You will get AI Medical Coding Accuracy and Denial Management for Your Practice
Project details
AI agent that sits inside your existing EHR and catches what your coders miss. Reviews clinical documentation before claim submission. Suggests missing ICD and CPT codes. Catches wrong codes. Flags medical necessity gaps. Every suggestion cites specific evidence from the patient record. After remittance, it reads CARC and RARC codes, identifies denial root causes, and recommends specific fixes. Integrates with athenahealth, AdvancedMD, DrChrono, and other platforms via standard APIs. Live in 2 to 4 weeks. Your coders go from 50 charts a day to 150. 98%+ clean claim rates. Over 1 in 3 claims reviewed show coding improvements. This $100 covers EHR integration setup. The 2-week trial is free. No commitment beyond the trial.
AI Algorithms
Multimodal Large Language Model, Transformer ModelAI Applications
AI Chatbot, AI Content Creation, AI Text-to-Speech, Automatic Speech Recognition, Conversational AI, Natural Language Generation, Natural Language Understanding, Sentiment Analysis, Speech Synthesis, Synthetic Data Generation, Text RecognitionAI Development Language
PythonAI Tools
Azure OpenAI, Hugging FaceAI Models
BERT, ChatGPT, GPT-3, GPT-4What's included $100
These options are included with the project scope.
$100
- Delivery Time 14 days
- Number of Revisions 2
- AI Model Integration
- Database Integration
- Model Deployment
- Natural Language Processing
- Prompt Engineering
- Source Code
Frequently asked questions
About Sameh
Healthcare AI Agent | Medical Coding Accuracy | Denial Management
Doha, Qatar - 8:53 am local time
My product, Optimize AI, reviews clinical documentation before submission. It suggests missing ICD and CPT codes. Catches wrong codes. Flags medical necessity gaps. Identifies denial root causes after remittance with specific fix recommendations. Every suggestion is tied to what is actually in the patient record. No guesswork. No black-box coding.
Results: 98%+ clean claim rates. Over 1 in 3 claims reviewed show coding improvements that directly impact reimbursement.
The system integrates via API with existing EHR platforms — athenahealth, AdvancedMD, DrChrono, and others — in 2 to 4 weeks. Nothing changes in how your team works today. The AI plugs into the current workflow and starts catching revenue you are leaving on the table.
Supercharges existing coders. Staff that used to review 50 charts a day can handle 150. The AI does the heavy lifting on documentation review and code validation so coders focus on exceptions and complex cases.
The system operates across 5 revenue protection checkpoints: doctor ordering, preauthorization, patient discharge, claims submission, and rejection response.
30 years in healthcare IT — spanning health information systems, ERP, and RCM platforms. Both the technical depth to build these systems and the domain expertise to make them clinically accurate and payer-compliant.
What I deliver: AI agent development for clinical coding accuracy and denial management. Medical necessity validation with payer-specific rule logic. EHR and RCM API integration. Revenue cycle AI consulting and architecture.
Microsoft for Startups partner | Qatar Science & Technology Park incubatee | PMP Certified
Steps for completing your project
After purchasing the project, send requirements so Sameh can start the project.
Delivery time starts when Sameh receives requirements from you.
Sameh works on your project following the steps below.
Revisions may occur after the delivery date.
EHR Integration Setup
AI Agent Configuration