CodaMetrix
CodaMetrix provides an AI-powered autonomous medical coding platform that translates clinical documentation into billing codes for large U.S. health systems and academic medical centers, delivered as enterprise SaaS with Epic and GE HealthCare distribution channels.
- Company typePrivate
- Founded2019
- HeadquartersBoston, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What CodaMetrix does
CodaMetrix is a Boston-based healthcare AI company that provides an autonomous medical coding platform for large U.S. health systems and academic medical centers. Founded in 2019 as an internal initiative inside Mass General Brigham, the company applies machine learning, deep learning, and natural language processing to translate unstructured clinical documentation into diagnostic and procedural codes (CPT, ICD-10, HCPCS) without routine human intervention. Its core platform, CMX CARE, is positioned as the industry's first contextual coding automation platform and encompasses the CMX Automate autonomous coding engine, the CMX Insights analytics module, and specialty-specific modules such as the Emergency Department coding automation launched in June 2025.
The platform is delivered as an enterprise SaaS subscription, with multi-year contracts structured around the size and scope of each health system's deployment. Customers are exclusively large integrated delivery networks and academic medical centers — including Mayo Clinic, Mass General Brigham, Mount Sinai, Yale Medicine, Henry Ford, UC San Diego Health, Cedars-Sinai, UCSF, OHSU, and the University of Colorado — collectively representing 500+ hospitals across 27 states, 120,000+ physicians, and $180B in net patient revenue. Distribution runs through three parallel channels: direct enterprise field sales to health system CFOs, Revenue Cycle leaders, and CMIOs; the Epic Toolbox marketplace following Blueprint-level integration; and a strategic distribution agreement with GE HealthCare to reach GE's installed base. Recurring revenue is augmented by event-driven demand generation at HIMSS, HFMA, and RSNA.
The business is venture-backed, having raised $95M across a $55M Series A (Feb 2023, led by SignalFire) and a $40M Series B (Mar 2024, led by Transformation Capital). CodaMetrix was ranked #1 in the inaugural 2026 Best in KLAS category for Autonomous Medical Coding and holds SOC 1, A-Lign, and AWS Partner Network certifications. The company employs 101–250 people and reports a workforce that is more than 50% women, with leadership combining MGB-origin founders and experienced HealthTech operators.
CodaMetrix firmographics
Firmographics- Name
- CodaMetrix
- Legal name
- CodaMetrix
- Website
- https://codametrix.com
- Company type
- Private
- Founded year
- 2019
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- CodaMetrix provides an AI-powered autonomous medical coding platform that translates clinical documentation into billing codes for large U.S. health systems and academic medical centers, delivered as enterprise SaaS with Epic and GE HealthCare distribution channels.
- Ownership category
- akta.pro rank
CodaMetrix industry classification
Industry- Product category
- Healthcare Revenue Cycle Software
- NAICS
- Software Publishers (513210), Software Publishers (5132)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- Medical Coding, Billing & Clinical Documentation Support (BPAAAFAD)
- akta.pro secondary industries
- DTx/SaMD Deployment, Integration & Reimbursement Enablement (HLACANAO), DTx/SaMD Regulatory, Quality & Compliance Software (QMS/ISO/FDA) (HLACANAN)
Keywords
Where CodaMetrix is headquartered
LocationHeadquarters
- HQ city
- Boston
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
CodaMetrix business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Subscription (Enterprise Licensing): Annual or multi-year software-as-a-service subscription model targeting large health system enterprises. The platform is deployed within health system environments with contracts structured around organization size and scope of deployment. Revenue is recurring in nature with land-and-expand dynamics as health systems expand adoption across facilities.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise SaaS subscription — pricing not publicly disclosed, likely structured by health system size and deployment scope. |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels3 records
CodaMetrix product offering
Product offeringCore offering
CodaMetrix provides an AI-powered autonomous medical coding platform that uses machine learning, deep learning, and natural language processing to automatically translate clinical documentation into diagnostic and procedural codes (CPT, ICD-10, HCPCS). The platform, branded as CMX CARE (Clinical Assessment & Resolution Engine), is deployed within large health systems and academic medical centers to automate coding workflows, reduce denials, and lower administrative costs across the revenue cycle.
Product overview
CodaMetrix offers the CMX CARE platform as its core contextual coding automation solution, which encompasses the CMX Automate autonomous coding engine and specialized modules including CMX Insights for analytics and the Emergency Department (ED) coding module. The platform uses AI to transform clinical documentation into accurate, consistent medical codes across multiple specialties including radiology, pathology, GI, surgery, and evaluation & management.
Differentiator
Problem solved
Functional benefit
Brands
- CMX CARE: The industry's first contextual coding automation platform - Clinical Assessment & Resolution Engine that unifies and streamlines fragmented coding workflows into an intelligent, end-to-end process.
- CMX Automate
- CMX Insights
Products and services
- CMX CARE (Clinical Assessment & Resolution Engine) Industry's first contextual coding automation platform that unifies and streamlines fragmented coding workflows into an intelligent, end-to-end process. Serves as a 'code once, use many' infrastructure that delivers measurable ROI, reduces cost and administrative burden, and maintains compliance by capturing the full clinical story. Targeted at large health systems and academic medical centers.
- CMX Automate Cloud-based autonomous coding solution that uses AI-powered technology to bolster quality and efficiency in medical coding. Combines machine learning, deep learning, and NLP to translate clinical notes automatically into billing and diagnostic codes (CPT, ICD-10, HCPCS). Targeted at large health systems and academic medical centers.
