Scale Risk Adjustment with Autonomous Medical Coding

Convert clinical documentation into compliant, audit-ready codes—with 98%+ accuracy and zero disruption to clinical workflows. Purpose-built for value-based care organizations scaling across multiple markets.

Appian Performance Tuner

On-prem and Cloud performance optimization for Appian Applications

Purpose-Built for Scalable Risk Capture

Manual coding can't keep up with the pace of modern value-based care. Delays, errors, and variability lead to missed RAF opportunities and rising overhead. Our AI-powered platform automates medical coding directly from clinical documentation—ICD-10, CPT, HCC, and HCPCS included—across specialties and formats. The result: consistent, compliant code output at scale, ready for billing, audits, and quality reporting.

The Problem

Health plans and providers face increasing pressure to accurately capture risk and quality metrics. Traditional coding teams are costly, inconsistent, and too slow to support large-scale VBC operations.

The Solution

Autonomous coding eliminates manual backlogs. Structured outputs are generated directly from charts, supporting every downstream system—billing, EMR, analytics, and audits. Our solution is trusted in high-volume, high-risk environments and delivers ROI from day one.

Dedication to Optimization

Our Appian Performance Tuner (APT) enables organizations to get the most from previous investments. Appian (appian.com) is an industry leading low-code development platform that provides a one-stop-shop for building robust workflow, robotic process automation and AI centric applications. Appian is an extremely powerful solution that can solve a variety of business problems using data centric innovative easy to build tools. Appian allows citizen developers to rapidly create enterprise applications, but sometimes the number of applications outpaces the server power required to ensure Appian runs fast and efficiently. As a result, Appian applications can start running very slow.

The Problem

A slow application can be more detrimental than a down application. Slow apps lead to stopped business and lost customers. Side effects can include erroneous data, end user frustration, disrupted operations, overwhelmed support teams and expensive time-consuming fixes.

The Solution

Odesso provides the most comprehensive, cost effective and fast solution to speed up your Appian applications. Our proprietary method is complex and has been perfected over 20 years, and the results are simple.

Scale by Automatically:

Convert Clinical Notes to Codes

Extracts structured codes directly from narrative documentation.

Identify Quality Metrics

Flags BP, HbA1c, screenings, and other quality indicators.

Validate Coding Rules

Applies up-to-date guidelines for risk and specialty coding.

Update Downstream Systems:

Syncs structured outputs with billing and EMR platforms.

Eliminate Manual Variability

No more human interpretation gaps or copy-paste errors.

Odesso’s performance tuning services will:

Reduce Load Time

Reduce application load times from from seconds to sub-seconds. Typically, a page that loads in 10-15 seconds will be reduced to under 2 seconds. timeouts are reduced by 99%

No Lost Data

Say goodbye to data loss. Any transactional data that gets ‘stuck’ due to high traffic or an outage will be queued and available when services are restored.

Agile Monitoring

Proactive alerts and fixes, over and beyond the standard health check and application monitoring provided by Appian will be put in place.

Increase Processing Output

External Service calls like APIs or SFTP will be optimized for maximum speed and processing throughput.

Virtually Eliminate Timeouts

Timeouts are reduced by 99%

What Makes Odesso Different?

Other platforms stop at basic code suggestion. We go further. Our system understands context, specialty nuance, and compliance thresholds. Whether parsing SOAP notes or unstructured text, Odesso delivers clean, validated code that integrates with existing processes. And with multi-specialty support, it works whether you’re in primary care or cardiology.

What is the Appian Performance Tuner?

The Appian Performance Tuner (APT) refers to a way to speed up your applications, often achieving 10-20X previous speeds. It allows your workflow automation investment to scale with ease over simple internet connections. This allows your customers and employees to continue accelerating business while your orchestrated processes, organizational data and securitization mechanisms are responsive and resilient to unexpected loads

A typical Appian application utilizes processing power at the web, application, engine and database layer. APT is engineered to identify and remediate latency issues (potentially residing in more than one layer of the technology stack) quickly and with minimal impact to business continuity.

Designed for Healthcare at Scale

From single practices to national networks, Odesso is engineered for high-throughput environments. Coders are no longer the bottleneck. Our platform supports real-time ingestion and translation of thousands of charts daily, adapting to your growth without needing to scale headcount.

Odesso’s AI coding engine delivers immediate impact—with zero workflow disruption


Here’s a snapshot of what healthcare leaders gain when deploying autonomous medical coding:

Instant Accuracy

Generate audit-ready ICD-10, CPT, HCC, and HCPCS codes from clinical notes—within seconds of chart close, at over 98% accuracy.

Zero Disruption Deployment

Integrates directly with your EMR and billing systems using APIs or prebuilt connectors. No change to clinical workflows or IT strain.

Built-In Data Governance

Each code is traceable, rules-driven, and compliance-checked—ensuring your documentation stands up to payer audits and CMS reviews.

Eliminate Rework

Remove variability and human error from your workflows. No more missed codes, manual abstraction, or downstream corrections.

Odesso’s APT solution identifies the quickest path to resolution for poorly performing production systems.


