XpertDox
XpertDox is a U.S. healthcare AI company offering XpertCoding, an autonomous medical coding engine using hybrid AI (ensemble models, neural networks, symbolic reasoning, payer guidelines) to convert clinical text into billable claims, serving urgent care, pediatric, primary care, and FQHC providers via per-claim SaaS pricing.
- Company typePrivate
- Founded2015
- HeadquartersScottsdale, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What XpertDox does
XpertDox is a U.S.-based healthcare AI company that has built XpertCoding, an autonomous medical coding engine that processes clinical text from physician encounters and assigns CPT, ICD-10, and Category II codes with stated accuracy above 99%. The product is differentiated by a hybrid AI architecture that combines ensemble models, neural networks, symbolic reasoning, and payer-specific guidelines, integrated into provider workflows through RPA, APIs, HL7-ADT messaging, and SMART on FHIR standards. The platform is EMR-agnostic, listed on the athenahealth Marketplace and Epic Showroom, and is supported by a connected Business Intelligence layer providing CDI tools, audit trails, and provider performance dashboards. The company also offers XpertTrial, a clinical trials coding solution developed in partnership with HFSA.
The company serves a vertical mix of U.S. healthcare providers with a primary focus on urgent care centers, pediatric practices, primary care clinics, and FQHCs/community health centers, alongside selected medical billing companies as channel partners. Named customers include Nao Medical, Blue Fish Pediatrics, PM Pediatric Care, Quick Visit Urgent Care, Urgent Care Pros, Lone Star Circle of Care, CHP Berkshires, Bon Secours Mercy Health, Stanford, Galileo, and FastMed Urgent Care. Documented customer outcomes include 15–20% increases in charge capture, 40% reductions in charge entry lag, 22% reductions in denials, and 32% quality score enhancements, with stated cost savings driven by up to 90% reduction in coding and billing team size.
XpertDox operates a sales-led enterprise field sales motion with per-claim transparent pricing, zero upfront fees, and a complimentary first month trial. Revenue is generated primarily through subscription / unit-based recurring fees supplemented by implementation and onboarding services. The company holds ISO 27001, ISO 22301, SOC 2 Type 2, and HIPAA certifications, and has raised approximately $4.7M in cumulative disclosed funding across multiple rounds, including a $1.5M round led by Arizona private equity firm TN3, LLC in September 2022 and a $1.08M SEC exempt offering in September 2023. The company is headquartered in Scottsdale, Arizona (previously Birmingham, Alabama), was founded in 2014, and has 51–100 employees.
XpertDox firmographics
Firmographics- Name
- XpertDox
- Legal name
- XpertDox, LLC
- Website
- https://xpertdox.com
- Company type
- Private
- Founded year
- 2015
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- XpertDox is a U.S. healthcare AI company offering XpertCoding, an autonomous medical coding engine using hybrid AI (ensemble models, neural networks, symbolic reasoning, payer guidelines) to convert clinical text into billable claims, serving urgent care, pediatric, primary care, and FQHC providers via per-claim SaaS pricing.
- Ownership category
- akta.pro rank
XpertDox industry classification
Industry- Product category
- Medical Coding Software
- NAICS
- Software Publishers (5132)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Medical Billing & Coding Automation (HLACACAA)
- akta.pro secondary industry
- Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO)
Keywords
Where XpertDox is headquartered
LocationHeadquarters
- HQ city
- Scottsdale
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
XpertDox business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations
Revenue model
- AI-Powered Medical Coding SaaS: XpertCoding is offered as a subscription-based AI medical coding platform with transparent per-claim pricing. The flexible pricing model allows scalable and cost-effective solutions for healthcare organizations of varying sizes. Customers receive automated medical coding, revenue cycle dashboard, and BI platform access as part of the service.
- Implementation and Support Services: Includes risk-free implementation with zero upfront fees and complimentary first month for trial experience, suggesting professional services and onboarding revenue.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Per-Claim Pricing Model |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels7 records
XpertDox product offering
Product offeringCore offering
XpertDox sells XpertCoding, an AI-powered autonomous medical coding engine that automatically assigns CPT, ICD-10, Category II, and HCC codes to clinical encounters. The platform uses hybrid AI (ensemble models, neural networks, symbolic reasoning with payer guidelines) to convert clinical documentation into billable claims with greater than 99% accuracy and submit greater than 94% of claims within 24 hours. It is offered on a per-claim subscription basis with zero upfront fees to U.S. healthcare providers, particularly urgent care centers, pediatric practices, primary care clinics, and FQHCs.
