Every wrong code is a future denial. Every missing code is lost revenue.

Coding errors cause 23 per cent of healthcare claim denials. Typical manual coding accuracy ranges between 60 and 85 per cent, leaving a significant margin for revenue leakage. The shortage of certified coders creates bottlenecks: the average backlog exceeds 3 days. A complex discharge with multiple diagnoses and procedures can require 30-45 minutes of coding work. With the transition to ICD-11 and increasing case-mix complexity, the demand for accuracy only grows.

AHIMA, Black Book Research 2024