Empower your team to identify high-impact revenue and quality coding & CDI opportunities within minutes. Our AI-powered auditing software reviews 100% of your coded charts pre-bill to validate, identify, and further specify diagnosis and procedure codes with respect to the clinical documentation.
Semantic Auditor uses proprietary AI models, trained on millions of clinical records and tuned to your unique patient population by our world-class AI team, to complete a secondary review of all claims data with respect to your clinical documentation. Any payer, any DRG, any diagnosis or procedure. The result is razor-focused, compliant, and prioritized opportunities that impact revenue and quality and can be validated by your team with minimal workflow impact.
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Complete pre-bill coverage
Identify opportunities to improve coding and CDI before the bill goes out the door, for any payer, DRG, or procedure and diagnosis.
Razor-focused audits
Focus your team on high-impact revenue and quality opportunities with minimal impact to their coding or CDI workflow.
Compliance ensured by AI audits
Every opportunity is fully explainable with references to clinical documentation, inpatient coding guidelines and internal directives.
Continuous education for staff
Provide continuous education with custom reporting to inpatient coders and physicians to reduce coding and documentation errors.
Touchless & secure deployment
Seamlessly and securely deploy on-premise or through our SOC2 and HIPAA compliant cloud environment. Integrate with all major EHR and billing systems.
Paper-Based Environment
Partially Digital Environment
Fully Digital Environment
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Product sheet
An auditor that works 24/7! Our platform audits your coded charts, whether from your team or from an external vendor, to determine whether assigned codes are supported by the clinical documentation.
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Case study
Learn how other hospitals have increased their auditing yield 3x by using Semantic Auditor to identify missed or underspecified codes.
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Blog
Pre-bill auditing proactively addresses the potential for costly denial risks by improving initial claim submissions. Learn how you can implement pre-bill auditing to proactively mitigate risk.
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