Here's a overview of APT's features and benefits when deployed:

Instant Results

Improve performance by over 50% within minutes after installation

Hot Deployment

Servers and systems don’t need to be rebooted, they keep running to maximize business continuity

Data Security

Back up data that is at risk of being lost immediately

Eliminate Redundancy

Queue any transactions that may be at risk, avoiding the need for re-entry and reprocessing.

Immediate ROI, Long-Term Compliance

Deploy in weeks, see results in days. Our platform is designed to start delivering value fast, with measurable improvements in coding accuracy, throughput, and audit-readiness. And with built-in support for CMS updates and quality reporting, it ensures your organization stays ahead of regulatory shifts.

Why Other Solutions Fall Short

Many automation tools rely on rigid templates or static models that break down with real-world variability. Odesso adapts in real-time, learning from your data and continuously improving its precision.

Our Advantage

  • 98%+ accuracy in production
  • Multi-specialty and multi-market flexibility
  • Real-time EMR and billing integration
  • Built-in audit trail and compliance logic
  • HIPAA, CMS, and VBC-ready from day one

Fast Acting & Long Lasting

APT is your best option in a ‘fire fighting’ scenario when mission critical apps are slow and a reactive approach is needed. However, APT is also custom-instrumented to monitor apps of highest criticality, in the areas of highest vulnerability in performance. While Appian itself provides a health check report and performance analytics, the onus is on Appian administrators to instrument, monitor, set thresholds and appropriate alerts to proactively catch problems before they occur.

Flaws in market solutions

Several off the shelf Application Performance Monitoring tools can help identify latencies in Appian’s tech stack, but these tools lack critical visibility by virtue of the fact that Appian is a low-code development platform. Much of the performance vulnerabilities and non-functional risks in Appian are inconspicuously embedded within the application layer where citizen developers are visually coding their business logic. For example, a citizen developer could draw a process model that is a loop that repeats recursively. When this process model is published for use, it will indefinitely process a transaction and lead to memory leaks that will eventually crash Appian’s engines. An off the shelf APM tool will not be able to pinpoint the exact root cause in the application layer, beyond identifying a resource-intensive process running in the app layer that needs to be addressed.

The Odesso Advantage

In contrast, the APT finds this memory leak in seconds, as opposed to hours. The APT is attuned to examine the application layer in the context of Appian being a development platform. It flags and identifies areas for improvement and quickly resolves them in a systematic and automated manner.

How Our Autonomous Medical Coding Works

01

Ingest Clinical Notes

Works with structured or free-text notes from your EMR.

02

Parse Documentation

Context Understands SOAP, problem lists, and embedded findings.

03

Extract & Validate Codes

Applies compliance rules and assigns ICD-10, CPT, HCC, and HCPCS codes.

04

Identify Quality Measures

Surfaces BP, HbA1c, screenings, and other contract-critical indicators.

05

Push to Downstream Systems

Sends outputs to EMRs, billing tools, and analytics platforms.

06

Audit Trail & Monitoring

Traceable records for every code, for compliance and reviews.

How Does Appian Performance Tuner work?

APT is an adaptive technology that can be deployed in Appian’s AWS Cloud installation or in an On-Premise setting. APT is not an analytics only solution, it remediates performance issues instead of simply identifying them. APT’s key features include:

01

Analyze Processes

Analyze Appian processes, SAIL, data structures and transactional throughput metrics in real time.

02

Convert

Proprietary technology to convert interchangeable objects between SAIL, SQL and Process Models (BPMN) to quickly redesign non-performant objects.

03

Customize

Custom Instrumentation of the most critical business processes at the application layer.

04

Analyze Database

Analysis, Monitoring and Notification within the Application, Engines and Database layers.

05

Transactional Throttling

Transactional Throttling features to batch, spawn, optimize and add exception handling to high data loads.

06

Stop Data Loss

Intelligent Queuing to eradicate data loss from network, system, server or connection outages.

07

Kafka Streaming

Kafka enablement to enhance responsiveness of data intensive interfaces and provide real-time application streaming.

08

Optimize Server

Server Resource Optimization to reallocate network/compute/storage resources to critical business functions.

Why Leading Provider Groups Choose Odesso

Built specifically for value-based care organizations, Odesso’s autonomous medical coding engine helps provider networks scale compliant, high-accuracy risk capture without increasing headcount. Traditional coding workflows rely on human labor and post-visit abstraction, which delays reimbursement and introduces variability.

Our AI platform extracts structured codes and quality measures directly from clinical documentation—ICD-10, CPT, HCC, HCPCS, and more—delivering chart-ready outputs in seconds. With seamless EMR and billing system integration, Odesso keeps your operations moving at the speed of care.

Faster Turnaround

Code patient charts in seconds—not days. Keep pace with provider workflows and reduce time-to-bill across all markets.

Higher Accuracy

Achieve over 98% accuracy across specialties and coding types. Minimize denials and confidently pass audits.

Built for Risk Adjustment

Extract HCCs, quality metrics, and compliant codes that directly impact RAF scores and value-based reimbursement.

Ready to Scale Risk Adjustment with Confidence?

Let us show you how Odesso's autonomous medical coding platform can streamline operations, reduce costs, and improve performance across all your markets. Book a demo today

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