$14.1B
$14.1 billion in improper medicare payments last year.
Trusted by startups and global leaders
Six Core Capabilities of the AI Medical Coding Agent
From clinical NLP analysis and ICD-10/CPT/DRG assignment to NCCI validation, CC/MCC capture, and revenue integrity auditing.
Clinical NLP & Code Extraction
Clinical NLP extracts diagnoses and procedures from notes at 96.7%+ accuracy.
DRG Optimisation & CC/MCC Capture
MS-DRG and APR-DRG engine lands the accurate DRG via Medicare grouper logic.
NCCI Validation & Edit Management
Real-time NCCI PTP checks catch bundling conflicts before claims.
Coding Queries & CDI Integration
AHIMA/ACDIS-compliant, non-leading physician queries when docs need attestation.
Revenue Integrity & Compliance
Pre-submission audit screens claims against OIG, RAC, and MAC LCD risk targets.
Coding Performance & Analytics
Real-time dashboard tracks time-to-code, first-pass rate, and CC/MCC capture.
$14.1 Billion in Improper Medicare Payments Last Year.
The same documentation gaps that prevent accurate DRG assignment also create audit risk when RAC contractors review the claim.
Get Coding Assessment
The $14 Billion Coding Error Crisis Draining Every Specialty's Revenue
Measured live in production deployments, not projected in a pitch deck.
94%
First-pass claim acceptance rate achieved when AI medical coding replaces manual coding…
100+
Enterprises running Bonami X AI in mission-critical healthcare operations.
24/7
Autonomous monitoring with real-time alerts across every workflow.
Our Process
Why Choose the AI Medical Coding Agent
Drag or tap the dots to explore.
Coding Specificity at Scale — Not Just Coding Speed
A 5% MCC capture gain recovers $6.4M a year.
Compliance Confidence Before the Claim Leaves the Building
Every claim OIG- and LCD-validated pre-submission.
Coders as Clinical Coding Experts — Not Data Entry Operators
Coders focus on judgment, not data entry.
Works With Your EHR, Coding Platform, and Billing System
The AI Medical Coding Agent connects to leading EHR, computer-assisted coding, and clearinghouse platforms.
Epic
Epic EHR integration for inpatient and outpatient medical coding
Oracle Health
Oracle Health Cerner integration for ICD-10 and DRG coding
Availity
Availity integration for pre-submission claim code validation
athenahealth
athenahealth integration for ambulatory CPT and ICD-10 coding
eClaimLink
eClaimLink UAE integration for DHA and HAAD medical coding
Daman
Daman UAE integration for clinical coding compliance
From the Desk of Our Esteemed Clients
Real results from enterprises that have deployed Bonami's AI solutions across industries.
Bonami's AI platform revolutionized our content creation process. Their natural language generation tools helped us scale our content production by 300% while maintaining exceptional quality and brand voice.
Stop Leaving Clinical Complexity Uncoded and Unreimbursed
Every missed CC/MCC, every unspecified ICD-10 code, every NCCI edit that generates a denial — revenue that existed in the clinical record, lost to a documentation-to-code translation failure.
Book Coding Accuracy Demo
Six Core Capabilities of the AI Medical Coding Agent
From clinical NLP analysis and ICD-10/CPT/DRG assignment to NCCI validation, CC/MCC capture, and revenue integrity auditing.
01
Clinical NLP
Clinical NLP extracts diagnoses and procedures from notes at 96.7%+ accuracy.
02
DRG Optimisation
MS-DRG and APR-DRG engine lands the accurate DRG via Medicare grouper logic.
03
NCCI Validation
Real-time NCCI PTP checks catch bundling conflicts before claims.
04
Coding Queries
AHIMA/ACDIS-compliant, non-leading physician queries when docs need attestation.
05
Revenue Integrity
Pre-submission audit screens claims against OIG, RAC, and MAC LCD risk targets.
06
Coding Performance
Real-time dashboard tracks time-to-code, first-pass rate, and CC/MCC capture.
Get in touch
Ready to Recover the Revenue Your Clinical Complexity Has Already Earned?
Get a live Medical Coding Agent demo on your encounter volume, plus a coding accuracy assessment of CC/MCC capture and NCCI risk.
Response within 24 hours
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Free consultation, no obligation
Frequently Asked Questions
[ 1 ]
What is an AI Medical Coding Agent and which code sets does it handle?
Clinical NLP reads EHR notes and assigns ICD-10-CM/PCS, CPT, HCPCS, MS-DRG/APR-DRG, and HCC codes for coder review.
[ 2 ]
How does the NLP model handle ambiguous or poorly structured clinical documentation?
It reads negation and uncertainty — "rule out sepsis" codes nothing. Weak documentation is flagged, not guessed.
[ 3 ]
What is the first-pass claim acceptance rate and how is it measured?
FPAR is claims paid on first submission. Manual baseline is 71%; Bonami deployments reach 94%+ via clearinghouse data.
[ 4 ]
How does the agent handle DRG optimisation without creating upcoding risk?
It captures only documented CC/MCCs. Undocumented candidates trigger a physician query, never a code.
[ 5 ]
How does the physician query process work, and does it comply with AHIMA guidelines?
Yes. Queries follow AHIMA/ACDIS 2019 guidelines — non-leading, evidence-cited, with multiple response choices.
[ 6 ]
Which EHR systems and coding platforms does the agent integrate with?
FHIR R4 and HL7 v2 connect Epic, Oracle Health, athenahealth, Availity, Waystar, and UAE eClaimLink.
[ 7 ]
How does the agent handle specialty-specific coding requirements?
NLP models are calibrated per specialty — oncology staging, cardiology cath notes, ED E/M levels, ICD-10-PCS technique.
[ 8 ]
How long does implementation take and what ROI timeline should we expect?
A focused deployment runs 10–14 weeks. Most health systems recover their investment within 4–6 months.
[ 9 ]
How is computer assisted coding software different from this medical coding software?
CAC software only suggests codes. Bonami's AI medical coding software assigns and NCCI-validates them end to end.
[ 10 ]
Does the automated medical coding handle both ICD-10 and CPT coding software requirements?
Yes. This ICD-10 and CPT coding software covers ICD-10-CM/PCS and CPT/HCPCS across inpatient and outpatient settings.
[ 11 ]
Who builds and runs this agent?
This agent is one of 32 built and maintained by Bonami X AI, our production AI agent division. If you want an agent like this scoped for your own workflow, our AI agent development company team handles discovery, build, integration, and support end to end.
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