Medical Coding

StreamCode™

AI-powered medical coding API that analyzes clinical documentation and generates validated ICD-10-CM, CPT/HCPCS, modifier, and E/M coding recommendations. Built for server-to-server EHR integration. Human coders stay in control through confidence scoring, validation checks, and correction feedback loops.

Core Capabilities

  • AI-assisted coding recommendations from visit notes, operative reports, and discharge summaries
  • ICD-10-CM, CPT/HCPCS, modifier, and E/M suggestions with confidence scores and supporting documentation text
  • Validation layer — checks each code and returns a verification status (valid / flag / unsupported)
  • Documentation gap detection — surfaces missing or unsupported elements before submission
  • CCI edit analysis and payer-specific LCD/NCD context for revenue integrity workflows
  • Synchronous single-encounter coding and asynchronous batch jobs with webhooks and job polling
  • Coder correction feedback loops — every override is captured to improve future recommendations
  • HIPAA-grade: API-key authentication, encryption at rest and in transit, audit logging, PHI-safe logs, rate limits, idempotency, BAA available
Medical coding workflow with AI-assisted recommendations
Validated coding recommendations that accelerate coder review and surface documentation gaps.
streamcode · encounter
AI Diagnosis
M54.42
96% confidence
AI Procedure
99204 + Mod 25
Undercoding detected vs. 99203
Revenue Impact
+$94
Documentation supports higher E/M
How it works

Clinical documentation in — validated coding recommendations out.

An AI-assisted coding API with a built-in validation layer. Returns confidence-scored recommendations plus a verification status on every code so coders see issues up front, not after a denial.

streamcode flow Clinical Note Documentation in AI Analysis Opus reasoning ICD / CPT Codes generated Revenue Captured Undercoding caught streamcode flow (mobile) Clinical Note Documentation in AI Analysis Opus reasoning ICD / CPT Codes generated Revenue Captured Undercoding caught

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FAQ

StreamCode — frequently asked questions

AI-assisted medical coding analyzes clinical documentation and generates code recommendations — ICD-10-CM, CPT/HCPCS, modifiers, and E/M levels — with confidence scores, supporting documentation text, and validation status. A human coder remains in control: every recommendation is reviewed and either accepted, modified, or rejected before submission.
StreamCode is an API — designed for server-to-server EHR integration, not a standalone customer-facing UI. It accepts clinical encounter documentation and returns structured coding recommendations that your coding workflow or EHR can present to coders for review.
No. StreamCode returns coding recommendations with confidence scores and validation status. A licensed coder or provider reviews and verifies each recommendation before submission. The platform is designed around human-in-the-loop review — not autonomous coding.
CPT, ICD-10-CM and ICD-10-PCS, HCPCS Level II, modifier sets, place-of-service codes, and E/M level recommendations. NDC and DRG coverage is included for inpatient settings.
Every recommended code is validated before it's returned. The API checks code structure, payer-specific LCD/NCD context, CCI bundling rules, and documentation support, then returns a verification status (valid / flag / unsupported) alongside each recommendation — so coders see flagged issues up front instead of after a denial.
Yes. StreamCode supports both synchronous single-encounter coding (typically used during live coder review) and asynchronous batch jobs for overnight or backlog processing. Batch jobs return results via webhook callback or job-polling endpoints — whichever fits the integrating system's architecture.
When a human coder overrides, edits, or accepts a recommendation, that feedback is captured through a structured correction endpoint. This keeps the system aligned with your organization's coding standards and supports continuous accuracy improvement.
Yes. StreamCode is designed for HIPAA-regulated environments with API-key authentication, encryption in transit and at rest, audit logging, PHI-safe operational logs, rate limits, idempotency, and a Business Associate Agreement available on request.
StreamCode helps improve coding consistency, identify documentation gaps, and reduce manual review time. It does not guarantee specific reimbursement outcomes — coverage and payment decisions are made by payers based on their policies, documentation, and claim adjudication. StreamCode is a coder acceleration and revenue integrity support tool, not a payment guarantor.