: ~150,000 NVIDIA H100 GPU hours / week for continuous fine‑tuning and eval.
  • Precision: bfloat16 mixed precision; ZeRO/FSDP sharding; gradient checkpointing.
  • RAG: retrieval over ICD/CPT knowledge, payer bulletins, and policy PDFs.
  • RLHF: coder feedback loops optimize correctness and explainability.
  • Metrics: Top‑1/Top‑3 code accuracy, Exact‑Match %, F1 on code spans, Claim Acceptance.

Outcomes You Can Measure

From coding speed to downstream reimbursement, RevCodeMD is built to move the metrics that matter.

For Coding Teams

  • Seconds‑to‑codes with confidence & rationales.
  • Higher first‑pass approvals; fewer reworks.
  • Lower backlog via prioritized worklists.

For Revenue Leaders

  • Improved clean claim rate and accelerated cash flow.
  • Denial prevention with payer‑aware validations.
  • Audit‑ready logs, role‑based access, and PHI safeguards.

Ready to See RevCodeMD?

Upload a sample note and get CPT/ICD suggestions with confidence scores.