Smarter Coding. Faster Reviews. Audit Ready from Day One.
Coding & NLP
AI-powered Coder Workbench and NLP for end-to-end risk adjustment precision.
Health plans and coding vendors alike face pressure to accelerate abstraction timelines, reduce manual errors, and ensure documentation integrity—all while preparing for increasing regulatory scrutiny.
85% - 90%
With NLP alone
95%
With human QA overlay
Coding & NLP
Overview
Invent Health’s Coder Workbench, powered by our proprietary Natural Language Processing (NLP) engine, transforms traditional coding into a streamlined, high-accuracy workflow. Whether used by in-house teams or outsourced vendors, our platform boosts coder productivity, accuracy, and audit defensibility.
Built for Medicare Advantage, Medicaid (Medi-Cal), and ACA lines of business, Invent Health’s coding platform delivers first-pass accuracy of 85–90% via NLP alone, and up to 95% with human QA overlay.
Highlights
Key Capabilities
NLP-Driven Abstraction
Surface HCCs, suspected conditions, missed opportunities, and documentation gaps from unstructured chart data in seconds.
Coder-Friendly Workbench Interface
Prioritize charts based on suspecting, risk value, member priority, and chart completeness. Integrated QA tools and audit trails included.
AI-Powered Chart Triage
Automatically route charts to coders based on complexity, provider documentation quality, and member risk impact.
Audit-Ready Documentation
Full lineage from chart to HCC capture to validation—supporting RADV, MAO-004, and internal coding audits.
Multi-LOB Coding Compliance
Supports HCC, RxHCC, Medicaid-specific models (e.g., CDPS), and ACA HHS-HCC abstraction—all in one place.
Integrated QA & Recapture Tracking
Run first-pass, second-pass, and third-level reviews. Track recapture rates, coder performance, and condition validation status.
Flexible Deployment
Use with your internal coders, Invent Health coding services, or third-party vendors. Cloud-based, scalable, and secure.
Highlights
Why Clients Choose Invent Health’s Coder Workbench + NLP
Other vendors
Traditional Approach
01
Speed & Scalability
Manual triage and review slow turnaround
02
Accuracy
75–80% first-pass accuracy with coder-only review
03
Audit Readiness
Disconnected notes, minimal traceability
04
Cost Efficiency
High rework costs, redundant coding
05
User Experience
Disjointed coder tools, difficult to scale
Invent hEALTH
Invent Health Advantage
01
Speed & Scalability
NLP-first abstraction with auto-triage accelerates throughput
02
Accuracy
85–90% NLP accuracy; up to 95% with QA overlay
03
Audit Readiness
Complete source-to-HCC audit trail for RADV & CMS reviews
04
Cost Efficiency
Streamlined workflows, higher coder productivity, fewer errors
05
User Experience
Clean, intuitive workbench with role-based dashboards
Other vendors
Traditional Approach
01
Speed & Scalability
Manual triage and review slow turnaround
02
Accuracy
75–80% first-pass accuracy with coder-only review
03
Audit Readiness
Disconnected notes, minimal traceability
04
Cost Efficiency
High rework costs, redundant coding
05
User Experience
Disjointed coder tools, difficult to scale
Invent hEALTH
Invent Health Advantage
01
Speed & Scalability
NLP-first abstraction with auto-triage accelerates throughput
02
Accuracy
85–90% NLP accuracy; up to 95% with QA overlay
03
Audit Readiness
Complete source-to-HCC audit trail for RADV & CMS reviews
04
Cost Efficiency
Streamlined workflows, higher coder productivity, fewer errors
05
User Experience
Clean, intuitive workbench with role-based dashboards
Sample Use Case
Plan Overview
Coding Model: HCC RxHCC HHS HCC
Workflow: NLP pre pass Coder review QA validation
Sample Use Case
Outcomes
Coding & NLP
Who It's For
Contact us
Coder Workbench &
NLP Solution
Schedule a live demo of our Coder Workbench and NLP solution.
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