HIMIO gives your coding team three AI-powered modes: generate a complete ICD-10 code set from scratch, validate codes already assigned, or run a full clinical audit for DRG optimization and compliance — every code anchored to a verbatim quote from the chart.
Designed for healthcare revenue cycle teams
Three distinct AI workflows built for every point in the coding process — from a blank chart to claim submission. Every code anchored to a verbatim quote from the chart.
Start with an uncoded chart. HIMIO reads the full clinical documentation, extracts every codeable concept, retrieves CMS-verified ICD-10 candidates, and builds a complete code set — PDx sequenced first, all SDx and ICD-10-PCS procedures included.
Already have codes? Enter your code set and upload the chart. HIMIO cross-references every code against the documentation, flags missing MCCs and CCs with the exact note that supports them, and surfaces DRG impact — before the claim goes out.
A complete clinical documentation integrity review — via live Epic FHIR integration or standalone chart upload. HIMIO runs DRG optimization, compliance flag detection, POA/HAC analysis, and full-chart reconciliation, with queries ready to send.
Connect to Epic and any FHIR R4-compliant EHR with a single OAuth2 login. HIMIO pulls demographics, encounters, diagnoses, procedures, labs, and documents in real time — no manual exports.
Non-leading, multiple-choice physician queries generated automatically — compliant with AHIMA and ACDIS standards, pre-populated with clinical indicators from the chart, ready to send in one click.
Upcoding risk, POA errors, laterality mismatches, HAC/PSI exposure — each flagged HIGH, MEDIUM, or LOW with the specific guideline violated. Catch it before submission, not after a RAC demand letter.
All three modes run the same multi-step AI pipeline on a single SMART on FHIR connection to Epic or any FHIR R4 EHR — one OAuth2 login, no manual chart uploads, no PHI stored.
All three modes run the same multi-step AI pipeline — the difference is what you start with and what you get back.
Launch HIMIO directly from Epic via SMART on FHIR for live chart data — or upload the discharge summary, H&P, operative notes, labs, and radiology reports as PDF, DOCX, or HL7. In Validate mode, also enter the codes your coder has already assigned.
HIMIO reads the full clinical record and extracts structured concepts — diagnoses, procedures, conditions, device status, and more — each tagged with UHDDS reportability basis, POA status, and a verbatim evidence quote from the chart.
Each concept is matched against the CMS FY2026 ICD-10-CM/PCS dictionary using hybrid keyword + semantic search. Candidates are re-ranked by CC/MCC designation, MS-DRG impact, and guideline specificity. PDx is selected per UHDDS and Official Coding Guidelines.
Results stream back in real time. Review your suggested or validated code set, DRG optimization impact, compliance flags, and reconciliation buckets — missed codes, missed queries, and intentional exclusions. Generate AHIMA-compliant queries and export the full audit packet.
HIMIO is built with the same security controls your compliance team expects from enterprise clinical software.
Every access, query, case action, and login event is written to an immutable audit trail. The application role cannot modify or delete log records — satisfying HIPAA access audit requirements.
Patient names, dates of birth, and MRNs are fetched from the FHIR server at audit time but never written to the HIMIO database. Only encounter IDs and coded diagnosis data are persisted.
Supabase Row-Level Security policies enforce strict tenant isolation. No facility can access another facility's cases or findings, even if they share the same database instance.
Designed to operate under Business Associate Agreements with all underlying technology vendors. BAA execution is supported for covered entities across our full infrastructure stack.
HIMIO adapts to the workflow of each clinician and coder who touches the chart.
Use Suggest on uncoded charts or Validate your own code set. Get verbatim evidence quotes for every code — no more second-guessing PDx sequencing or CC/MCC capture.
Run Audit on concurrent charts before rounds. HIMIO surfaces documentation gaps, POA ambiguities, and pre-drafts compliant physician queries ready to send.
Use Audit to spot-check claims before submission and run retrospective reviews. Every finding is traceable to a specific ICD-10 guideline, CMS rule, or chart line.
Review AI-drafted queries before they go to physicians. AHIMA and ACDIS standards enforced automatically — no leading questions, ever.
Track Suggest, Validate, and Audit activity across cases. See DRG optimization impact and compliance flag exposure before claims leave the facility.
Beyond AI-powered audits, Synergy HIM Tech provides flexible coding staffing for inpatient, outpatient, and HCC programs — certified professionals who integrate with your team on day one, whether you need surge support or long-term coverage.
Complex acute care coding demands deep expertise in MS-DRG logic, POA indicators, CC/MCC capture, and HAC/PSI rules. Our inpatient coders bring facility-specific experience across medical, surgical, cardiac, orthopedic, and critical care service lines.
From ED visits to same-day surgery and ancillary services, our outpatient coders handle the full breadth of facility and pro-fee coding — with the speed and accuracy your revenue cycle demands across all payer types.
Hierarchical Condition Category coding directly impacts RAF scores, Medicare Advantage reimbursement, and ACO performance. Our CRC-certified HCC specialists ensure chronic conditions are fully documented, accurately coded, and compliant with CMS risk adjustment models.
Every coder meets our accuracy threshold before placement. Ongoing QA audits maintain quality throughout the engagement.
We place qualified coders within days, not weeks. Surge support, backlog clearance, or planned leave coverage — we move at your pace.
All coders hold active CCS, CPC, CRC, RHIT, or RHIA credentials with a minimum of 2 years hands-on coding experience.
Fully vetted remote workforce operating from secured, HIPAA-compliant workstations — BAA executed with every engagement.
Short-term surge, long-term outsourcing, or hybrid. Scale up or down as your volume demands — no long-term contracts required.
Our coders have experience across Epic, Cerner, MEDITECH, and Allscripts — minimal onboarding time, maximum productivity from the start.
Whether you're looking for a HIMIO demo or need experienced coding staff for inpatient, outpatient, or HCC programs — we're ready to help. Fill out the form and we'll be in touch within 2 business days.
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