The gap between clinical care and financial performance has never been wider. As health systems expand services and patient volumes rise, revenue cycle teams are being held back by one of the most persistent bottlenecks in healthcare: coding workflows that haven’t scaled with the rest of the enterprise.
For organizations that have piloted automation or introduced point solutions, the next question is clear: how do we scale autonomous coding safely, efficiently, and profitably?
From Documentation to Payment: A Closed-Loop Strategy
Leading RCM teams are moving beyond isolated automation projects and focusing on full-cycle revenue integrity – starting with documentation and ending with clean reimbursement. The formula is simple:
- Document what you do. Strengthen documentation quality through robust CDI workflows, helping ensure clinical encounters are captured completely and accurately.
- Charge for what you documented. Use autonomous coding to apply consistent, compliant coding across all encounters.
- Get paid for what you charged. Submit audit-ready claims that reduce denials and accelerate payments.
By connecting clinical documentation, coding, and billing, organizations can improve financial outcomes while reducing administrative friction across departments.
What’s Still Holding Health Systems Back?
Even with growing interest in automation, many organizations struggle to expand autonomous coding across the enterprise due to:
- Variability in documentation quality
- Coding inconsistencies across specialties and provider groups
- Concerns about audit defensibility and explainability
- Workflow disruption with EHR integration
- Difficulty tracking ROI and coder productivity improvements
Arintra addresses these challenges with an integrated engine that enables coding, CDI, and denials prevention in a unified system.
Arintra’s Strategic Advantage
Arintra’s AI powered autonomous coding engine is built for health systems. It integrates directly with leading EHRs like Epic and is designated in the Epic Toolbox for autonomous coding.
Through our work with leading health systems across the country, we’ve seen the real operational and financial challenges RCM teams face, from inconsistent documentation to coding backlogs and denial risk. That experience has shaped Arintra into more than just a coding engine. It is a comprehensive solution designed to improve upstream documentation, coding accuracy, and overall revenue performance.
The engine not only codes charts but also enhances upstream documentation quality by surfacing CDI insights, identifying gaps, and enabling better collaboration with physicians.
Key capabilities include:
- End-to-end chart processing with CPT, ICD, and modifiers
- CDI-aware workflows that flag documentation gaps and opportunities
- Explainable logic with audit trails for every code
- Specialty-specific rulesets to support consistent and compliant coding
- Real-time dashboards to monitor throughput, revenue lift, and coding impact
With Arintra, RCM leaders gain more than automation. They get insight-driven tools that improve both coding and documentation, reduce denials, and help close the loop from point-of-care to payment.
Case Study: Mercyhealth’s Scaled Deployment
Mercyhealth, a $5 billion health system with 85 locations across 55 communities, faced growing chart backlogs and coder fatigue, along with rising pressure to maintain compliance and billing accuracy.
By implementing Arintra across high-volume specialties, Mercyhealth achieved:
- 5.1% revenue uplift
- A/R days reduced from 14 to 7
- 88% direct-to-billing automation
- Coding workload automation equivalent to 8 FTEs
Kimberly Scaccia, Mercyhealth’s Vice President of Revenue Cycle, explains the impact:“Before, we were touching about 30% of claims from a coding perspective. Arintra allows us to ensure revenue accuracy based on documentation and be compliant, while freeing up coders to focus on highly complex services and value-added initiatives.”
To learn how Mercyhealth achieved these results, read the full case study here.
A Smarter RCM Model
Autonomous coding is no longer just about speed. It’s about creating a smarter revenue engine that connects coding, CDI, and denials prevention in a scalable, transparent workflow.
By improving documentation quality, reducing manual workload, and ensuring accurate and compliant claims, health systems can protect margins while enabling long-term financial sustainability.
Ready to see how autonomous coding and CDI-driven insights can elevate your revenue cycle performance?
Visit arintra.com to book a demo and learn more about our 90-day risk-free pilot.
*Epic is a registered trademark of Epic Systems Corporation.
