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CodaMetrix

AI platform automates clinical coding

Overview

CodaMetrix provides an AI-powered medical coding platform for healthcare providers to translate clinical information into accurate codes, reducing administrative work and supporting revenue cycle processes. The system autonomously codes up to 70% of cases, reducing manual coding by 60-70% and speeding turnaround, while continuously learning from more data to improve coding across multiple specialties. It differentiates itself from rule-based NLP and existing CAC by offering autonomous, multi-specialty coding with ongoing learning to cut denials and coding costs at scale. The goal is to ease provider administrative burden, accelerate coding, lower costs, and improve revenue cycle outcomes through scalable AI-assisted medical coding.

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About CodaMetrix

Simplify's Rating
Why CodaMetrix is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & AnalyticsEnterprise SoftwareAI & Machine LearningHealthcare

Company Size

51-200

Company Stage

Series B

Total Funding

$95M

Headquarters

Boston, MA

Founded

2018

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What believers are saying

  • June 2026 council formation with major health systems expands trust and distribution.
  • November 2026 webinars with Cedars-Sinai, Prisma Health, and Emory show active customer pull.
  • 2026 Best in KLAS ranking supports enterprise sales into large provider systems.

What critics are saying

  • September 2026 BCBS flagged AI billing inflation, inviting payer scrutiny and audits.
  • Headcount fell to 145 in 2026; weak hiring signals slower product execution.
  • If payer backlash hardens, autonomous coding adoption stalls and CodaMetrix becomes a compliance target.

What makes CodaMetrix unique

  • Built inside Mass General Brigham, CodaMetrix ships workflows tuned to hospital coding realities.
  • June 2026 Coding Quality Council gives CodaMetrix governance leverage competitors lack.
  • February 2026 Best in KLAS #1 status validates autonomous coding performance.

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Funding

Total Funding

$95M

Above

Industry Average

Funded Over

2 Rounds

Series B funding is typically for startups that have proven their business model and need more funding to expand rapidly—often by entering new markets or adding more products. Investors are usually venture capital firms that specialize in later-stage investments.
Series B Funding Comparison
Above Average

Industry standards

$35M
$40M
$45M
$65M
$100M

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Retirement Plan
  • Unlimited Paid Time Off
  • Hybrid Work Options
  • Life Insurance
  • Disability Insurance

Company News

CodaMetrix
Sep 18th, 2026
CodaMetrix—Made By Providers. For Providers.

CodaMetrix — Code For Better. We’re reimagining the future of revenue cycle management with AI-powered contextual coding automation. Made by providers for providers, CMX CARE embraces a “code once, use many” approach, creating a longitudinal patient record that serves multiple purposes across reimbursement, quality, and research.

PR Newswire
Feb 4th, 2026
CodaMetrix Named No. 1 in Inaugural Best in KLAS Title for Autonomous Medical Coding

