Code Audit Agent

Ensure coding accuracy , compliance, and correct reimbursement automatically.

The ImpactRCM Code Audit Agent reviews coded encounters for accuracy, compliance, and payer alignment. It flags errors, missing documentation, and reimbursement risks before claims are submitted. Teams spend less time on corrections, ensuring cleaner claims, fewer denials, and audit-ready records.

Built to Support Hospitals, Practices & Billing Companies

Incorrect or inconsistent coding can result in claim denials, underpayments, audits, and lost revenue. Manual code audits are slow, reactive, and often detect errors only after claims are submitted. ImpactRCM’s AI Code Audit Agent continuously reviews coded encounters for accuracy, compliance, and payer alignment. It automatically flags coding errors, missing documentation, and reimbursement risks before claims leave your system, ensuring cleaner claims, faster reimbursement, and audit-ready records from the start.

What It Does

How It Helps You

Features

The Code Audit AI Agent automatically reviews clinical documentation for coding accuracy, flags inconsistencies, and ensures compliance, reducing manual effort and missed revenue.

Real-time chart review for coding errors

Flags missing or inconsistent codes

Ensures CPT, ICD-10 & payer compliance

Predicts potential claim denials

Audit trail & review dashboard

Business Impact

The Code Audit AI Agent strengthens revenue integrity by catching coding errors early, improving compliance, and reducing denials, ensuring faster reimbursement and smoother operations.

Fewer coding errors & rework

Reduced risk of compliance issues

Faster claim approval & reimbursement

Optimized revenue capture

Frees coders to focus on complex cases

Built for Healthcare Teams

The Code Audit Agent is designed for coding, billing, and compliance teams who manage accuracy at scale. It automates the review of encounters, surfacing only the charts that need human attention. This reduces manual auditing effort and keeps workflows moving without interruption. Teams gain confidence that every claim is accurate, compliant, and ready for submission.

Ensure every claim is accurate, compliant, and audit-ready before it goes out.

Hospitals & Health Systems

Multi-Specialty Clinics

Physician Groups

Ambulatory Surgery Centers

RCM / Billing Companies

Get accurate claims. Minimize denials. Ensure compliance.

See the Code Audit AI Agent in action.

How It Works

STEP 01

Connect to your EHR / PM system

STEP 02

AI Agent verifies insurance & benefits in real-time

STEP 03

Flags exceptions for review (if required)

STEP 04

Updates records automatically

STEP 05

Claims get submitted clean, the first time

Why ImpactRCM

ImpactRCM combines deep RCM expertise with purpose-built AI designed for healthcare workflows, not generic automation. Fewer denials, faster payments, less manual work.

Purpose-built for healthcare RCM, not generic automation

Seamless EHR/PM integration for clean, consistent data flow

Real-time payer verification with accurate benefits and authorization checks

Reduces denials and front-end workload without adding staff