Medical Coding

Medical coding · portfolio

One platform for outpatient coding and denial correction.

From a clinical note to billable codes — and from a denied claim to a corrected appeal — in minutes.

Two workflows, one platform — structured, auditable outputs for coders, billers, and denial teams. Demo runs on synthetic notes; production path is BAA-gated and described on the architecture page.

Example session

2 codes · 1 denial
CPT99214conf 0.95

Office/outpatient E/M, established patient

justified

ICD-10J02.0conf 1.00

Acute streptococcal pharyngitis

justified

flag

Missing time documentation

flagged before submission

denialCO-16

Missing/invalid information

corrected · appeal letter generated

Coding + denial packetReady to export

Two workflows. One platform.

The same system handles both sides of the outpatient revenue cycle: coding visits correctly the first time, and correcting denials when payers push back.

Workflow 1

Outpatient coding

  • From a clinical note to CPT and ICD-10 suggestions.
  • Justification spans that show exactly which words in the note support each code.
  • Documentation flags for missing elements and E/M leveling.
  • Evidence-grounded reasoning — model output drops any code whose quote isn't verbatim in the note.
  • Per-code accept / reject / edit, then export the coding packet.

For coding visits correctly the first time.

Workflow 2

Denial correction

  • From a denied claim to a corrected claim and an appeal letter.
  • Parse denial reasons and surface the documentation that's missing.
  • Generate corrected claim text aligned with payer expectations.
  • Produce a structured appeal letter with reusable, defensible language.
  • Track acknowledgment, reviewer, and notes for each denial.

For when payers reject claims and you need a repeatable correction workflow.

Why this matters

Outpatient clinics and billing teams lose time and revenue when coding is unclear and denial workflows are improvised. Both coders and denial teams get a structured, inspectable system instead of ad-hoc documents and emails.

For coders

  • See exactly which note span supports each suggested code.
  • Catch missing documentation before the claim is submitted.
  • Keep an audit trail of every decision, edit, and flag.

For denial teams

  • Standardize how denials are parsed and corrected.
  • Generate consistent, payer-ready appeal letters.
  • Keep a structured record of what was changed and why.

Who it's for

Built for teams that live in outpatient documentation, coding, and denials — and need a system that reflects real workflows instead of screenshots.

Outpatient clinics

  • Primary care, specialty, telehealth, urgent care.
  • Code visits and handle denials without new EHR integrations.

Billing companies (RCM)

  • One coding and denial layer across multiple clinics.
  • Standardize how denials are corrected and appealed.

Telehealth & healthcare SaaS

  • Embed coding and denial workflows alongside existing tools.
  • Exportable packets for internal or external review.

CDI and QA teams

  • Review justification spans and documentation flags.
  • Audit how each code and correction was derived.

Denial management teams

  • Move from ad-hoc appeals to a repeatable process.
  • Structured record of each denial and response.

Healthcare engineering teams

  • Working, inspectable architecture for coding and denials.
  • Reference implementation for real-world workflows.

What you get

One platform covering both sides of the outpatient revenue cycle, with outputs that can be inspected, exported, and defended.

Coding side

  • CPT and ICD-10 suggestions with confidence scores.
  • Justification spans tied verbatim to the clinical note.
  • Documentation flags and E/M leveling support.
  • Per-code accept / reject / edit, plus exportable coding packet.

Denial side

  • Denial reason parsing.
  • Correction text for resubmission.
  • Structured appeal letter generation.
  • Acknowledgment, reviewer, and notes tracking.

HIPAA-aware architecture — no marketing claim of compliance, just an honest, documented production path with BAA-gated model serving, encryption, audit logging, and a Safe Harbor de-identification boundary. Details on the architecture page.

Start with either workflow

Begin from a clinical note or a denied claim — both paths use the same underlying system. Coding and denials are not separate products; they share the data model, the audit log, and the export packet.

Available for remote contract or full-time work on healthcare-AI systems — autonomous coding, clinical NLP, RCM automation, EHR integration. mrglenncarter@gmail.com.