Product overview
XpertDox is a healthcare AI company offering a unified product portfolio centered on XpertCoding, its AI-powered autonomous medical coding engine. XpertCoding uses hybrid AI (ensemble models, neural networks, symbolic reasoning) combined with payer guidelines to automatically code medical claims from clinical text with >99% accuracy. The platform is supplemented by a Business Intelligence (BI) Platform providing analytics, reporting, and clinical documentation improvement tools. XpertDox also offers XpertTrial, a clinical trials solution. The company operates a per-claim pricing model with zero upfront fees and a risk-free first month trial.
Differentiator
Problem solved
Functional benefit
Brands
- XpertCoding: AI-powered medical coding engine that automatically codes medical claims with unmatched accuracy and speed, featuring hybrid AI combining ensemble models, neural networks, and symbolic reasoning with payor guidelines.
Products and services
- XpertCoding AI-powered autonomous medical coding engine that automatically assigns CPT, ICD-10, Category II, and HCC codes to clinical encounters. Uses hybrid AI (ensemble models, neural networks, symbolic reasoning) combined with payer guidelines to convert clinical text into billable claims. Achieves greater than 99% coding accuracy, greater than 94% of claims submitted within 24 hours, and is EMR-agnostic with EHR integration via RPA, API, HL7-ADT, and SMART on FHIR. Designed for healthcare providers including urgent care centers, pediatric practices, primary care clinics, FQHCs, and billing companies.
- Business Intelligence (BI) Platform Feature-rich analytics platform connected to XpertCoding providing comprehensive dashboards, Clinical Documentation Improvement (CDI), manual review claims, audit trails, provider dashboards, daily reports on level of billing and claim volume, and data analytics for benchmarking provider and clinic performance. Used by healthcare providers for revenue cycle analytics and value-based care performance tracking.
- XpertTrial Clinical trials solution offered by XpertDox in partnership with HFSA that automates clinical trial data coding and management for clinical research workflows.
Quantifiable outcome
- Coding accuracy >99%
- +9 more outcomes
Companies that use XpertDox
Customer profileNamed customers20 records
Segments5 records
Ideal customer profiles5 records
XpertDox technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
AI capability5 records
Feature9 records
XpertDox partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core.
- CHP BerkshirescoreXpertDox partnered with CHP Berkshires (an FQHC in Berkshire County, Massachusetts) to implement their AI-driven medical coding technology, XpertCoding. The integration aims to improve revenue cycle management, coding accuracy, compliance, and value-based care initiatives.
- Urgent Care ProscoreXpertDox partnered with Urgent Care Pros to increase revenue with AI-enabled medical coding. Implementation resulted in fewer coding FTEs needed, more accurate and consistent coding across claims, and accelerated claim submission.
- Nao MedicalcoreXpertDox and Nao Medical announced partnership to transform revenue cycle and improve clinical documentation through AI-driven innovation. Nao Medical reported 15% charge capture increase, 60% quality code capture increase, 40% charge entry lag reduction, and 22% denial reduction.
- Lone Star Circle of CarecoreXpertDox partnered with Lone Star Circle of Care to optimize medical coding using AI. The partnership streamlined decision-making, improved documentation quality, and increased coding accuracy.
- Blue Fish PediatricscoreXpertDox partnered with Blue Fish Pediatrics to enhance medical coding efficiency with AI-powered healthcare coding software. Implementation reduced charge entry lag to under 48 hours and denials due to coding errors to under 1%.
- Quick Visit Urgent CarecorePartnership to automate medical coding with AI in rural clinics, resulting in 32% enhancement in quality scores.
- PM Pediatric CarecorePartnership to enhance medical coding efficiency. Implementation resulted in charge entry lag under two days, coding-related denials below 2%, and 20% increase in charge capture.
- Urgent Care for ChildrencorePartnership to implement AI medical coding, achieving full operational capability with EHR integration and AI training, and reducing charge entry delays to under 24 hours.
- Cucamonga Valley Medical Group (CVMG)corePartnership for AI medical coding software implementation to improve operational efficiency.
