DRG Coding Automation for Health Information Technicians
Let your AI agent handle DRG assignment, code validation, and audit prep—so you can focus on resolving complex cases and patient care.
You spend hours in 3M 360 Encompass, Epic, or Cerner, double-checking codes and tracking down documentation in shared drives. As a health information technician, every missed code or incomplete record means more claim denials, audit stress, and late nights fixing mistakes.
An AI agent that assigns DRGs, checks codes, and prepares audit-ready reports for health information technicians—reducing errors and manual review.
What this replaces
The hidden cost
What this is really costing you
In healthcare, health information technicians often waste 8-10 hours each week manually assigning DRGs, validating ICD-10 codes in 3M 360 Encompass, and compiling reports for audits. Juggling multiple EHRs like Epic and Cerner, you’re forced to cross-reference codes and scan PDFs for missing documentation. This tedious process leads to fatigue, missed details, and increased risk of claim denials.
Time wasted
8-10 hrs/week
Every week, burned on work an AI agent handles in minutes.
Money lost
$21,000/year
In salary, missed revenue, and operational drag — annually.
If you keep ignoring it
Ignoring this means higher claim denial rates, failed audits, and compliance penalties. Backlogs grow, revenue is lost, and your team faces mounting pressure from leadership.
Cost estimates derived from U.S. Bureau of Labor Statistics occupational wage data and O*NET task analysis.
Return on investment
The math speaks for itself
Today — without agent
9 hrs/week
of manual work
With your AI agent
1.5 hrs/week
agent-handled
You save
$17,500/year
every year, reinvested into growing your business
Estimates based on U.S. Bureau of Labor Statistics median salary data and O*NET task importance ratings from worker surveys. Time savings assume 80% automation of eligible task components.
Jobs your agent handles
What this agent does for you
Complete jobs, handled end-to-end — so your team focuses on what matters.
Rapid DRG Assignment for New Admissions
You ask your agent to review a new patient’s chart and assign the correct DRG, saving you time on routine cases.
Double-Check Complex Cases
You ask your agent to double-check your DRG assignment on a complicated patient with multiple diagnoses.
Audit Preparation
You ask your agent to generate a summary report of recent DRG assignments for internal or external audits.
Flagging Potential Coding Issues
You ask your agent to scan for missing documentation or code mismatches before finalizing a DRG.
How to hire your agent
Connect your tools
Link your existing EHR, coding databases, and DRG grouping software so the agent can access relevant patient and coding data.
Tell your agent what you need
Type: 'Assign the correct DRG to this patient based on their chart and diagnoses.'
Agent gets it done
The agent reviews the records, assigns the DRG, flags any issues, and provides a summary report.
You doing it vs. your agent doing it
Agent skill set
What this agent knows how to do
Automated DRG Assignment
Analyzes patient charts from Epic or Cerner and delivers the most accurate DRG based on diagnosis and procedure codes.
Code Consistency Check
Validates ICD-10 and procedure codes against the CMS Grouper and flags any mismatches before submission.
Documentation Gap Detection
Reviews attached clinical documents and highlights missing or incomplete information needed for compliant DRG grouping.
Audit-Ready Summary Generation
Prepares a concise report with DRG rationale, code selections, and any flagged discrepancies for audit preparation.
Complex Case Review
Handles multi-diagnosis cases by synthesizing data from multiple EHR entries and surfacing potential coding conflicts.
AI Agent FAQ
Yes, your agent can access patient records from Epic, Cerner, and 3M 360 Encompass via secure API connections or manual data uploads. This ensures DRG assignments use up-to-date information from your primary systems.
All data is encrypted in transit using TLS 1.3 and never stored after your task is complete. The agent processes information only when you initiate an assignment, meeting HIPAA compliance standards.
Absolutely. The agent can analyze charts with multiple diagnoses, cross-reference codes, and provide a recommended DRG. You’ll always have the final review before submission.
No, your agent works alongside systems like 3M 360 Encompass, providing instant recommendations and error checks. It complements your workflow, so you don’t have to change your existing setup.
The agent currently supports English-language records and works best with structured data from Epic, Cerner, and 3M. Multi-language support and additional EHR integrations are planned.
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