Live in the OR
The surgeon operates.
docuCODER Surgery documents.
docuCODER Surgery documents.
// Ambient listening active · Real-time capture · Zero interruption
docuCODER Surgery eliminates intraoperative paperwork burden — capturing the procedure in real time to deliver a ready-to-review surgical report at end of case.
// We handle the paperwork so surgical teams can care for you.
Cardiovascular surgery generates extraordinary complexity — dozens of CPT codes, supply logs, timestamped milestones, compliance requirements. Almost all of it gets documented after the fact, from memory, under time pressure. The result is a compliance gap that costs cardiovascular programs millions in denied claims, undercoded revenue, and audit exposure — year after year.
docuCODER Surgery listens and sees in real time during the procedure, and assembles a draft surgical report before the team leaves the room.
Anatomy, step names, medication orders, supply callouts, surgeon narration — all timestamped and structured automatically as the procedure unfolds.
Phones and tablets already present track surgical milestones, identify supplies, and verify procedure completion. No dedicated hardware or costly integration required.
A complete, timestamped report with suggested CPT codes, compliance documentation, supply logs, and flags for coder review — ready as the patient is sent to recovery.
Runs seamlessly alongside your existing EHR and workflows. No integration required, no IT bottleneck, no changes to how your team already operates.
Ingests data from existing device monitors, EHR exports, and staff input — not where a new system says they should be.
Every report is structured for payer requirements and audit readiness. Reviewed and approved by your team before submission. Human in the loop, always.
The system listens to the surgical team in English, Spanish, or Mandarin and timestamps every action as it happens. On one side, it builds a live transcript of everything said. On the other, it identifies each procedure step, maps it to the right anatomy, pulls out findings like pressure readings and measurements, and assigns the correct CPT codes. The team just talks. The system does the rest.
Once the case is complete, the system takes everything it captured and assembles a full surgical report. Patient information, procedures performed, diagnosis, anesthesia, ultrasound guidance, procedure metrics, findings, and a detailed procedure narrative are all organized into a structured document. The physician or staff can review, edit, and sign acceptance right from the same screen.
A QR code on screen lets staff open a camera interface on their phone and snap pictures of any supply label used during the case. The AI picks up the device name, lot number, manufacturer, and expiry date from each photo, then runs it all against live recall databases in the background. If something is expired or recalled, the system flags it before it becomes a problem.
Before the case begins, the system collects patient identifiers, history, consent, exam order, reason for exam, time-out procedures, and location into clear, structured fields. Green checks show what's complete. Orange flags show what's missing. Gaps are caught in the room, not weeks later during billing review.
Clinical expertise. Technical depth. Operational experience. The founding team brings all three — because building for the OR requires all three.
// We unburden the people who save lives.