Charta Health

Charta Health is an AI chart review company serving healthcare providers and payers. Its platform reviews clinical documentation to improve coding accuracy, revenue capture, compliance and clinical quality.

The platform audits 100% of patient encounters before billing, with provider products for autonomous coding, revenue discovery and payer compliance, and payer products for risk adjustment, RADV audit management and HEDIS analytics. It serves FQHCs, provider groups, MSOs, health systems and payers, with specialty pages for dermatology, primary care, urgent care and behavioral health.

• Autonomous coding: AI-assisted medical coding for provider encounters.
• Revenue discovery: finds missed charges before billing.
• Payer compliance: checks charts against payer-specific guidelines.
• Risk adjustment: retrospective and prospective review for payers.
• RADV and audit management: supports payer audit workflows.
• Quality analytics: HEDIS and clinical quality analytics.

Hospitals could review records before submitting insurance claims to reduce rejections. Insurers could audit provider charts for coding accuracy.

• Company-reported 11% revenue uplift from pre-billing chart review.
• Review coverage of all patient encounters instead of samples.
• Company-reported 98% accuracy on payer coding projects.
• Fewer clawbacks and compliance risks.

Documentation-driven coding and billing accuracy is a growing focus as AI moves into revenue cycle management. Vietnamese hospitals preparing for insurance claim audits and DRG-style payment could use automated chart review.

US company. Series A of USD 22M in July 2025 led by Bain Capital Ventures with Madrona, SV Angel, Refract Ventures and South Park Commons.