Medical Coding

Code with confidence. Get paid faster.

NOTENRA turns complete clinical context into accurate ICD-10-CM, CPT, and HCPCS coding, then puts every claim through human review before it moves downstream.

Human-reviewed qualityCompliance checks built inAudit-ready rationale

See the workflow

Encounter coding

Right knee procedure

Ready to submit

ICD-10-CMM17.11Primary OA, right knee

CPT20610Major joint injection

HCPCSJ3301Triamcinolone acetonide

Documentation

Matched

Modifier

Verified

Review

Complete

A clean path from chart to claim.

Four steps, one audit trail — with a certified coder standing between the automation and your claim.

Stage 01

The whole encounter, not just the note

A code is only defensible if the record supports it. Everything documented for the visit is pulled together first, so specificity is evidenced rather than assumed.

Diagnoses linked to procedures performed

Supporting documentation surfaced per code

Missing or ambiguous details flagged before coding

Step 1 of 4

Revenue integrity

More certainty in every coded encounter.

The goal is not faster code assignment. It is a workflow your clinical, coding, and revenue teams can trust together.

Fewer

preventable denials

Cleaner claims from the start

Documentation support, coding specificity, and modifier logic are checked before they can turn into downstream rework.

Faster

path to reimbursement

Billing gets a complete package

Your revenue cycle team receives reviewed codes with rationale attached, ready for submission instead of clarification.

Clear

coding rationale

Every choice is traceable

The evidence, the reviewer's decision, and the change history stay with the encounter — so any code can be explained months later.

Built

for compliance

Confidence under scrutiny

Code selection and supporting documentation are cross-checked with audit readiness in view, not reconstructed when a request arrives.

Consistent

across coders and sites

One standard, not ten habits

The same rules apply to every encounter regardless of who codes it, which removes the variation that makes audits unpredictable.

Scales

with encounter volume

Capacity without a hiring cycle

Volume spikes, vacations, and turnover stop dictating your coding backlog — throughput moves with the automated pass, not headcount.

Coverage across every code set that matters.

One workflow for the diagnoses, procedures, drugs, modifiers, and visit levels that together make a complete claim.

Diagnoses with the specificity the record supports

M17.11

Unilateral primary osteoarthritis, right knee

Clinical context is used to separate the diagnosis that is documented from the one that is merely possible — then coded to the highest specificity the chart actually evidences.

Laterality confirmed against the exam

Specificity supported by documentation

Assessment matched to the coded diagnosis

Coding support check

Laterality

Right — documented in exam and imaging

Specificity

Primary OA stated, not 'knee pain'

Support

Weight-bearing X-ray findings on file

Coding you can stand behind.

Quality is not a spot check at the end. It is a visible part of every coded encounter, from chart context to billing handoff.

Retrospective auditing

Catch it after the denial

Review coverageA percentage of encounters audited after submission

Where errors surfaceIn the denial, weeks later, as rework for the billing team

RationaleReconstructed from memory when an audit request arrives

Under-codingUnmeasured — only over-coding gets attention

ConsistencyVaries by which coder happened to pick up the encounter

NOTENRA

Prevent it before submission

Review coverageEvery encounter reviewed by a certified coder before it goes out

Where errors surfaceIn the coding pass, before the claim is ever created

RationaleRecorded with the encounter at the moment the code is chosen

Under-codingFlagged in both directions, so documented work is not left unbilled

ConsistencyOne rule set applied across every coder, site, and specialty

Evidence-backed coding

Every code tied to the documentation supporting it

Certified reviewers

CPC / CCS-credentialed coders on every encounter

Compliance cross-checks

NCCI, LCD, and payer rules applied pre-submission

Audit-ready history

Review decisions and changes retained in full

Coding questions.

ICD-10-CM, CPT, and HCPCS, along with modifier assignment and E/M level selection. Documentation cross-checks run across all of them, so the codes on a claim are consistent with each other and with the note.

More ways to strengthen the clinical record.

Coding is more reliable when documentation, billing, and every downstream workflow share the same source of truth.

Medical Coding

Make every claim easier to trust.

See how human-reviewed coding turns clinical context into a compliant, claim-ready package for your revenue cycle team.

Explore the workflow

Human-reviewed quality

ICD-10, CPT & HCPCS

Compliance and audit readiness