CodaMetrix bags $40m in Series B funding to transform healthcare with AI

CodaMetrix, a pioneer in leveraging artificial intelligence (AI) to revolutionize healthcare and revenue cycle management, has successfully concluded its Series B funding round, amassing $40 million. This significant financial boost was led by Transformation Capital, with SignalFire and Frist Cressey Ventures, both existing investors, also playing key roles in the round. Todd Cozzens, Co-Founder and Managing Partner at Transformation Capital, is set to join the Board of Directors of CodaMetrix, marking a pivotal moment in the company’s journey towards redefining healthcare efficiency through AI.

The infusion of Series B financing is earmarked for the enhancement of CodaMetrix’s AI-driven solutions, which aim to elevate medical coding quality, generate comprehensive clinical data sets, diminish healthcare costs, and reduce the administrative load on healthcare providers. Hamid Tabatabaie, President and CEO of CodaMetrix, outlined the transformative impact of their AI platform on the healthcare industry, emphasizing its ability to streamline medical coding, a sector known for its complexity and proneness to errors. This innovation is expected to shift claims data from its traditionally unreliable state to a clinically valuable asset, offering a high-quality, comprehensive automation solution to leading healthcare organizations.

Since its inception in 2019, CodaMetrix has partnered with premier healthcare systems such as Mass General Brigham, University of Colorado Medicine, Mount Sinai Health System, Yale Medicine, Henry Ford Health, and the University of Miami Health System, implementing autonomous coding across various care specialties. The results have been compelling: on average, healthcare providers utilizing the CodaMetrix platform have seen a 60% reduction in coding costs, a 70% decrease in claims denials, a five-week acceleration in cash flow, and significant improvements in provider satisfaction, quality, and compliance.

Todd Cozzens of Transformation Capital highlighted the critical inefficiencies in healthcare billing and the tremendous potential for AI technology to alleviate the administrative burdens plaguing providers. The CodaMetrix autonomous coding platform stands out for its accuracy, compliance, and ability to recover valuable revenue by identifying missing codes, thereby allowing doctors to concentrate on patient care. CodaMetrix is redefining the $20 billion annual medical coding market with its platform, serving over a dozen leading healthcare organizations and systems, which represent more than 200 hospitals and 50,000 providers. Designed with a patient-centric approach, the platform offers real-time audit capabilities and seamless electronic health record (EHR) integration, continuously improving through AI learning feedback loops.