Coder-in-the-loop AI that lifts throughput and cuts denial rates.

AI for Medical Coding & Claims

T7 deploys coder-in-the-loop AI that reads the chart, suggests codes with evidence, flags denial risk and learns from every coder correction.

The problem

Coders are asked to read longer charts, apply more rules, and hit tighter turnaround — while payer denial logic keeps changing.

Purely automated coding is a compliance risk; purely manual coding is a throughput and cost problem.

How T7 solves it

Chart-to-code AI that surfaces ICD-10, CPT and HCC candidates with the exact chart evidence pinned next to each suggestion.

A denial-risk model scores each claim against payer-specific patterns and flags edits before submission.

Every coder edit becomes training signal — the system improves per specialty, per payer, per client.

The workflow

Step 1

Ingest chart

Discharge summary, progress notes and orders are parsed and de-identified for the model context.

Step 2

Suggest & justify

Candidate codes appear with pinned chart snippets; coder accepts, edits or rejects with one keystroke.

Step 3

Score & submit

Denial-risk score and payer rules run pre-submission; high-risk claims route to a senior coder queue.

Outcomes we ship for

+41%
Coder throughput (charts/hr)
-27%
First-pass denial rate
99.2%
Audit-passing compliance

The stack

Clinical NLP (custom + LLM)ICD-10 / CPT / HCC ontologiesHIPAA-compliant hostingPayer rules engineCoder review UI

Frequently asked questions

Is this HIPAA compliant?

Yes — deployed in HIPAA-eligible cloud regions with BAA, PHI de-identification, audit logging and role-based access controls.

Do coders lose their jobs?

No — the pattern is coder-in-the-loop. Coders do more high-value work per hour and the org handles higher volume without linear headcount growth.

Ready to Build Your AI Product?

Talk to a senior AI consultant from T7 about your industry, workflow, or product idea. Free, no commitment — reply within one business day.

  • · AI feasibility & architecture review
  • · Product / MVP roadmap
  • · Integration & automation strategy