ChartWhisper - Clinical Documentation Audit
For Medical Coders & Billing Specialists

Code Faster. Code Smarter. Code with Confidence.

ChartWhisper validates every CPT code, enforces ICD-10 specificity, and identifies revenue opportunities—before claims go out the door.

Stop wasting time hunting through lengthy notes. Our AI reads the chart, validates medical necessity, and flags issues in seconds—so you can focus on accurate, audit-ready coding.

50%
Faster Coding Time
15-20%
Revenue Increase
90%+
First-Pass Rate
High
Audit Confidence

We Know the Challenges You Face Every Day

Medical coding shouldn't be a guessing game. Yet coders waste hours validating documentation, chasing providers for missing details, and worrying about audit risk.

Time-Consuming Chart Review

Spending hours reading through lengthy notes to validate coding decisions and find supporting documentation.

Bottlenecks in workflow

Missing Documentation

Providers forget critical MEAT elements, leaving coders uncertain whether to code HCC conditions or downcode E/M levels.

Lost revenue & audit risk

ICD-10 Specificity Gaps

Vague diagnoses like 'diabetes' or 'back pain' without laterality or specificity lead to claim denials.

Denied claims & rework

Unclear CPT Support

Documentation doesn't clearly support billed CPT codes, creating vulnerability in audits and peer reviews.

Compliance risk

How ChartWhisper Transforms Your Coding Workflow

Our AI acts as your coding co-pilot, analyzing documentation in seconds and giving you confidence that every code is defensible.

Instant CPT Validation

ChartWhisper automatically analyzes MDM complexity, time spent, and procedure support to validate E/M codes (99211-99215, 99202-99205) and suggest appropriate billing.

MDM level assessment (straightforward → high complexity)
Time-based coding validation for counseling visits
Procedure CPT gatekeeping (e.g., ECG, nebulizer support check)
Modifier 25 opportunity detection for separate E/M + procedure

ICD-10 Specificity Enforcement

Substantially reduce unspecified diagnosis submissions. Our AI flags vague codes and suggests specific alternatives based on chart documentation.

Laterality validation (left/right knee, eye, etc.)
Specificity scoring for diabetes, HTN, pain conditions
HCC condition MEAT validation (M-E-A-T present?)
Risk-adjusted coding opportunities (RAF score impact)

Audit-Ready Documentation

Support defensible documentation for your coding. ChartWhisper helps verify medical necessity is documented before claims go out.

Pre-submission compliance checks
Documentation gap identification
Smart Phrase suggestions for missing elements
Audit trail for coding decisions

Revenue Capture Intelligence

Identify upcoding opportunities, missed HCC conditions, and E/M level upgrades that are clinically supported but underbilled.

E/M level upgrade alerts when MDM supports higher code
Chronic condition documentation (diabetes, COPD, CHF)
Preventive visit (AWV) HCC capture optimization
Insurance ambiguity detection (Medicare vs Commercial CPT)

Real Scenarios, Real Results

See how ChartWhisper catches issues and captures revenue that traditional coding workflows miss.

SCENARIO 1

Provider documents complex visit but bills 99213

ChartWhisper Result: ChartWhisper flags 3+ diagnoses managed, prescription changes, and data review → Suggests 99214 ($129) instead of 99213 ($92) = $37 revenue capture per visit

SCENARIO 2

Diabetes diagnosed but no type specified

ChartWhisper Result: System flags E11.9 (unspecified) → Suggests E11.65 (Type 2 with hyperglycemia) based on A1C result in chart → Claim paid on first submission

SCENARIO 3

Annual Wellness Visit for 67-year-old, insurance unclear

ChartWhisper Result: ChartWhisper proposes both G0439 (Medicare AWV) and 99397 (Commercial preventive) → Biller verifies insurance → Correct code submitted = $0 denial risk

SCENARIO 4

Nebulizer treatment + sick visit billed, no asthma exacerbation documented

ChartWhisper Result: CPT gatekeeping flags missing medical necessity for 94640 → Coder requests addendum → Audit-ready documentation secured

Complete Coding Intelligence Suite

Everything you need to code accurately, efficiently, and confidently.

Code Validation

  • E/M level validation (99211-99215, 99202-99205)
  • MDM complexity analysis (SF/L/M/H)
  • Time-based coding support
  • Procedure CPT gatekeeping
  • Modifier 25 opportunity detection

ICD-10 Optimization

  • Specificity scoring & validation
  • Laterality enforcement
  • HCC condition MEAT validation
  • Chronic disease documentation check
  • ICD-10 alternative suggestions

Revenue Intelligence

  • E/M upgrade recommendations
  • HCC capture opportunities
  • RAF score impact analysis
  • Undocumented condition alerts
  • Preventive visit optimization

Compliance & Audit

  • Documentation gap identification
  • Medical necessity validation
  • Smart Phrase suggestions
  • Pre-submission compliance checks
  • Audit-ready reporting

Trusted by Medical Coders Nationwide

"I was skeptical at first, but ChartWhisper cut my coding time in HALF. I can now code 40-50 charts a day instead of 20-25. The ICD specificity checks alone have saved me countless denials."

Sarah M., CPC
Multi-specialty practice, 15 providers

"The MDM validation is incredible. It catches E/M upgrades I would have missed and protects me from upcoding risks. My audit confidence has significantly improved."

Jennifer K., CCS
Internal medicine group, 8 physicians

"Our HCC capture rate went from 62% to 89% in the first quarter. The MEAT validation helps us code defensibly, not just aggressively. Compliance AND revenue—that's the sweet spot."

Michael R., RHIA
Value-based care organization

Frequently Asked Questions

Will this replace me as a coder?

No. ChartWhisper is a coding assistant, not a replacement. You make all final coding decisions. We simply speed up your workflow by pre-validating documentation and flagging issues before you waste time on incomplete charts.

How accurate is the CPT code validation?

Our AI is trained on CMS E/M guidelines (2021+) and validated against thousands of real audit cases. For E/M codes, we achieve 95%+ concordance with certified coders. However, you always review and approve final codes.

Does it work with my EMR system?

Yes. ChartWhisper integrates with eClinicalWorks, Athena, Epic, Cerner, and other major EMRs. We can also work with exported PDFs or text notes if direct integration isn't available.

What if a provider's documentation is terrible?

That's when ChartWhisper shines. We identify exactly what's missing and generate Smart Phrase suggestions you can send back to the provider. This creates a feedback loop that improves documentation quality over time.

How long does setup take?

Most practices are up and running in 1-2 weeks. We handle EMR integration, train your team, and provide ongoing support. Many coders are productive on day one.

Can I trust the HCC/RAF recommendations?

Our HCC validation uses MEAT methodology required by CMS. We only flag conditions as HCC-eligible when Monitoring, Evaluating, Assessing, and Treating elements are documented. This protects you from overcoding risk.

Ready to Transform Your Coding Workflow?

Join hundreds of medical coders who code faster, more accurately, and with complete confidence.

See ChartWhisper in action with a personalized demo tailored to your practice's needs.

ChartWhisper is a documentation assistant tool. All coding decisions remain the responsibility of certified medical coders. We provide suggestions for review and validation, not automated coding.