Drugs & Codes Extraction

Extract medical codes and drugs with evidence you can defend.

MediCoder turns clinical documentation into reviewed, standardized data — ICD-10-CM / ICD-11 / ICD-10-PCS codes, medications mapped to the Japanese drug master (YJ), structured facts such as switch reasons and disease scores, and cleansing dictionaries for hospital terms — every result tied to source evidence and an audit trail.

  • HIPAA-aligned audit logging per case
  • Drug master (YJ) and 傷病名 mapping with pharmacist review
  • Role-based access for coders and supervisors
  • Configurable confidence thresholds
workspace / case-review / discharge-2024-1187
Pilot
Suggestions
I50.2392%

Acute on chronic systolic CHF

N17.981%

Acute kidney injury, unspec.

E11.6568%

Type 2 DM w/ hyperglycemia

J18.954%

Pneumonia, organism unspec.

Final
PDXI50.23
N17.9
E11.65
Code systems
5+

ICD-10-CM, ICD-11, ICD-10-PCS, ICD-9-CM and the JP drug master (YJ)

Audit depth
Full trail

Evidence, model version, and reviewer on every decision

Review layout
3-column

Pilot report, suggestions, and final codes side by side

Access control
RBAC

Coder, supervisor, and admin roles with PAT support

Platform

One workspace for coding, review, and governance

MediCoder is designed around how enterprise coding departments operate — from document intake through final code assignment, with supervision and audit built in.

AI-assisted accuracy

Ranked medical code suggestions with confidence scores and pilot model review for complex encounters.

  • Multi-model analysis pipeline
  • Confidence-graded suggestions
  • Manual code override support

Evidence & audit

Every code ties back to a span in the source document, with reasoning coders can verify in seconds.

  • Source evidence highlighting
  • Append-only case audit log
  • Configuration snapshots

Enterprise operations

Document libraries, bulk workflows, and governance controls designed for hospital-scale teams.

  • Document library with tagging
  • Supervisor review workflows
  • Integration via personal access tokens
Capabilities

Built for high-volume clinical coding operations

Every capability supports accuracy, throughput, and traceability — the priorities of enterprise revenue cycle and CDI teams.

Unified coding workspace

Pilot report, AI suggestions, and final codes in one view — no tab switching during review.

Document management

Folders, tags, extraction status, and re-attach workflows for high-volume chart processing.

Drugs & cleansing dictionary

Map hospital drug and disease names to the JP masters — exact, modifier-stripped, then AI — with bulk review and dictionary export.

Operational visibility

Track analysis jobs, processing status, and case progress across your coding queue.

Compliance-ready logging

Append-only audit history with role guards and reviewer attribution on every action.

Secure by design

Role-based permissions, token-based API access, and configurable confidence policies.

Workflow

From document upload to locked final codes

A structured four-step process that keeps coders, supervisors, and compliance aligned on every case.

  1. 1

    Ingest

    Upload clinical notes, operative reports, and labs. Text extraction runs automatically.

  2. 2

    Assemble

    Bundle documents into a case with encounter context, payer, and coding scope.

  3. 3

    Analyze

    Run AI analysis. Monitor job status and review ranked suggestions as they arrive.

  4. 4

    Finalize

    Accept, reject, or flag codes. Add manual entries. Lock the case with full audit trail.

How it works

Clinical narrative to defensible code assignment

Evidence spans in the source document drive every suggestion. Coders see the reasoning, confidence, and source quote — not a black box.

  • Highlighted evidence per suggested code
  • Confidence-graded ranking with pilot review
  • Accept, reject, or flag — with full audit history
DISCHARGE SUMMARYMRN-1187ASSESSMENTacute on chronic systolic CHFAKI, creatinine 2.4T2DM with hyperglycemia3 entitiesMediCoderNERRankQACODES & DRUGSICD · YJI50.2392%Ac/Chr systolic CHFN17.981%Acute kidney injuryE11.6568%T2DM w/ hyperglyc.J18.954%Pneumonia, unspec.2 accepted · 1 review · 1 flagCLINICAL NOTEAI RECOGNITIONRANKED MEDICAL CODES
Security & compliance

Governance and traceability, by default.

Every accepted code links back to its evidence span, model version, configuration snapshot, and reviewer. Enterprise teams get the audit depth they need for internal QA and external review.

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  • Append-only audit log per case
  • Role-based access (Coder / Supervisor / Admin)
  • Personal access tokens for system integrations
  • Configurable confidence thresholds
  • Pilot model second-opinion review
  • Evidence-linked code assignment

Ready to modernize your coding workflow?

Deploy MediCoder for your coding team or schedule a walkthrough with our healthcare technology specialists.