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Description

EncoderPro Spotlight, developed by OptumCoding, is an online medical coding reference tool specifically crafted to assist professionals involved in ambulatory coding, billing, and reimbursement by providing them with timely and precise access to various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS, and ICD-9-CM, as well as relevant regulatory guidance; this software boasts robust search and reference functionalities that integrate numerous procedure, service, supply, and diagnosis codes along with detailed descriptive and cross-coding data, allowing users to swiftly identify the appropriate codes and minimize submission errors. In addition to fundamental code listings, it also offers unique content and tools that enrich users' understanding of compliance issues, addressing topics such as National Correct Coding Initiative (NCCI) edits, Hierarchical Condition Categories (HCCs), and policies regarding coverage determinations, while featuring automated review options for correct unbundling and modifier application, alongside a comprehensive historical content database for adjudication purposes. This makes EncoderPro Spotlight an invaluable resource for coding professionals seeking to enhance their accuracy and efficiency in the complex landscape of medical coding.

Description

MedCoder.ai serves as a complimentary medical coding resource, utilizing publicly accessible files from CMS, CDC, AHRQ, and FDA. This platform encompasses a wide range of information, including ICD-10-CM diagnosis codes, HCPCS Level II codes, ICD-10-PCS procedures, MS-DRGs, CCSR clinical groupings, lab NCD references, the NDC directory, and various modifiers. Among its features are tools like Compare, which illustrates the Excludes1/Excludes2 relationships between different codes, and Claim Check, which verifies up to 25 diagnosis codes for potential Excludes1 conflicts, sequencing issues, the absence of 7th characters, and billable status. Additionally, it offers an ICD-10-PCS Builder and a release ledger detailing changes for Fiscal Year 2027. Users can access the site without needing to register or encounter advertisements, and all content has been reviewed by humans to ensure accuracy and reliability. This resource aims to streamline the medical coding process for healthcare professionals.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

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Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

Free
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Optum

Country

United States

Website

www.optumcoding.com/online-coding/encoderpro-spotlight/

Vendor Details

Company Name

MedCoder.ai

Founded

2026

Country

United States

Website

medcoder.ai

Product Features

Product Features

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