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AI Medical Coding

Where documentation becomes funding integrity.

Clinical information is often fragmented across progress notes, pathology, radiology, discharge summaries and handwritten documents. NexusMD.ai consolidates everything into one patient record, generates review-ready coding recommendations, and links every recommendation back to its clinical evidence.

AI-captured clinical information Medical Synopsis ICD-10-AM · ACHI · AR-DRG Linked evidence Coder review and approve
Bring everything together

Every patient. One complete record.

Bring fragmented clinical information into one consolidated patient file before coding begins.

  • databaseEMR and PMS records
  • descriptionProgress notes
  • biotechPathology
  • radiologyRadiology
  • drawHandwritten documentation
  • clinical_notesNexusMD.ai clinical documentation
NexusMD.ai — Complete patient record
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NexusMD.ai — Coding workspace
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Review-ready coding

From hundreds of pages to review-ready codes.

AI analyses every relevant document and prepares ICD-10-AM, ACHI and AR-DRG recommendations together with a concise medical synopsis.

  • summarizeMedical synopsis
  • sellICD-10-AM recommendations
  • medical_servicesACHI procedure recommendations
  • account_treeAR-DRG assignment
Every recommendation explained

Every recommendation backed by evidence.

Coders can inspect the reasoning behind each recommendation and return directly to the clinical source before making the final decision.

  • lightbulbClinical reasoning
  • descriptionSource document
  • linkDirect hyperlink
  • format_ink_highlighterHighlighted source evidence
Code → reasoning → source evidence
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Coder review and audit trail
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Coder control

AI recommends. Coders decide.

Qualified coders retain authority to review, edit, override, query and approve every coding outcome.

  • fact_checkReview
  • editEdit
  • swap_horizOverride
  • check_circleApprove
  • contact_supportQuery documentation gaps
Operational impact

More patients coded. Less backlog waiting.

By automating the first pass, coding teams spend less time searching and more time reviewing, improving throughput without compromising governance.

  • boltFaster coding turnaround
  • trending_downReduced backlog
  • verified_userStronger funding integrity
  • paymentsMore predictable revenue cycle
Coding operations dashboard
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Evidence and trust

Built for Australian clinical coding.

Certified for AR-DRG Versions 9–12

IHACPA-certified AR-DRG grouping, applied to the code set the coder approves.

  • workspace_premiumAR-DRG Versions 9, 10, 11 and 12
  • how_to_regGrouping applied after coder approval
Australian coding standards

Recommendations are prepared against the Australian classification set used by your HIMS team.

  • sellICD-10-AM
  • medical_servicesACHI (National Coding Advice)
  • account_treeAR-DRG
Evidence and audit

Governance is built into the workflow, not added afterwards.

  • linkEvidence-linked recommendations
  • travel_exploreSource traceability
  • historyAudit-ready reasoning
  • policyGovernance by design
The care-to-coding journey

Clinical information continues creating value after care is delivered.

phone_in_talk
Patient Intake
emergency
Ambulance
monitor_heart
Emergency
bed
Inpatient
event_available
Outpatient
receipt_long
Coding
payments
Funding integrity

Better codes start with
better clinical information.

See how NexusMD.ai helps coding teams review faster, reduce backlog and strengthen funding integrity.

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