- CMX Insights Data analytics and intelligence product that provides dashboards and reporting to help customers make data-driven decisions about their automation journey and coding operations. Targeted at health system revenue cycle and HIM leaders.
- CMX CARE Emergency Department (ED) Module Emergency Department coding automation module built on the CMX CARE platform, developed in collaboration with UC San Diego Health and Mass General Brigham to capture the complexity of ED patient journeys with greater accuracy and efficiency.
Quantifiable outcome
- 70% reduction in manual coding workflows
- +5 more outcomes
Companies that use CodaMetrix
Customer profileNamed customers9 records
Segments1 record
Ideal customer profiles1 record
CodaMetrix technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability6 records
Feature2 records
CodaMetrix partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered flagship.
- GE HealthCareflagshipStrategic distribution agreement to bring CMX Automate to GE HealthCare's customer base. GE HealthCare distributes CodaMetrix's autonomous medical coding platform to its installed base of health system customers, providing CodaMetrix with channel distribution at scale.
- EpicflagshipCodaMetrix's AI platform achieved Epic Toolbox designation, integrating with Epic's EHR ecosystem and gaining visibility within Epic's marketplace for health systems using Epic software. Epic App Orchard provides a channel for Epic-using health systems to discover and adopt CodaMetrix's solution.
Scale indicators7 records
Recent moves6 records
Expansion highlights6 records
CodaMetrix competitors and assessment
Company assessmentDirect peers
- Nuance Communications (Microsoft): Nuance's Clinical Documentation Assurance (CDA) suite is the established computer-assisted coding solution deployed across U.S. health systems and now backed by Microsoft. It is the most direct incumbent competitor to CodaMetrix's autonomous coding platform.
- 3M Health Information Systems: 3M's CodeAssist and broader Health Information Systems division provides AI-assisted coding, encoder, and CAC solutions widely used across U.S. providers. It competes head-to-head with CodaMetrix for coding accuracy and workflow automation contracts.
- Iodine Software: Iodine Software applies machine learning to mid-revenue-cycle and CDI/coding workflows for U.S. health systems, directly overlapping with CodaMetrix's autonomous coding and clinical documentation focus.
- Fathom: Fathom is an AI-native autonomous medical coding company serving U.S. provider organizations. It is one of the closest direct competitors in the fully autonomous coding category CodaMetrix leads.
- AKASA: AKASA builds AI for healthcare revenue cycle management, including autonomous coding and claims workflows for providers, overlapping directly with CodaMetrix's autonomous medical coding capabilities.
- Streamline Health: Streamline Health provides computer-assisted coding, charge capture, and CDI solutions to hospitals and physician practices. It is a direct competitor in the coding automation category.
Broad incumbents
- Waystar: Waystar is a large, public-company-adjacent revenue cycle management platform covering claims, coding, and patient access. It competes with CodaMetrix in coding-adjacent workflows as a broader portfolio incumbent.
- Optum (UnitedHealth Group): Optum offers coding, RCM, and analytics services at massive scale to U.S. providers and payers. It is a broad incumbent whose RCM and coding services compete for the same health system budgets as CodaMetrix.
- Olive AI: Olive built an AI platform for hospital revenue cycle automation, including coding workflows. Although it has restructured, it remains a recognized competitor in AI-driven healthcare RCM.
- Epic Systems: Epic is the dominant U.S. EHR vendor and the operator of the Epic Toolbox marketplace where CodaMetrix is listed. Epic's own AI coding capabilities and control of the EHR data layer make it both a critical partner and the largest structural threat to third-party autonomous coding vendors.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
CodaMetrix social profiles
Digital presenceCodaMetrix compliance and trust
Trust signalCompliance3 records
CodaMetrix financial estimates
Financial estimateRevenue estimate
Valuation estimate
CodaMetrix leadership team
Management profileNumber of profiles
Profiles12 records
CodaMetrix funding detail
Funding detailFunding overview
Funding rounds2 records
Investors7 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CodaMetrix M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about CodaMetrix
What does CodaMetrix do?
CodaMetrix provides an AI-powered autonomous medical coding platform that uses machine learning, deep learning, and natural language processing to automatically translate clinical documentation into diagnostic and procedural codes (CPT, ICD-10, HCPCS). The platform, branded as CMX CARE (Clinical Assessment & Resolution Engine), is deployed within large health systems and academic medical centers to automate coding workflows, reduce denials, and lower administrative costs across the revenue cycle.
Is CodaMetrix a public or private company?
CodaMetrix is a private company. It is classified as venture growth investor backed and is currently operating.
When was CodaMetrix founded?
CodaMetrix was founded in 2019. It employs 101 to 250 people.
Where is CodaMetrix based?
CodaMetrix is headquartered in Boston, United States, in the North America region.
How does CodaMetrix make money?
One revenue line is on record: saaS Subscription (Enterprise Licensing).
Who are CodaMetrix's main competitors?
Direct peers on record are Nuance Communications (Microsoft), 3M Health Information Systems, Iodine Software, Fathom, AKASA and Streamline Health. Broad incumbents are Waystar, Optum (UnitedHealth Group), Olive AI and Epic Systems.
Does CodaMetrix have an API?
No public API is recorded for CodaMetrix.
What industry is CodaMetrix in?
CodaMetrix's product category is Healthcare Revenue Cycle Software. Its primary akta.pro industry code is BPAAAFAD, Medical Coding, Billing & Clinical Documentation Support, with a secondary code of HLACANAO, DTx/SaMD Deployment, Integration & Reimbursement Enablement. Its NAICS code is 513210 and its SIC code is 7372.