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Risk Adjustment · for coding leaders and coders

S7 Coder

The AI reads the chart. Agents verify it. The coder decides.

A coding workspace where autonomous agents have already read the note, checked every proposed code against the official reference, surfaced what the results and medications point to, and lined it all up for the coder — who approves, dismisses or queries each one.

See it on your chartsThe agents inside
Every codetied to the sentence that supports it
Every proposalverified before a coder sees it
4 yearsof code sets, chosen automatically

Part of the S7 platform — every product runs in the same application and works from the same clinical reference, inside your organisation's own boundary.

What S7 Coder does
  • Codes proposed from the note, each tied to the sentence that supports it
  • Every proposal verified against the official reference before the coder sees it
  • Approve, dismiss or query the provider, in one click
  • Reference lookup that follows the Index the way coders are trained
  • Always the right code-set year for the date of service
The agents inside S7 Coder

5 agents. What each reads, produces, and never does.

Chart Reading Agent
AI · reads the note

Reads the clinical note the way a senior coder would and proposes complete, guideline-level coding — including the status codes the medication list supports — while leaving out anything uncertain, incidental, or assumed. It never sees patient identifiers.

Readsthe de-identified clinical note, with medications and results as supporting context
Producesproposed codes, each tied to the exact sentence that supports it
Neversees identifiable information, or finalises a code on its own
AIde-identifiedcites the sentence
Verification Agent
Autonomous · has the last word

Checks every code the AI proposes against the official reference before a coder ever sees it. A code that doesn't exist is discarded; the description, billable status, HCC category and risk weight are corrected to the official values.

Readswhat the AI proposed
Producesverified codes, with any corrections noted
Neverlets the AI's own version of a code through unverified
autonomousofficial reference
Clinical Evidence Agent
Autonomous · labs, medications, drug classes

Reads the structured side of the chart — results and medications — and surfaces conditions the evidence points to but the coding hasn't captured. It suggests when the documentation supports it and raises a provider query when it doesn't.

Readslab results and the current medication list
Producesa suggestion to code, or a query to the provider
Neveradds a code from a number or a prescription alone
autonomoussuggest or query
Reference Agent
Autonomous · always at hand

Answers 'what is the right code for this?' the way a coder is trained to: through the Alphabetic Index with the lookup trail preserved, verified in the Tabular, with the official guideline, plain-language description and related codes alongside.

Readsa phrase, a code, or a clinical term from a problem list
Producesthe right code with its lookup trail and guideline
Neveroffers a code that isn't valid for the chart's year
autonomousofficial guidelines
Code-Set Year Agent
Autonomous · always the right year

Every year the code set changes. This agent knows which codes were added, retired or redefined in each year, picks the right year from the date of service automatically, and offers the official replacement for any retired code.

Readsthe date of service
Producesthe correct code set for that date, and replacements for retired codes
Neverlets a chart be checked against the wrong year
autonomousfour years live
How it runs

Step by step.

The chart is read

The Chart Reading Agent reads the de-identified note and proposes complete coding, including the status codes the medication list supports and nothing that is uncertain or assumed.

Every proposal is verified

The Verification Agent checks each code against the official reference. Non-existent codes are discarded; descriptions, categories and risk weights are corrected.

The evidence speaks

The Clinical Evidence Agent adds what results and medications point to, suggesting where the documentation supports it and querying where it doesn't.

The coder decides

Approve, dismiss or query. A dismissal is remembered for the patient for the whole year, so the same suggestion doesn't come back.

Guardrails

What S7 Coder is built never to do.

see patient identifiers

The AI reads a de-identified note; identifiers never reach it.

finalise a code

Agents propose and verify; only a coder approves.

use the wrong year

Codes are proposed and checked in the code set for the date of service.

Risk Adjustment

Other products in this group.

Also in Risk Adjustment
S7 RecaptureMedication- and lab-driven condition capture
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S7 RAFLive CMS-HCC risk scoring and what-if
Also in Risk Adjustment
S7 AssistCoding assistant that shows its work