NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP
Plutus Health combines PE Sampling AI, PE Full Review AI, and certified coding auditors to identify coding errors, compliance risks, documentation gaps, modifier issues, and reimbursement opportunities before they impact revenue or trigger payer audits.
Get Your Free RCM Assessment→Explore All 25 AI Agents →We perform comprehensive medical coding audits across professional and facility claims, validating CPT, ICD-10-CM, HCPCS, modifier usage, and documentation accuracy against payer and regulatory guidelines.
Our audits identify documentation gaps that can lead to coding inaccuracies, compliance exposure, and reimbursement losses, and we provide actionable Clinical Documentation Improvement recommendations.
Every audit evaluates OIG, CMS, NCCI, LCD, NCD, HIPAA, and payer-specific coding requirements to reduce audit risk and strengthen compliance programs.
We identify undercoding, overcoding, missed charges, modifier opportunities, and reimbursement leakage before revenue is permanently lost.
Our AAPC-certified auditors perform specialty-specific coding audits across physician practices, hospitals, ASCs, behavioral health, cardiology, orthopedics, emergency medicine, and additional specialties.
Audit findings are translated into coder-specific education, documentation guidance, and process improvements that continuously improve coding quality across your organization.
Instead of selecting random claims, PE Sampling AI analyzes historical coding patterns, payer edits, modifiers, medical necessity rules, and denial history to identify the claims most likely to contain coding errors.
PE Full Review AI validates documentation against reported CPT, HCPCS, ICD-10-CM, modifiers, LCD/NCD requirements, CCI edits, and medical necessity before escalating findings to certified coding auditors.
Every audit generates financial impact reporting, coding trends, provider-level performance, reimbursement opportunities, and executive dashboards that prioritize the highest-value remediation opportunities.
PE Sampling AI identifies statistically significant, high-risk claims using specialty-specific coding patterns, denial history, modifier complexity, and payer edits, rather than random sampling.
PE Full Review AI compares physician documentation against billed services, validates coding accuracy, identifies compliance risks, and measures financial impact before human review.
AAPC-certified auditors validate every AI finding, prepare final audit reports, recommend corrective actions, and develop education plans that improve long-term coding performance.
A medical coding audit should do more than find coding errors. It should strengthen documentation, improve compliance, reduce future denials, and increase coding accuracy over time. OlympusAI continuously reviews coding patterns while certified auditors focus on high-risk findings and education opportunities.
Then we run the model:
"We don't just audit medical coding. We improve every chart that follows."
Our 30-day coding audit combines PE Sampling AI, PE Full Review AI, and AAPC-certified coding auditors to uncover compliance risks, coding errors, reimbursement opportunities, and Clinical Documentation Improvement initiatives before they affect revenue.