- Positive Results BillingcorePartnership for automated medical coding to enhance revenue cycle performance.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
XpertDox competitors and assessment
Company assessmentDirect peers
- Fathom: Fathom is a direct AI medical coding competitor that uses autonomous coding to handle medical claims, targeting the same healthcare-provider buyer with similar NLP-driven coding automation. It competes head-to-head with XpertCoding in ambulatory and hospital settings.
- Nym Health: Nym offers autonomous medical coding using NLP to assign ICD-10 and CPT codes from clinical documentation, serving a comparable customer base of provider groups and hospitals. Its fully autonomous coding model is the closest direct analogue to XpertCoding.
- Codametrix: Codametrix provides AI-powered autonomous medical coding for radiology and other specialties, integrated with EHR systems. It is a direct competitor in autonomous coding with similar go-to-market into health systems.
Emerging players
- AKASA: AKASA applies AI to revenue cycle operations for health systems, including coding, claims, and denials. It overlaps with XpertDox on the autonomous coding and RCM-automation use cases but extends into broader revenue-cycle workflows.
- DeepScribe: DeepScribe uses AI to generate medical documentation and CPT/E&M codes from patient encounters. It overlaps with XpertCoding on the autonomous coding output but originates from an ambient-scribe workflow that is adjacent to XpertDox's core coding focus.
- Abridge: Abridge builds ambient AI for clinical documentation and coding inside health systems. Its overlap with XpertDox is in automated CPT/ICD generation, though Abridge leads from the documentation capture side rather than retrospective coding.
- Suki AI: Suki provides an AI assistant for clinicians that includes documentation and coding suggestions integrated with EHRs. It competes for the same healthcare-provider budgets and addresses a related coding/documentation workflow.
Broad incumbents
- 3M Health Information Systems: 3M HIS is an incumbent medical-coding and RCM platform (now part of Solventum) used by most US hospitals. It represents the legacy stack that XpertCoding positions against, with established customer relationships and a broad portfolio beyond autonomous AI coding.
- Optum (RCM): Optum offers end-to-end revenue cycle management, coding services, and analytics to payers and providers. It is a broad incumbent competitor with deep payer-provider relationships that XpertDox must navigate to win enterprise accounts.
- Waystar: Waystar provides cloud-based revenue cycle and claims-management software to hospitals and physician groups. It overlaps with XpertDox on the claim submission, denial reduction, and RCM-analytics workflow, though at a much broader portfolio level.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
XpertDox social profiles
Digital presenceXpertDox compliance and trust
Trust signalCompliance4 records
XpertDox financial estimates
Financial estimateRevenue estimate
Valuation estimate
XpertDox leadership team
Management profileNumber of profiles
Profiles5 records
XpertDox funding detail
Funding detailFunding overview
Funding rounds7 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
XpertDox 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 XpertDox
What does XpertDox do?
XpertDox sells XpertCoding, an AI-powered autonomous medical coding engine that automatically assigns CPT, ICD-10, Category II, and HCC codes to clinical encounters. The platform uses hybrid AI (ensemble models, neural networks, symbolic reasoning with payer guidelines) to convert clinical documentation into billable claims with greater than 99% accuracy and submit greater than 94% of claims within 24 hours. It is offered on a per-claim subscription basis with zero upfront fees to U.S. healthcare providers, particularly urgent care centers, pediatric practices, primary care clinics, and FQHCs.
Is XpertDox a public or private company?
XpertDox is a private company. It is classified as venture growth investor backed and is currently operating.
When was XpertDox founded?
XpertDox was founded in 2015. It employs 51 to 100 people.
Where is XpertDox based?
XpertDox is headquartered in Scottsdale, United States, in the North America region.
How does XpertDox make money?
Two revenue lines are on record. AI-Powered Medical Coding SaaS are the primary driver. The others are implementation and Support Services.
Who are XpertDox's main competitors?
Direct peers on record are Fathom, Nym Health and Codametrix. Emerging players are AKASA, DeepScribe, Abridge and Suki AI. Broad incumbents are 3M Health Information Systems, Optum (RCM) and Waystar.
Does XpertDox have an API?
No public API is recorded for XpertDox.
What industry is XpertDox in?
XpertDox's product category is Medical Coding Software. Its primary akta.pro industry code is HLACACAA, Medical Billing & Coding Automation, with a secondary code of HLACAAAO, Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools. Its NAICS code is 5132 and its SIC code is 7372.