CAIMC

Cleveland Clinic partnered with Akasa to deploy AI tools within mid-revenue cycle workflows, where patient care documentation is translated into standardized medical codes for:

Billing

Reporting

Continuity of care

According to system leadership:

Coders may review 100+ clinical documents per encounter

They choose from more than 140,000 ICD-10, CPT, and HCPCS codes

Manual coding can take up to one hour per case

The AI solution helps:

Automate routine, repetitive coding tasks

Identify which steps can be automated

Flag cases that require human judgment and clinical reasoning

Early results showed improved speed and accuracy, smoother prior authorizations, fewer delays in care, and a better patient experience.

The Key Insight: AI Does Not Replace Coders — It Redefines Them

What Cleveland Clinic clearly demonstrated is this:

AI handles volume and repetition. Humans handle judgment, compliance, and accountability.

AI can:

Scan documentation faster

Suggest codes

Detect patterns

But AI cannot:

Interpret nuanced clinical intent

Resolve documentation gaps

Defend coding decisions during audits

Apply payer-specific rules intelligently

Understand compliance risk the way a trained coder can

In fact, as AI becomes more powerful, coding errors become more visible, more traceable, and more costly.

This means healthcare organizations will rely more heavily on highly skilled coders, not fewer.

Why Medical Coders Must Upskill Now

With AI entering the coding workflow:

Coders are no longer just code selectors

They are becoming validators, auditors, and compliance experts

Coders must understand how AI thinks, where it fails, and how to correct it

Future-ready coders must be able to:

Review AI-suggested codes critically

Identify undercoding and overcoding risks

Ensure medical necessity is fully supported

Prevent AI-triggered denials and payer flags

Work alongside AI, not compete with it

This is where advanced AI-focused coding education becomes essential.

How CAIMC® from PMBAUSA LLC Prepares Coders for the AI Era

The CAIMC® – Certified AI Medical Coder, offered by PMBAUSA LLC, is designed specifically for this new reality.

CAIMC® does not teach coders to fear AI — it teaches them to master it.

What CAIMC® Focuses On

How AI and NLP are used in medical coding workflows

Where AI makes mistakes in ICD-10 and CPT selection

Human validation of AI-generated codes

Documentation improvement for AI-driven systems

Audit readiness in automated coding environments

Compliance, ethics, and accountability in AI-assisted coding

CAIMC® trains coders to become:

AI-aware coders

Audit-resilient professionals

Revenue-protecting specialists

Future-proof healthcare experts

Why CAIMC® Matters More Now Than Ever

As large health systems like Cleveland Clinic adopt AI:

Employers will prefer coders who understand AI logic

Coders without AI knowledge may struggle to stay relevant

Certification alone is not enough — AI literacy is critical

CAIMC® bridges the gap between:

Traditional medical coding

Advanced healthcare technology

Real-world revenue cycle operations

The Future Belongs to AI-Enabled Coders

AI is not eliminating medical coding — it is raising the bar.

Healthcare organizations want coders who can:

Work faster with AI

Think deeper than AI

Protect revenue where AI cannot

Ensure compliance in an automated world

Cleveland Clinic’s move confirms what the industry already knows:

The future of medical coding belongs to professionals who combine clinical knowledge, coding expertise, and AI intelligence.

With CAIMC® from PMBAUSA LLC, Medesun is proud to help medical coders step confidently into that future.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

Assuring the best services,
Medesun Healthcare Solutions

Reference – https://www.beckershospitalreview.com/healthcare-information-technology/ai/cleveland-clinic-taps-ai-to-streamline-medical-coding/
https://consultqd.clevelandclinic.org/ai-tools-boost-efficiency-patient-experience