CodaMetrix named No. 1 in inaugural Best in KLAS title for Autonomous medical coding. Feb 04, 2026, 08:00 ET Customers recognize CodaMetrix as the category leader in coding accuracy, product excellence, technology advancement, and specialty representation. BOSTON, Feb. 4, 2026 /PRNewswire/ - CodaMetrix, the market leader in autonomous medical coding, today announced it has been ranked No. 1 in the 2026 Best in KLAS segment for Autonomous Coding, reflecting its leadership in defining and setting the performance standard for the category. "The Best in KLAS winners have earned the trust of their customers over the past year," said Adam Gale, CEO of KLAS Research. "With this recognition, they set the standard for excellence through partnership in healthcare technology and services in the months to come." Health systems today face tighter budgets, workforce shortages, and growing patient volumes, while navigating shifting payer guidelines. Medical coding remains a cornerstone of reimbursement, yet complex cases and persistent staffing shortages continue to create operational and financial bottlenecks. While many solutions offer partial automation or AI-assisted workflows, true autonomy has remained elusive. CodaMetrix addresses this gap, enabling health systems to: * Automatically code high-volume cases end to end, without routine human intervention * Maintain enterprise-grade accuracy and auditability * Scale consistently across specialties and facilities * Deliver measurable operational and financial outcomes Unlike solutions focused on narrow use cases, CodaMetrix's CMX CARE(TM) platform has demonstrated enterprise-wide adoption, with diverse specialty representation reflected in KLAS customer interviews - including Radiology, Pathology, Surgery, and Evaluation & Management - as reported in the 2025 KLAS Autonomous Coding report. In that report, customer feedback reflects performance across key dimensions such as likelihood to recommend, integration support, implementation quality, and measurable outcomes - highlighting strong buyer confidence: * 93% of customers would buy again * 93% say CodaMetrix is part of their long-term plan * 8.0 "Likely to Recommend" score "We've spent years building AI that understands the full clinical story behind every code, not just replicating errors that impact health systems' bottom lines," said Hamid Tabatabaie, CEO of CodaMetrix. "Health systems don't just need automation, they need a partner that raises the bar on accuracy, consistency, and coding quality compliance across the enterprise. That's the role CodaMetrix plays every day." CodaMetrix partners with over 30 leading health systems across 27 states to advance autonomous coding through standardized industry benchmarks, governance frameworks, and transparent performance reporting, driving measurable outcomes and setting the standard for coding quality. About CodaMetrix CodaMetrix is the category leader in autonomous medical coding transforming revenue cycle operations through enterprise-grade AI automation. Built in partnership with providers representing more than 500 hospitals, including nine U.S. News & World Report Honor Roll institutions, CodaMetrix delivers scalable, end-to-end automation across specialties. Its CMX CARE(TM) platform leverages longitudinal clinical context to enable accurate, consistent, and autonomous coding at scale. CodaMetrix helps organizations reduce coding costs by more than 50%, cut manual coding by over 70%, and lower coding-related denials by up to 60%. About KLAS KLAS helps healthcare providers make informed technology decisions by offering accurate, honest, and impartial vendor performance information. KLAS monitors vendor performance through interviewing thousands of healthcare providers representing healthcare organizations throughout the US and here and there across the globe. KLAS uses a simple methodology to ensure all data and ratings are accurate, honest and impartial to help create market moving moments. Learn more at klasresearch.com. SOURCE CodaMetrix

The Healthcare Technology Report
Dec 6th, 2024
CodaMetrix Appoints Robin Lloyd as Chief Operating Officer

CodaMetrix appoints Robin Lloyd as Chief Operating Officer.

TechCrunch
Jun 25th, 2024
10 Of The Most Exciting Digital Health Startups Of 2024, According To Vcs

In the post-COVID world, VCs say it’s not as easy to get excited about investing in digital health. Deal activity in healthcare IT was relatively flat in Q1 2024 at 74 total deals, valued at about $1 billion total, up only 3% from the year-ago quarter, according to PitchBook data. Still, promising startups have grabbed investors’ attention this year. TechCrunch spoke with about a dozen healthcare VCs about the companies they think have the most promising future. While recently formed AI-driven startups that are solving staggering administrative challenges in the U.S. healthcare system dominated their recommendations, they also mentioned several slightly older, non-AI-focused businesses.We narrowed their suggestions to the list of names that more than one VC mentioned, which came in at an even 10 companies. VCs discussed with us the companies that were both in their portfolios and not.AbridgeWhat it does: Uses AI to automate medical records based on conversations between doctors and patients.Founded in 2018 by Shiv Rao, a practicing cardiologist, Abridge is an early entrant into the medical note-taking space and one that has secured integration with the all-powerful Epic Systems health records software. Why it’s promising: The Pittsburgh-based startup generates excitement among investors and hospital systems eager to free up physicians’ time spent on note-taking

MM+M
May 23rd, 2024
The Escalator: Novartis, Immunome, Cour Pharmaceuticals and more

Chris Gervais was appointed as chief technology officer of CodaMetrix.

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