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XpertDox

Also known as: XpertCoding

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Healthcare agentindependentVerified 2026-07-22

Autonomous medical coding engine (XpertCoding) that codes and submits ambulatory claims without human intervention at a guaranteed 24 hour turnaround, with RPA, HL7, and FHIR EHR connectivity and a BI platform tracking every engine modification.

XpertDox's XpertCoding is an autonomous medical coding engine for ambulatory and outpatient groups: it assigns ICD-10 and CPT codes and processes claims automatically without human intervention, with a guaranteed 24 hour turnaround and a reported 98 percent accuracy rate, explicitly positioning autonomy beyond computer assisted coding's suggest-and-review model. EHR connectivity spans RPA, APIs, HL7-ADT, and SMART on FHIR, with RPA posting claim information directly into the EHR. A companion Business Intelligence platform provides real time monitoring of coding accuracy, revenue performance, and CDI feedback, and tracks every modification the coding engine makes for transparency and compliance. Founded in 2015 by cardiologist CEO Dr. Sameer Ather; sold direct and through billing company partnerships.

Vendor details

Canonical URL

https://www.xpertdox.com

Category

Healthcare agent

Funding status

Founded 2015; funding not disclosed in retrieved materials

Company status

independent

Use cases & customers

Primary use cases

autonomous outpatient medical codingautomated claim submissionrevenue cycle analyticsclinical documentation improvement feedback

Target customers

ambulatory groupsurgent caremedical billing companies

Deployment options

SaaS

Integrations

EHR connections via RPA, API integrations, HL7-ADT messaging, or SMART on FHIR; athenahealth Marketplace listed; RPA posts claim information directly into the EHR.

Capability coverage

6.5 / 14 capabilities · 46%

Integrations & Tool CallingEHR connectivity via RPA, API integrations, HL7-ADT messaging, and SMART on FHIR standards with athenahealth Marketplace listing, XpertDox site 2026-07-22 Full
Workflow OrchestrationEnd to end autonomous coding and claims processing without human intervention at a guaranteed 24 hour turnaround, explicitly surpassing suggest and review CAC models, XpertDox site 2026-07-22 Full
Knowledge Grounding & RAGHybrid AI adapts dynamically to evolving coding standards, though no knowledge architecture is detailed, XpertDox materials 2026-07-22 Partial
Human Oversight & GuardrailsRoutine charts are fully autonomous by design with human coders repositioned to strategic oversight and CDI feedback loops through the BI platform, XpertDox materials 2026-07-22 Partial
Security, Identity & GovernanceA range of information security and disaster preparedness certifications is asserted first party, but specific attestations are not named in retrieved materials, XpertDox site 2026-07-22 Partial
Observability & AuditabilityBI platform tracks all modifications made by the coding engine for transparency and compliance, with real time accuracy monitoring and all claims and KPIs on one screen, XpertDox site 2026-07-22 Full
Memory & State PersistenceNo documented persistent memory capability, XpertDox materials 2026-07-22 Unable to verify
Deployment & Data ResidencySaaS delivery; no self host or residency options documented, XpertDox materials 2026-07-22 Partial
Prebuilt Agents, Templates & PacksSingle purpose coding engine without an agent or template library, XpertDox materials 2026-07-22 Unable to verify
Triggers & Channel CoverageProcessing is driven by incoming encounter data through EHR feeds; no broader trigger or channel machinery documented, XpertDox materials 2026-07-22 Partial
Model Flexibility & RoutingHybrid AI combining NLP, machine learning, and rules is documented, without customer model choice, XpertDox materials 2026-07-22 Partial
APIs, SDKs & MCP ExtensibilityNo customer facing API, SDK, or extensibility surface documented, XpertDox materials 2026-07-22 Unable to verify
Testing, Debugging & OptimizationAccuracy metrics are reported outcomes rather than customer facing testing or evaluation tooling, XpertDox materials 2026-07-22 Unable to verify
Browser & Computer UseRobotic Process Automation receives data and posts claim information into the EHR interface, a documented UI automation surface short of general computer use, XpertDox site 2026-07-22 Partial

Pricing

Contact sales

Contact onlyMedium variable cost

What is public

No pricing is published. Engagement runs through demo requests, with distribution both direct and via billing company partners.

Variable cost rationale

Autonomous coding is typically priced per chart or claim volume; XpertDox does not publish its basis.

Sales call required

Yes — required for paid access

Free / trial

None public

Verified 2026-07-22

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