Product · Case Study MedCode AI — document intelligence

Every code, traced back to the clinical text.

Coders at a regional health network read every page of every clinical document by hand to find diagnosis and procedure codes, with no way to show which sentence produced which code. 10decoders deployed MedCode AI — it reads the document, extracts ICD-10 and CPT codes in a single pass, and links each one back to the passage it came from.

Client
Regional health network
Domain
Healthcare · Revenue cycle management
Product
MedCode AI — document intelligence
Disciplines
NLP · ICD-10 · CPT · HIPAA cloud
2 code sets
ICD-10 diagnosis and CPT procedure codes extracted from a single document upload
100%
Of extracted codes linked to the source passage that produced them
1 queue
Every document's status, code count and review flag on one dashboard
Overview

Coding is a reading problem, not a lookup problem.

The network's revenue cycle team worked through clinical encounter documents page by page — physician notes, lab reports, discharge summaries — pulling out the diagnosis and procedure references and matching each to a code. The reading was the slow part, and nothing in the process recorded why a given code had been assigned. When a payer queried a claim, answering meant opening the document again and finding the sentence from memory. Managers had no view of which documents were done, which were pending, and which had been flagged.

10decoders built MedCode AI to do the reading and keep the receipts. A clinical document is uploaded, the platform reads it end to end, identifies every diagnosis and procedure reference, and maps each to the correct ICD-10 and CPT code with a confidence score. Every code is anchored to its source passage in the original file, so verification is a click rather than a re-read. The batch dashboard shows the whole queue — status, code counts, confidence flags and assignments — and coders accept, override or export from the review interface.

Challenge & Approach

From page-by-page reading to traceable extraction.

The challenge

  • Coders read every page of every clinical document by hand to find codeable references
  • No traceability — nothing recorded which passage had produced a given ICD-10 or CPT code
  • Answering a payer query meant reopening the document and locating the evidence from memory
  • No way to confirm that every codeable reference in a document had actually been found
  • No batch view of which documents were coded, pending or flagged across the team

Our approach

  • NLP reads the full document and identifies diagnosis and procedure references in context
  • ICD-10 and CPT codes extracted in a single pass, each with a confidence score
  • Every code anchored to its source passage, highlighted in the original document
  • Payer-specific rule validation on procedure codes before the set is exported
  • A batch dashboard giving managers status, code counts and review flags across the queue
Why It Works

Built for the full coding workflow.

AI sits at the extraction layer, where the reading burden is. Coders stay in review, and every decision keeps its evidence.

Diagnosis code extraction

NLP reads clinical text and maps every diagnosis term to the correct ICD-10 code, with a confidence score and a source link on each result.

ICD-10Confidence scored

Procedure code mapping

Procedure references across physician notes, operative reports and fee sheets are mapped to CPT codes and validated against payer-specific rules.

CPTPayer rules

Source traceability

Each extracted code links to the exact sentence that produced it. Verification and audit response become a click instead of a re-read.

Passage-linkedAudit-ready

Batch queue visibility

Managers see every document in the processing batch — status, code count, confidence flags and review assignments — without chasing individual coders.

Real-timeTeam-wide

Review & export

Coders accept or override each extracted code and export the verified set in standard formats, ready for claim submission.

Override supportStandard export

Secure document handling

Documents are processed in a HIPAA-compliant environment, encrypted at rest and in transit, with role-based access and a log of every coder action.

HIPAA cloudAction logged
What We Built

Four capabilities. One platform.

MedCode AI covers the path from document ingestion through to a verified, export-ready code set.

01

ICD-10 extraction engine

NLP-powered diagnosis code extraction from any clinical document, with a confidence score and source passage traceability on every code returned.

02

CPT procedure code engine

Procedure code mapping across physician notes, operative reports and fee sheets, with payer-specific rule validation and full coder override support.

03

Batch processing dashboard

Real-time visibility across every document in the batch — status tracking, extracted code counts, confidence flags and team-level coder assignment management.

04

HIPAA-compliant architecture

Secure document handling with encryption at rest and in transit, role-based access control, and a complete audit log of every coder action and code export.

End-to-End Flow

From document upload to a verified code set.

Four steps take a raw clinical document through to a reviewed, export-ready result.

STEP 01

Upload documents

Encounter PDFs are uploaded individually or in batch and queued for processing — no reformatting or manual prep.

STEP 02

AI reads and extracts

The platform reads the full document, identifies every diagnosis and procedure reference, and maps each to a code.

STEP 03

Verify against source

Coders check each code against the highlighted passage that produced it, and accept or override with the evidence in view.

STEP 04

Export for submission

The verified code set exports in standard formats, ready for claim submission, with every action logged.

Role Views

What each team actually sees.

Role-scoped views and permissions — coders work the document, while compliance and revenue cycle watch the batch and the log.

Medical coding teams

Verify instead of search

  • Upload a clinical document and receive its ICD-10 and CPT codes without reading page by page
  • See the source passage for every code, highlighted in the original, before accepting or overriding
  • Export verified code sets straight from the review interface in claim-ready formats
Compliance & revenue cycle

The full batch and the full log

  • Document status, code counts, confidence flags and coder assignments across the whole team workload
  • Every extraction, override and export timestamped — a complete trail for payer queries and reviews
  • Confidence thresholds and payer rule flags surfaced before a claim is submitted, not after
Outcome, Security & IP

Defensible codes, in your control.

What changed for each group — and the controls the platform is built on.

Coding teams

Reviewing, not hunting

The reading pass moves to the platform. Coders open a document with its codes already extracted and anchored, and spend their attention on the judgement calls rather than the search.

Compliance & audit

Evidence attached to every code

Each ICD-10 and CPT code carries a link to the passage that produced it. An audit response is a lookup rather than a document re-review.

Security & IP

HIPAA-aligned by design

Documents are processed in a HIPAA-compliant environment with encryption in transit and at rest, role-based access and NDA-bound teams. Source code and IP ownership remain with the client.

Talk to our CTO

Start with a thirty-minute conversation.

No 50-page proposals. We'll tell you which level fits your situation, what a realistic engagement looks like, and what it would cost — in one direct meeting.

Who you'll talk to
Thomas, CTO at 10decoders

Thomas

Chief Technology Officer

Connect on LinkedIn

Thomas leads 10decoders' AI engineering practice and sits in on the scoping call himself — so the person mapping your engagement is the one who has shipped it before. His teams build and deploy agents for mid-market healthcare and fintech companies, with enterprise grade build experience for clients like IBM, Dedalus and Harris Healthcare. He'll be straight with you about what's worth doing and what isn't.

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