CODING OPTIMIZATION & REIMBURSEMENT ASSISTANT

AI-Assisted Medical Coding & Reimbursement Intelligence

Transform clinical documentation into actionable coding insights. CORA helps healthcare teams identify supported ICD-10-CM, CPT and HCPCS coding opportunities while keeping professional review at the center of every decision.

✓ Documentation-aware ✓ Human-reviewed ✓ Healthcare workflows ✓ Reduce revenue leakage
CORA ANALYSIS Clinical Documentation Review Encounter documentation analyzed
Complete
SUGGESTED CODING
ICD-10-CM
M54.50
Low back pain, unspecified
CPT
99213
Office or outpatient visit
HCPCS Review No additional code suggested
Clear
DOCUMENTATION EVIDENCE
✓
Diagnosis supported Clinical documentation supports the suggested diagnosis.
✓
Service documented Encounter details support professional coding review.
Documentation Support ● Supported
Confidence 92%
Documentation Gaps None detected
✓
Ready for Human Review Suggested coding requires professional validation.
INTELLIGENCE ACROSS THE CODING WORKFLOW

What CORA Does

CORA analyzes clinical documentation and turns complex encounter information into structured coding intelligence designed to support accurate, defensible reimbursement decisions across commercial, Medicare and Medicaid workflows.

01
DOCUMENTATION

Clinical Documentation Analysis

Analyzes encounter documentation to identify diagnoses, procedures, services and clinically relevant details that may affect coding.

✓ Documentation-aware analysis
02
DIAGNOSIS

ICD-10-CM Intelligence

Identifies potential ICD-10-CM codes supported by the documented clinical picture and presents them for professional review.

✓ Evidence-linked suggestions
03
SERVICES

CPT & HCPCS Review

Reviews documented services and procedures for potential CPT and HCPCS coding opportunities while keeping the supporting documentation visible.

✓ Service-level coding support
04
VALIDATION

Documentation Gap Detection

Flags missing, incomplete or ambiguous documentation that may require clarification before a coding decision can be confidently validated.

✓ Gaps surfaced before submission
06
OVERSIGHT

Human-in-the-Loop Review

CORA provides coding intelligence—not autonomous final coding. Recommendations remain subject to qualified professional review and validation.

✓ Professional judgment preserved
FROM DOCUMENTATION TO DECISION SUPPORT

How CORA Works

CORA transforms clinical documentation into structured coding and reimbursement intelligence through a review-centered workflow designed to keep healthcare professionals in control.

01
INPUT

Clinical Documentation

Encounter documentation is provided to CORA for analysis, giving the system the clinical context needed to evaluate documented diagnoses, services and procedures.

✓ Documentation received
02
ANALYSIS

CORA Analysis

CORA evaluates the documentation for clinically supported diagnoses, documented services, coding opportunities, supporting evidence and potential documentation gaps.

✓ Evidence analyzed
03
INTELLIGENCE

Coding & Reimbursement Intelligence

CORA organizes potential ICD-10-CM, CPT and HCPCS suggestions alongside documentation evidence and reimbursement-relevant insights for review.

ICD-10-CM CPT HCPCS
04
VALIDATION

Professional Review

A qualified professional reviews CORA’s suggestions, supporting evidence and identified gaps before making the final coding and reimbursement decision.

✓ Human validation
✓
AI-assisted. Documentation-driven. Human-reviewed.

CORA is designed to support professional decision-making, not replace it. Final coding decisions remain with qualified healthcare and coding professionals.

BUILT AROUND REAL HEALTHCARE WORKFLOWS

Built for the Revenue Cycle

CORA connects clinical documentation with coding and reimbursement workflows, helping healthcare organizations surface supported information earlier and move encounters through the revenue cycle with greater clarity.

01
CLINICAL INPUT

Providers

Clinical documentation begins the reimbursement process. CORA analyzes documented diagnoses, services and encounter details without replacing the provider’s clinical judgment.

✓ Documentation-centered
02
CODING REVIEW

Coding Teams

Coders receive structured ICD-10-CM, CPT and HCPCS intelligence alongside supporting documentation and potential gaps requiring professional validation.

✓ Evidence-linked review
03
REIMBURSEMENT

Billing Teams

Billing workflows benefit from clearer coding support and documentation visibility before claims move forward, helping reduce avoidable revenue leakage and rework.

✓ Cleaner reimbursement workflow
REIMBURSEMENT ENVIRONMENTS

Intelligence Across Payer Workflows

CORA is designed to support documentation-driven coding workflows across multiple reimbursement environments while keeping payer requirements and professional review in focus.

Medicare Federal reimbursement workflows
Medicaid State-administered reimbursement workflows
Commercial Payers Private insurance workflows
Documentation Clinical evidence first
→
Intelligence Coding support surfaced
→
Validation Professional review
→
Reimbursement Supported & defensible
REVENUE INTEGRITY

Protect Supported Revenue. Reduce Avoidable Leakage.

CORA helps healthcare teams identify what the clinical documentation supports, surface potential gaps and reduce opportunities for legitimate reimbursement to be overlooked.

✓
Documentation first. CORA helps surface what the documentation supports — not invent what it doesn’t.
01
Documentation Gaps

Surface missing or ambiguous information that may require clarification before coding is finalized.

02
Missed Supported Opportunities

Identify coding opportunities supported by the documented encounter that might otherwise be overlooked.

03
Preventable Rework

Give coding and billing teams clearer information earlier in the reimbursement workflow.

READY TO BRING CORA INTO YOUR WORKFLOW?

Bring AI-Assisted Coding Intelligence Into Your Revenue Cycle

Give your coding and reimbursement teams a clearer, documentation-driven way to identify supported opportunities, reduce avoidable leakage and keep professional review at the center of every decision.

AI-assisted · Documentation-driven · Human-reviewed