AuditMind connects directly to your EHR, reads live patient charts, and delivers real-time DRG optimization, coding gap analysis, and AHIMA-compliant physician queries — in seconds.
From live FHIR data pull to compliant physician query drafts — AuditMind handles the full coding review workflow.
Connect to Epic and any FHIR R4-compliant EHR with a single OAuth2 login. AuditMind pulls patient demographics, encounters, diagnoses, procedures, labs, and clinical documents in real time — no manual chart uploads required.
Our AI engine analyzes every chart against MS-DRG grouping logic, CC/MCC capture rules, and CMS guidelines to surface missed diagnosis codes that can legitimately increase reimbursement — with supporting clinical evidence from the chart.
Automatically generate non-leading, clinically specific physician queries that comply with AHIMA and ACDIS standards. Queries include the clinical indicator, rationale, and multiple-choice response options — ready to send instantly.
AuditMind cross-references clinical documentation against coded diagnoses to find undercoded conditions. Each gap includes the ICD-10-CM/PCS code, CC/MCC level, priority rating, and exact clinical evidence from the chart.
Identify coding risk before the claim goes out. AuditMind flags potential upcoding, POA errors, laterality mismatches, HAC/PSI exposure, and procedure mismatches — each scored HIGH, MEDIUM, or LOW severity.
No EHR? Upload discharge summaries, operative reports, H&P notes, labs, and radiology reports in PDF, DOCX, TIFF, PNG, HL7, or XML. AuditMind performs the same complete audit from your uploaded documents.
AuditMind runs a complete clinical documentation integrity review end-to-end — automated.
Launch AuditMind directly from within your Epic workflow or via SMART standalone. A single OAuth2 login authorizes access to the patient's encounter and clinical data through your existing FHIR R4 endpoint — no VPN, no file exports.
AuditMind retrieves the full encounter record — conditions, procedures, observations, labs, coverage, and clinical documents. The AI engine reads and correlates every piece of clinical documentation simultaneously, the way a senior CDI specialist would.
AuditMind's AI engine applies ICD-10-CM/PCS Official Coding Guidelines, MS-DRG grouper logic, CMS CC/MCC tables, and OIG compliance rules to the chart data. Results stream back in real time — no waiting for a batch job.
Your team reviews prioritized coding gaps, DRG optimization opportunities, and compliance flags. Accept, reject, or hold each finding. Generate physician queries with one click. Export a complete audit packet or escalate to prior authorization.
AuditMind is built with the same security controls your compliance team expects from enterprise clinical software.
Every access, query, case action, and login event is written to an immutable audit trail. The application role cannot modify or delete log records — satisfying HIPAA access audit requirements.
Patient names, dates of birth, and MRNs are fetched from the FHIR server at audit time but never written to the AuditMind database. Only encounter IDs and coded diagnosis data are persisted.
Supabase Row-Level Security policies enforce strict tenant isolation. No facility can access another facility's cases or findings, even if they share the same database instance.
Designed to operate under Business Associate Agreements with all underlying technology vendors. BAA execution is supported for covered entities across our full infrastructure stack.
AuditMind adapts to the workflow of each clinician and coder who touches the chart.
AI-powered code suggestions with cited chart evidence. Stop second-guessing principal diagnosis sequencing and CC/MCC capture.
Concurrent chart review at scale. AuditMind surfaces documentation gaps and pre-drafts your physician queries before rounds.
Spot-check claims before submission and run retrospective audits. Every finding is traceable to a specific coding guideline or CMS rule.
Review AI-drafted queries before they go to physicians. AHIMA and ACDIS standards enforced automatically — no leading questions, ever.
Track DRG optimization impact across cases. Understand denial risk exposure in aggregate and act before claims leave the facility.
Beyond AI-powered audits, Synergy HIM Tech provides flexible coding staffing for inpatient, outpatient, and HCC programs — certified professionals who integrate with your team on day one, whether you need surge support or long-term coverage.
Complex acute care coding demands deep expertise in MS-DRG logic, POA indicators, CC/MCC capture, and HAC/PSI rules. Our inpatient coders bring facility-specific experience across medical, surgical, cardiac, orthopedic, and critical care service lines.
From ED visits to same-day surgery and ancillary services, our outpatient coders handle the full breadth of facility and pro-fee coding — with the speed and accuracy your revenue cycle demands across all payer types.
Hierarchical Condition Category coding directly impacts RAF scores, Medicare Advantage reimbursement, and ACO performance. Our CRC-certified HCC specialists ensure chronic conditions are fully documented, accurately coded, and compliant with CMS risk adjustment models.
Every coder meets our accuracy threshold before placement. Ongoing QA audits maintain quality throughout the engagement.
We place qualified coders within days, not weeks. Surge support, backlog clearance, or planned leave coverage — we move at your pace.
All coders hold active CCS, CPC, CRC, RHIT, or RHIA credentials with a minimum of 2 years hands-on coding experience.
Fully vetted remote workforce operating from secured, HIPAA-compliant workstations — BAA executed with every engagement.
Short-term surge, long-term outsourcing, or hybrid. Scale up or down as your volume demands — no long-term contracts required.
Our coders have experience across Epic, Cerner, MEDITECH, and Allscripts — minimal onboarding time, maximum productivity from the start.
Whether you're looking for an AuditMind AI demo or need experienced coding staff for inpatient, outpatient, or HCC programs — we're ready to help. Fill out the form and we'll be in touch within 2 business days.
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