Medical Coding Audit Trail for Compliance
The world’s first comprehensive, real-time coding audit. See how Health Coder checks every coded chart and flags risks before they become denials.
How the Audit Trail works
Four steps from coded chart to clear, actionable insight. You stay in control.
Coded charts flow in
From your coders or vendors
Every chart that your internal coders or external vendors complete is sent to Health Coder. We connect to your EHR or coding platform so nothing slips through—every coded encounter is included in the audit.
- Works with your existing coding workflow
- No double entry—automatic sync
- Supports in-house and outsourced coding
AI reviews every chart
Comprehensive, real-time validation
Our AI examines each coded chart against the clinical documentation. It checks for completeness, correct code assignment, and guideline compliance. This delivers comprehensive, real-time coding audit—no sampling, no delays.
- Every chart reviewed, not a sample
- Real-time as codes are submitted
- Documentation-to-code matching
Risks are flagged
Denials and downcoding caught early
Charts that may lead to a denial, unnecessary downcoding, or compliance issue are flagged with clear reasons. You see exactly what might be wrong and where, so you can correct before the claim goes out.
- Potential denials highlighted
- Downcoding risks identified
- Compliance and accuracy issues surfaced
You take action
Alerts, reports, and peace of mind
Get instant alerts and detailed reports in your dashboard. Review flagged charts, fix issues, and track trends over time. Your team stays in control with 99.9% reported validation agreement*—so you prevent revenue loss and stay audit-ready.
- Instant alerts and dashboards
- Detailed audit reports
- 99.9% reported validation agreement*
Why use Health Coder for audit?
Full visibility
See every coded chart. No blind spots, no sampling.
Catch issues early
Fix problems before claims go out—not after denials.
Audit-ready
Complete trail for internal and external audits.
Frequently asked questions
Is this the same as a payer audit?+
No. It is an internal coding audit trail: who assigned or overrode codes and why, so you can answer payer or compliance questions later.
Does it sample charts or review all of them?+
Health Coder is designed to review coded charts in the connected workflow rather than a small random sample. Scope still depends on what you send the system.
Authoritative sources
AI-Driven Accuracy. Built-In Compliance. Audit-Ready Always.
See how Audit Trail helps practices catch coding issues before they hit the payer.