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CodaMetrix

Autonomous AI medical coding for health systems.

4.5
our score
HIPAA CompliantBAA Availableenterprise
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Overview

CodaMetrix's CMX CARE platform is an enterprise-grade autonomous medical coding engine that automatically assigns ICD-10, CPT, and HCC codes by analyzing the full longitudinal patient record rather than just the encounter. It applies payer rules and clinical documentation improvement logic continuously, sending only complex or low-confidence cases to human coders for review. KLAS Research named CMX CARE the #1 autonomous medical coding solution for 2026. Used by major academic medical centers and health systems including Mass General Brigham, Mayo Clinic, Yale Medicine, Henry Ford Health, and the University of Colorado.

Pros
  • +KLAS #1 autonomous coding solution 2026
  • +Uses full patient record for context
  • +Deployed at top academic medical centers
  • +Reduces coding backlog and DNFB
  • +Strong payer compliance logic
Cons
  • -Enterprise-only
  • -over-engineered for small practices
  • -No public pricing
  • -Long implementation cycle
  • -Requires existing Epic/Cerner infrastructure

Features

Autonomous ICD-10/CPT/HCC codingLongitudinal patient record analysisPayer rule validationClinical documentation improvement logicException-based human reviewMulti-specialty scaleEpic and Cerner integration

Integrations

EpicCernerand other enterprise EHR systems