Semantic Auditor is an AI-powered auditing software that helps providers improve the efficiency and accuracy of manual, error-prone medical coding audit processes that rely on unstructured clinical documentation.
Semantic Auditor uses proprietary machine learning models, tuned to your unique patient population, to complete a secondary review of all coded and claims data with reference to source clinical data. This helps providers streamline pre-bill coding and revenue integrity audits to reduce coding errors, limit denials, and optimize reimbursements.
of data is reviewed by AI
faster auditing process
increased audit yield
effective ROI on the product
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Complete coverage of claims data
Identify all opportunities to improve coding and reduce denials as they emerge.
Explainable AI suggestions
Focus your attention to the exact location in the documentation requiring review with explainable AI.
Data-Driven CDI insights
Flag common documentation and coding error patterns to spin up higher impact and relevant CDI programs.
Touchless & secure deployment
Seamless and securely deploy on-premise or through our SOC2 and HIPAA compliant cloud environment. Integrate with all major EHR and billing systems.
Our platform is EMR agnostic and can integrate with all EMRs through standard interfaces, like HL7. This includes market leading EMRs like Epic, Meditech, and Cerner.
Fully Digital Environment
Partially Digital Environment
Paper-Based Environment
Get AI to take the first pass, with Semantic Health.
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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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