MEDIQCODE provides clinical coding solutions for hospitals, health centers, insurers, and health funds, with the evidence behind every code. The platform autonomously codes episodes for providers while its Lens product independently checks any coding against the medical recordCRIPTION. Both products trace every code to the specific line in the documentation that supports it.
Funding
Funding not disclosed
Founders
Product
Problem
Clinical coding errors create a two-sided problem: hospitals miss funding they have earned when codes drift from the medical record, while insurers and health funds cannot verify what they are paying for. Manual coding at scale creates backlogs, delays revenue, and leaves both providers and payers vulnerable to audits with codes that cannot be defended.
Solution
MEDIQCODE provides autonomous clinical coding for providers and independent coding verification for insurers and health funds through two products. Coding reads the medical record and assigns codes to every episode, displaying the supporting evidence beside each code while grouping the case and building audit into the workflow. Lens checks coding from any source—one case or a full extract—against the medical record to show what the documentation supports餐具, what it does not, and what deserves a second look. Both products trace every decision to the specific line in the record that justifies it, giving coders, auditors, and insurers a shared standard of evidence. The platform routes routine episodes automatically, surfaces the oldest and most urgent cases, and sends complex cases to the right coder with the reason.
Target Audience
Primary customers are hospitals and health centers needing high-volume inpatient coding, and insurers, health funds, and healthcare providers requiring independent verification of hospital claims against the medical record. The platform also serves coding teams, auditors, and clinical documentation improvement specialists.
Features
- Autonomous coding that reads the record, generates codes, and shows the evidence line beside each code before grouping
- Independent Lens checks on any case or batch, flagging codes the record supports, codes it does not, and items worth review
- De-identified data processing with encryption in transit and at rest, with hosting agreed alongside client IT and security teams
- Workflow routing that codes routine episodes before a coder opens them and escalates oldest or most urgent cases
- Review scaffolding with configurable review rates and documented reasons for every change made during review
- Operational dashboards tracking backlog, turnaround time, accuracy at review, case mix, and individual coder workload
- MediqAssist tool that answers coding questions with sourced responses from the record