Ravino Autonomous Medical Coding
Accurate. Explainable. Enterprise-Ready.
Manual coding is slow, inconsistent, and increasingly difficult to scale. Even modern encoders rely on rigid rules and intensive human review.
Ravino introduces a new approach—an autonomous coding engine powered by clinical language understanding, SNOMED semantics, and multi-layer guideline intelligence to produce payer-ready ICD-10-CM, CPT®, and HCPCS codes with full transparency.
Core Intelligence of Ravino Coding Engine
Core Intelligence of Ravino Coding Engine
Clinical Language Understanding
Interprets full clinical notes—diagnoses, findings, procedures, medications, and encounter details with context such as acuity, laterality, and causality.
SNOMED-Driven Semantic Normalization
Uses SNOMED CT concepts for ICD-10-CM and SNOMED terminology for CPT/HCPCS to normalize clinical language and reduce ambiguity across provider documentation styles.
Guideline-Aware Retrieval Layer
Automatically retrieves ICD, CPT, HCPCS rules to ground every coding decision in authoritative, up-to-date guidance.
Structured Clinical Reasoning
Combines LLM reasoning with rules and medical knowledge to identify diagnoses, procedures, E&M levels, modifiers, and add-ons.
Autonomous Coding & Compliance Engine
Autonomous Coding & Compliance Engine
Autonomous Coding & Compliance Engine
Autonomous Code Generation
Selects ICD, CPT, and HCPCS codes—including sequencing, modifiers, and add-ons—based on clinical meaning and guideline logic.
Confidence Scoring & Smart Review Routing
Assigns a confidence score to each code, enabling high-confidence encounters to flow autonomously while routing low-confidence cases for human review.
Multi-Stage Refinement & Checks
Applies bundling rules, specificity validation, and diagnosis–procedure consistency checks to reduce denials.
Explainable, Payer-Ready Output
Provides clear, code-level rationales that include supporting evidence, terminology matches, and rule citations—improving auditability and trust.
Autonomous Code Generation
Selects ICD, CPT, and HCPCS codes—including sequencing, modifiers, and add-ons—based on clinical meaning and guideline logic.
Confidence Scoring & Smart Review Routing
Assigns a confidence score to each code, enabling high-confidence encounters to flow autonomously while routing low-confidence cases for human review.
Multi-Stage Refinement & Checks
Applies bundling rules, specificity validation, and diagnosis–procedure consistency checks to reduce denials.
Explainable, Payer-Ready Output
Provides clear, code-level rationales that include supporting evidence, terminology matches, and rule citations—improving auditability and trust.
Why Ravino Medical Coding Is Different
Why Ravino Medical Coding Is Different
Hybrid AI Architecture
An integrated approach combining LLM reasoning, SNOMED grounding, retrieval augmentation, rule engines, and validation—far more reliable than encoder-only or LLM-only systems.
Learnable & Customizable
Adapts to specific hospitals, payer environments, and clinical modalities using few-shot prompting and custom rule insertions, to improve accuracy.
Transparent & Auditable
Every code is traceable, justified, and backed by evidence—unlike black-box GenAI systems.
Enterprise-Grade Scalability & Security
HIPAA + SOC 2 aligned, built for VPC/on-prem deployment, and capable of processing millions of encounters with predictable cost and uptime.
See Ravino Medical Coding in Action
Ravino delivers the accuracy of a seasoned coder, the consistency of automation, and the transparency required by modern revenue cycle workflows.
Core Intelligence of the Ravino Engine
Clinical Language Understanding
Interprets full clinical notes—diagnoses, findings, procedures, medications, and encounter details with context such as acuity, laterality, and causality.
SNOMED-Driven Semantic Normalization
Uses SNOMED CT concepts for ICD-10-CM and SNOMED terminology for CPT/HCPCS to normalize clinical language and reduce ambiguity across provider documentation styles.
Guideline-Aware Retrieval Layer
Automatically retrieves ICD, CPT, HCPCS rules to ground every coding decision in authoritative, up-to-date guidance.
Structured Clinical Reasoning
Combines LLM reasoning with rules and medical knowledge to identify diagnoses, procedures, E&M levels, modifiers, and add-ons.
Why Ravino Medical Coding Is Different
Why Ravino Medical Coding Is Different
Hybrid AI Architecture
An integrated approach combining LLM reasoning, SNOMED grounding, retrieval augmentation, rule engines, and validation—far more reliable than encoder-only or LLM-only systems.
Learnable & Customizable
Adapts to specific hospitals, payer environments, and clinical modalities using few-shot prompting and custom rule insertions, to improve accuracy.
Transparent & Auditable
Every code is traceable, justified, and backed by evidence—unlike black-box GenAI systems.
Enterprise-Grade Scalability & Security
HIPAA + SOC 2 aligned, built for VPC/on-prem deployment, and capable of processing millions of encounters with predictable cost and uptime.