Medical coding audit software that defends the code with the paragraph it came from
Medical coding audit software helps you review coded claims and prove the codes were right. The part most tools leave out is the proof: they tell you the code, not the rule. MedicalCodingSoftware.org cites the ICD-10-CM guideline or coverage policy behind every check it runs and every guided decision it walks you through, so the justification exists before anybody asks for it.
Or don’t take our word for it. paste a claim into the free scrubber and see what it finds. No signup.
An audit asks 'why', and memory is not an answer
When a code is questioned (internally, or by a payer), the question is never 'what code did you use'. It is 'why that one'. If the reasoning lived only in the coder's head at the time, reconstructing it months later is guesswork, and guesswork loses. That holds whether you are auditing your own medical claims before they go out or reviewing another coder's work after the fact.
The decision guides keep the trail
Our guided coding walks a chart note to a code one documented fact at a time, and the sequence of answers is the justification. At the end you do not just have a code; you have the chain of documentation findings that produced it, and the ICD-10-CM guideline section each step rests on.
Every check names its rule
The scrubber does not say 'error'. It says which Excludes1 note, in the government's own wording, makes those two codes incompatible. That sentence is what you put in the appeal.
The data has a date on it
Every dataset we use shows its release and effective date on screen. When you are defending a code assigned in March against a policy that changed in July, knowing which version applied matters more than almost anything else.
Who sells coding audit software, and which job each kind does
Most coding audit software is an audit-management platform bought by a provider organization's compliance or revenue integrity team. MDaudit, Healthicity Audit Manager, GeBBS iCode Assurance, Atom Audit and AGS Health Code Auditing are examples: they manage the audit workflow, from picking the claims to review and routing them to auditors through to reporting the results and feeding education back to coders. Audits run on two timings, prospective (pre-bill) review of a claim before it goes out and retrospective review of claims already paid, and both end at the same question: what supports this code? That is the part we build for. If you run the audit program, you need one of the platforms above. If you are the coder or auditor who has to answer for each code, you need the rule behind it in front of you.
What this is not
This is not an audit-management platform. There is no sampling engine, no auditor workqueue, no scoring workflow, and no compliance reporting. It makes individual coding decisions defensible; it does not run your audit program.
We would rather lose the click than sell you a trial that disappoints you on the first afternoon.
Questions
- What should medical coding audit software do?
- At minimum, let you re-check a coded claim against the rules that applied when it was coded, and produce the justification for the code that was chosen. Citing the guideline is the part that makes the review defensible rather than merely a second opinion.
It is all one product
There are no modules and no tiers. Everything below is the same $390.
Try it on a claim you already coded.
Paste a diagnosis set you submitted last week and see what comes back. That is the fastest way to find out whether this is worth anything to you.
$390/yr flat · 7-day free trial · no card required