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Code smarter to streamline your revenue cycle and empower patient care
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Our Neuro-Symbolic AI processes charts end-to-end, followed by expert audits from certified CPC and CRC coders. This dual-layer approach ensures accuracy, reduces costs, and frees up clinical teams to focus on care.
Encipher Health supports healthcare organizations with scalable AI solutions that improve documentation,
streamline workflows, and drive better outcomes.
Enhance documentation accuracy, close care gaps, and strengthen revenue integrity with AI-powered insights seamlessly integrated into existing workflows
Enhance risk adjustment accuracy and quality performance across Medicare Advantage, ACA, and Medicaid programs with real-time, audit-ready intelligence
Advance value-based care with predictive AI that drives proactive risk adjustment, precise documentation, and improved quality performance
Boost accuracy, minimize denials, and improve operational efficiency through intelligent automation and streamlined coding workflows
Make risk adjustment seamless with Neuro-Symbolic AI automation and expert validation
AI-Driven HCC Coding Solutions
Enhance HCC coding accuracy and efficiency with innovative AI technology.
Manual HCC Coding Solutions
Maintain precision and compliance with expert-led coding workflows.
Risk Adjustment Calculator
Efficiently obtain RAF scores for bulk HCC codes, streamlining risk assessment processes.
Accelerate anesthesia workflows with AI that extracts ASA & ICD-10 codes, modifiers, and HCPCS directly from clinical documentation.
Automated Coding ASA & HCPCS modifiers applied accurately
Time & RVU Tracking Precise billing calculations
Audit-Ready Reporting Transparent, traceable coding records
Transform radiology reports into structured, billable data with AI that understands clinical nuance.
Automated extraction of CPT, ICD-10-CM, and modifiers
Customizable workflows and file exports
High-volume scalability for radiology practices
Capture essential codes for colonoscopy and endoscopy procedures with unmatched precision.
CPT, ICD-10, and HCPCS extraction from unstructured data
Payer-based modifier support for multi-procedure cases
Reduced documentation gaps and improved workflow
Smart AR Workflow & Revenue Cycle Automation
Automated, compliant payer engagement across eligibility, claims, denials, and appeals
Real-time claim status, eligibility, and denial insights across Medicare and commercial payers—no manual follow-ups
Standardized, audit-ready documentation with structured call notes and action tracking
Real-time analytics to track payer behavior, denial trends, follow-up performance, and recovery timelines
Predictive prioritization of aging, high-value, and high-risk accounts to maximize cash flow impact
Neuro-Symbolic AI driven Evaluation & Management coding with consistent, documentation-aligned code selection.
CPT code assignment based on MDM (Medical Decision Making) and time-based guidelines
Automated extraction from unstructured clinical notes
Dataset-aware (EFC, PROXI, RBUC, FTM) guideline application
Built-in compliance checks to minimize audit risk and payer denials
Scale ICD-10-AM coding efficiently with Neuro-Symbolic AI-driven precision and compliance.
Accurate ICD-10-AM and combination code assignment from clinical documentation
Intelligent extraction from unstructured patient records
MEAT-aligned logic to meet documentation and compliance standards
Reduced documentation gaps and faster coding workflow
Improve home health documentation and coding with Neuro-Symbolic AI. Automate home health coding with precision, speed, and compliance.
Accurate ICD-10/HCC assignment from unstructured clinical data
OASIS & POC (Plan of Care) diagnosis mapping with Neuro-Symbolic AI-driven logic
Reduced coding turnaround time, enabling faster billing and reimbursement
Scales seamlessly for high-volume home health agencies with consistent quality
An automated platform in EHRs detects coding gaps, aligns with HCC criteria, and ensures accurate documentation.
Robust security features safeguard your data against potential threats while ensuring HIPAA compliance.
Our AI predicts future diagnoses, optimizing risk adjustment through predictive modelling.
Experience unprecedented productivity boosts with our innovative solutions.
Achieve high precision in results, ensuring reliable outcomes consistently.
Significantly lower expenses while maintaining quality and performance standards.
Data-driven insights empower healthcare providers to enhance patient outcomes.
Capable of processing numerous file types such as FHIR, HL7 V2, HL7 V3, HL7 R2, XML, JSON, PDF and CDA, our advanced technology supports more than 25 EHR formats. This capability enhances the quality of patient care across healthcare systems through seamless data exchange and accessibility.
AI Powered Medical Coding Intelligence
© 2026 Encipher Health Inc. All rights reserved.
1007 N Orange St. 4th Floor
Ste. 1382 Wilmington, New Castle,
DE- 19801
+1 (302) 353-1211
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