Codes with their reasoning attached.
Bosshh suggests ICD-10-CM codes from the clinical record, shows the documentation behind each one, lists the codes it rejected and why, and writes the queries that would earn better specificity. Your coder accepts, edits, or rejects each suggestion.
A first pass that is actually reviewable
A list of codes with no reasoning is not faster to check than coding from scratch. What saves a coder time is seeing the thinking.
The supporting quote
Each suggested code carries the phrase from the documentation that supports it, plus a confidence level. Disagreeing takes one glance.
The rejected codes
The codes considered and set aside, with the reason. That list is often more useful than the accepted one, because it shows where documentation fell short.
Sequencing checks
Whether a code is acceptable as a principal diagnosis, and whether a manifestation code needs its etiology sequenced first.
Documentation queries
The specific clarification to send the clinician, what detail is missing, and which more specific code becomes available if they answer.
Nothing becomes a claim on its own
Every suggestion starts as a suggestion. Only codes a coder has explicitly accepted or corrected become part of the episode's coded record, and each decision is stamped with who made it.
Accept, edit, or reject
Editing replaces the suggested code with the coder's own, validated for format. Rejecting keeps the suggestion and the reason on the record rather than deleting it.
Unsupported is said out loud
When documentation implies a condition without establishing it to the specificity a code requires, Bosshh names the missing specificity instead of guessing. An unsupported code is a compliance exposure, not a small rounding error.
Works with or without a Bosshh chart
Code straight from a chart Bosshh drafted, or paste documentation from anywhere and code that. Useful for a backlog that never came through this system.
Put it against your coder
Run a handful of real episodes side by side and compare the results.