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Solution suite

Comprehensive coding solutions

Explore a robust suite of AI-driven coding solutions with customization options to suit a range of health care organizations of varying sizes and structures.

Healthcare coding solutions tailored to fit your organization

Our flexible solutions integrate advanced AI technology with the experience of a large team of professional coders to enhance coding efficiency, accuracy and completeness. We also offer an intuitive software-as-a-service (SaaS) coding tool for organizations that code in-house and a review service that validates the coding work of other vendors. Code your way with Optum.

Code efficiently without sacrificing accuracy or completeness

Sophisticated AI

Our AI is powered by a blend of clinical domain knowledge, NLP and contextual methods. Our data scientists developed our AI specifically for risk adjustment coding and continue to tune it with a built-in feedback loop. This is deep learning that keeps getting smarter.

Coding efficiency

The reliability of our AI technology allows coders to focus their attention where it matters most — on the clinical elements that require human judgment and precision. Increase coding efficiency by allocating resources for maximum optimization.

Outcome-driven products

At Optum, we prioritize innovations that help improve clinical outcomes and reduce provider abrasion. We involve customers and users early in the design process to help develop solutions that are intuitive, relevant and impactful.

Key benefits

Leverage the powerful combination of AI-driven technology and experienced human coders.

AI-driven coding

Optum coding solutions are driven by AI that is thoughtfully integrated to reduce inefficiencies throughout the coding process.

A large team of professional coders

Optum maintains a global team of more than 15,000 experienced coders who have been certified by the AAPC or the AHIMA.

Configurable solutions

We offer coding services and SaaS solutions that integrate seamlessly with our end-to-end risk adjustment platform.

Related healthcare insights

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Strengthening Risk Adjustment with Payer and Provider Collaboration

Article

Strengthening risk adjustment with payer and provider collaboration

Learn how Optum utilizes scale, innovation and strong partnerships to optimize risk adjustment services for both providers and payers.

Integrating Risk and Quality Programs for Health Plans

White paper

Integrated risk and quality programs: A strategic approach

Unlock new efficiencies with a digital-first, AI-powered approach to empower value-based care and enhance health plan performance.

Digital Integration and the Path to Interoperability

E-book

Digital integration and the path to interoperability

Creating a connected system to improve risk and quality outcomes.

Product information and resources

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    Sell sheet

    Comprehensive coding solutions

    This is an overview of our robust suite of coding solutions with options to fit healthcare organizations of every size and structure.

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    Sell sheet

    Final Check Review

    Gain a new level of confidence in your coding by verifying the coding work of third-party vendors.

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Find an AI-driven coding solution that fits your needs

Complementary solutions

Audit Services

Comprehensive solutions and support services to assist health plans in completing various audits established by CMS, HHS and the OIG.

Submission Services

We provide end-to-end management of submissions, direct errors and remediation. Insights promote continual improvement to maximize accuracy.

Retrieval services

Industry-leading chart retrieval services with a national footprint and continually expanding digital retrieval methods.