Audience
Providers, Health Plans, Payers, ACOs and Billing and Coding Companies
About Encipher Health
Encipher Health is a comprehensive AI-powered healthcare technology platform that automates medical coding, risk adjustment, and revenue-cycle processes across specialties. Using Neuro-Symbolic AI, OCR, ML, and knowledge-graph logic, it converts unstructured clinical documentation into accurate, audit-ready codes (CPT, ICD-10, HCC, HCPCS) while enforcing payer, CMS and compliance rules. Its products — including GI coding automation, radiology coding (Conrad AI), anesthesia coding (Sedate AI), HCC/risk adjustment (Cogent AI / RiskGen‑Core / RAF Totalizer), E/M coding, home-health coding, ICD-10-AM support, AR follow-up and denial resolution — streamline workflows, reduce manual effort, minimize denial risk, and accelerate reimbursements. Real-time and retrospective workflows, seamless EHR integration, MEAT-criteria validation, modifier logic, and compliance guardrails ensure high accuracy, regulatory alignment and audit readiness.
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Amy analyzes clinical documentation, coding guidelines, payer logic, and specialty-specific rules to generate accurate, explainable coding recommendations. It helps identify missed services, documentation gaps, undercoding opportunities, and coding exceptions, with evidence for each suggested code.
A key differentiator is Amy’s feedback loop: for every chart it codes, downstream claim outcomes such as denials, payer responses, and reimbursement results are used to improve future coding performance and reduce repeat errors. In production, Amy has delivered 98%+ coding accuracy, up to 85% coding automation, and a 75% reduction in coding-related denials.
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iMedX
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Altair
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Healthicity Audit Manager
For medical auditing, Audit Manager streamlines the way you manage audits by merging audit workflow, management, education, and reporting into one easy-to-use, web-based solution.
Audit Manager brings simplicity by helping you:
Identify Revenue
Evaluate financial impact. Minimize denials and identify up to 10%, per provider, in missed revenue with extensive reporting and analytics tools.
Increase Efficiency
Improve your auditing efficiency by up to 40%. Reduce the amount of time you spend completing audits with our user-friendly interface.
Improve Accuracy
Customize your audit templates. Include your own standards, MAC carrier guidelines, and claim scrubber tech for ideal results.
Audit Manager features:
Built-in Tableau integration for in-depth analytics and reporting.
Flexible Audit Management: View the status, and each associated status, of every audit, by any auditor.
E/M Calculator
Automatically calculate E/M codes with a built-in calculator.
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Integrations
No integrations listed.
Company Information
Encipher Health
Founded: 2023
United States
www.encipherhealth.com
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Product Details
Platforms Supported
Cloud
