Kodia Audit

Analyze your history. Prioritize the findings that matter.

Kodia Audit independently re-codes every record in the agreed historical scope, compares the results with the existing coding, and generates a detailed report. Findings are grouped and prioritized to guide your experts’ work.

Request a pilot See how it works ↓

The output

A prioritized report, not a list of alerts.

Each audit distinguishes records with no discrepancy detected, findings to investigate, and recurring patterns. Your specialists receive a structured view of the key issues and the complete list of results.

Every record in the agreed scope examined — coverage, not sampling
Findings quantified and grouped by provider and time period
Every finding traces back to the official catalog entry and the records behind it

Importing billing data… 0 /

Date	Dr	Code	Note	Pts	CHF
14.03 08:30	MR	AC.10.1010	Consult. hypertension, medication adj.	21	20.16
14.03 08:30	MR	+AC.10.1020	Consult. hypertension, medication adj.	21	20.16
14.03 09:15	KL	AC.05.0010	Type 2 diabetes check-up	42	40.32
14.03 10:00	SD	DA.01.0020	Skin exam, naevus on back	64	61.44
14.03 10:45	AB	AC.15.0010	Acute lumbago, pain for 3 days	35	33.60
14.03 11:30	TP	AC.10.1010	Common cold, sore throat	21	20.16
13.03 08:00	MR	GA.10.0030	Gastroscopy for dyspepsia	128	122.88
13.03 08:45	KL	AC.03.0010	Seasonal flu vaccination	18	17.28
13.03 09:30	SD	+AC.20.0030	Wound care, forearm laceration	48	46.08
13.03 10:15	AB	VA.10.0010	Suture, left hand wound	86	82.56
13.03 11:00	TP	AC.10.1010	Upper resp. tract infection, cough	21	20.16
13.03 11:00	TP	+AC.10.1020	Upper resp. tract infection, cough	21	20.16
12.03 08:15	MR	AC.30.0010	Resting ECG, palpitations work-up	32	30.72
12.03 09:00	KL	HA.05.0010	Right carpal tunnel surgery	156	149.76
12.03 09:45	SD	AC.05.0010	Blood draw, routine check	42	40.32
12.03 10:30	AB	AC.15.0020	Chronic back pain, follow-up	52	49.92
12.03 11:15	TP	AC.10.1010	Travel vaccination advice, SE Asia	21	20.16
11.03 08:30	MR	FA.10.0010	Abdominal ultrasound, epigastric pain	94	90.24
11.03 09:15	KL	+AC.10.1020	Blood pressure medication adj.	21	20.16
11.03 10:00	SD	AC.03.0010	Consult., employer certificate	18	17.28
11.03 10:45	AB	IA.20.0010	Right shoulder injection	72	69.12
11.03 11:30	TP	AC.25.0020	Stress ECG, chest pain	56	53.76
10.03 08:00	MR	AC.10.1010	Post-operative follow-up consult.	21	20.16
10.03 08:45	KL	VA.10.0070	Screening colonoscopy	145	139.20
10.03 09:30	SD	+AC.05.0020	Fall assessment, elderly patient	38	36.48

Audit report — Q1 2026 · General medicine

Records examined

No discrepancy detected

Findings to investigate

Systematic findings

HighSimilar consultations coded differently across departments38 records

HighDocumented technical services never invoiced — quantified value24 records

MedDifferences concentrated in one provider group since Q3112 records

LowDuplicate diagnosis codes — no billing impact61 records

Illustrative example — figures shown are not client data

How it works

From data export to prioritized report.

Agree the scope, bring your data

Send Kodia a deidentified export of the ambulatory billing records and documentation for the agreed scope.

Re-code every record independently

Kodia codes each record from the documentation without seeing the existing coding, applying the TARDOC, outpatient flat-rate, and ICD-10 rules that were in force at the time.

Compare and quantify

Differences between your coding and Kodia's — in both directions — are aggregated into findings: quantified, grouped by provider and period, and ranked by financial impact.

Walk through the report

Each finding displays the relevant official references and supporting explanation. We review the report with your team, and your organization decides what action to take.

What it surfaces

Four kinds of things worth a second look.

Missing billable items

Services documented but missing from billing — quantified across the complete dataset to estimate their potential financial impact.

Coding inconsistencies

Similar consultations coded differently across providers or time — the kind of drift that's invisible record by record.

Rule violations

Cumulation conflicts, missing qualifications, and exceeded limitations — checked against the catalog in force.

Recurring patterns

Anomalies that cluster around one provider group or period — so you fix the cause, not just the symptom.

The engagement

A defined scope, a delivered report.

For hospitals, clinics, and billing leads who want to know what their billing history holds — before a payer, a revision, or a tariff change forces the question.

Get started

Pilot

A first audit on a defined scope — one quarter or one department — to see what the report surfaces.

Scope definition and objective alignment
Review of the relevant dataset and fields
Independent re-coding of every record in scope
Findings report, walked through with your team
Recommendation on next steps

Request a pilot

Full scope

Engagement

A complete examination of your billing history. Pricing depends on scope and volume.

Scope and dataset size
Number of entities, sites, or providers
Period covered — a quarter, a year, or more
Reporting and support requirements
Follow-up audits at agreed intervals

Audit looks back once; Review checks every run going forward.

See what your billing history reveals.

Define a pilot scope of ambulatory records, and judge the findings — and the review effort they call for — on your own data.