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AI - Powered Professional & Hospital Coding

AI - Powered Professional & Hospital Coding

Cainex deploys dedicated AI agents tailored to your specialties, payer mix and logic, and documentation workflows across both professional and facility coding.

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What makes Cainex different

Dedicated AI Agents Per Client

Configured to your internal rules, documentation patterns, and payer requirements.

Configured to your internal rules, documentation patterns, and payer requirements.

Configured to your internal rules, documentation patterns, and payer requirements.

Specialty-Specific Optimization

Adapted to Profee and facility coding across multiple clinical domains.

Adapted to Profee and facility coding across multiple clinical domains.

Adapted to Profee and facility coding across multiple clinical domains.

Continuous Learning Models

Performance improves over time as workflows evolve and guidelines update.

Performance improves over time as workflows evolve and guidelines update.

Performance improves over time as workflows evolve and guidelines update.

Integrated Compliance Framework

Audit-ready decision logic with traceability and reporting built in.

Audit-ready decision logic with traceability and reporting built in.

Audit-ready decision logic with traceability and reporting built in.

Capabilities

Professional (Profee) Coding

Facility Coding

Multi-specialty Support

EHR / PM Integrations

Audit Trail & Reporting

Results

Deliver 95%+ clean claim accuracy

Optimize for specialty, payer logic, and documentation patterns to reduce denials, minimize rework, and improve first-pass performance.

Optimize for specialty, payer logic, and documentation patterns to reduce denials, minimize rework, and improve first-pass performance.

Optimize for specialty, payer logic, and documentation patterns to reduce denials, minimize rework, and improve first-pass performance.

Eliminate Bottlenecks. Reduce A/R Days. Increase Revenue.

Accelerate coding throughput and improve claim completeness to shorten revenue cycles and stabilize cash flow.

Accelerate coding throughput and improve claim completeness to shorten revenue cycles and stabilize cash flow.

Accelerate coding throughput and improve claim completeness to shorten revenue cycles and stabilize cash flow.

Lower cost to collect

Reduce manual coding dependency and operational rework to improve efficiency and decrease total revenue cycle cost.

Reduce manual coding dependency and operational rework to improve efficiency and decrease total revenue cycle cost.

Reduce manual coding dependency and operational rework to improve efficiency and decrease total revenue cycle cost.

Scale without hiring

Support scalable growth across specialties and volume spikes without increasing headcount or outsourcing.

Ready to modernize your coding operations?

Request demo

Ready to modernize your coding operations?

Request demo

Ready to modernize your coding operations?

Request demo