AI-assisted coding for surgical care
Every operative note, coded completely. Defensibly.
Coda writes the operative note with the surgeon — or reads the one they wrote — shows what’s missing while the case is fresh, and hands the biller a claim where every code is backed by the note’s own words.
PROCEDURE: Laparoscopic cholecystectomyCPT 47562. The gallbladder was dissected free of the liver bed using electrocautery, with the cystic duct and artery doubly clipped and divided.
FINDINGS: Chronic cholecystitis with cholelithiasisICD-10 K80.10; no evidence of obstruction. An intraoperative cholangiogram was performed.
Cholangiogram performed but not documented — no findings, no technique. Documented, it supports CPT 47563.
“Intraoperative cholangiogram obtained via the cystic duct demonstrated free flow of contrast into the duodenum with no filling defects.”
“lap chole for acute cholecystitis… cholangiogram looked fine… drain in the fossa, closed in layers…”
Following induction of general anesthesia, a laparoscopic cholecystectomy was performed for acute calculous cholecystitis. An intraoperative cholangiogram demonstrated…
Op-note writer & improver
First, the note — written while the case is fresh
Dictate what happened, or paste a rough draft. Coda composes a complete operative note and asks only the clinical questions that are genuinely unresolved — laterality, extent, devices. It never invents a detail and never touches a code.
- Improve an existing note: Coda finds internal contradictions and copied-forward boilerplate, rebuilds from verified facts, and shows what changed.
- Minutes at the workstation instead of an evening of charting.
- Every version kept — full credit for the work you actually performed.
The coder
Then, from note to defensible claim in three steps
Paste the note
The surgeon pastes the operative note exactly as written — no forms, no dropdowns.
Close the gaps
Coda flags weak or missing documentation and suggests precise edits in the surgeon’s own operative language.
Approve the claim
The biller opens the case with codes ready to review — every code linked to the sentence that supports it.
One engine, both sides
Built for the people who write notes — and the people who defend them
For surgeons
Better notes, without coding homework.
- Dictate and go — Coda drafts the note and asks only what’s clinically unresolved
- Gaps flagged while the case is still fresh, not weeks later
- No forms, no dropdowns — dictate, or paste the note you already wrote
For billers
Codes you can stand behind.
- Every code tied to the exact wording in the note that supports it
- Ask the auditor anything — answers cite ICD-10 and CPT sources
- Fewer phone-tag queries — documentation gaps close before the case reaches your queue
Where Coda draws the line
Four things Coda will never do
In billing software, what the system refuses to do is the compliance story. These are hard rules in the product — not settings, not defaults.
No upcoding. Ever.
Coda surfaces every code the note supports and nothing it doesn’t. Maximizing revenue means capturing what was documented — never inflating what wasn’t.
No invented findings.
Coda never writes a clinical fact the surgeon didn’t state. It asks the question, then renders the surgeon’s answer — nothing enters the record unattested.
No autopilot.
Coda advises. It never blocks a note, never submits a claim, never overrides clinical judgment. The surgeon and the biller keep the pen.
No black boxes.
Every suggestion points to the exact words in the note that support it, and every AI action lands in the audit log. You can always see why — and who.
Security & compliance
Built for hospitals from day one
Your own environment
Each hospital runs in its own isolated cloud environment — its own database, own network, own keys. Nothing is shared between hospitals.
Notes are never training data
AI processing runs under contractual zero-retention terms — notes are never used to train models and never kept after the run. [AI-PROCESSING DETAILS — FOUNDER CONFIRM BEFORE LAUNCH]
Every access audited
Human or AI, every access to a note is recorded in an append-only audit log — HIPAA §164.312(b) by design, not by policy document.
Hospitals
Working with Coda
See Coda on your own operative notes
Request a demo and watch a note analyzed end to end — from paste to defensible claim.