Sully.ai’s AI Medical Coder prepares clean, compliant drafts for coding and billing so your team can submit accurate claims faster, while you remain in control of what gets finalized.

What it does

• Suggests codes: Drafts ICD‑10‑CM diagnoses, CPT/HCPCS procedures, modifiers, and E/M levels based on the clinical note, orders, and encounter context.

• Documentation prompts: Flags missing elements (specificity, laterality, MDM details, time) and suggests wording to support medical necessity.

• Compliance checks: Runs common edit checks (e.g., bundling, mutually exclusive services, frequency limits) with plain‑language explanations.

• Payer rules (where configured): Applies plan‑specific guidelines such as diagnosis pointers, coverage notes, and required attachments.

• Charge capture: Prepares a draft charge list with units, place of service, and provider info mapped to your billing setup.

• Claim prep: Packages a coding summary and supporting snippets for your billing queue; drafts appeal/clarification language if a denial risk is detected.

• Audit trail: Links code suggestions to evidence in the note/transcript and logs all changes for review.

How it fits your workflow

• Drafts appear in your EHR/PM coding workspace via integrations.

• Clinicians and coders review, edit, and approve; nothing posts automatically unless you allow it for low‑risk cases.

• Approved items move to billing submission using your existing processes.