Charta Health was founded by Chief Executive Officer Justin Liu and Chief Technology Officer Scott Morris, two former engineering leaders from real-time database and analytics company Rockset, which was acquired by OpenAI. Rather than deploying off-the-shelf generative language models that lack regulatory precision, the founders spent a year obtaining Certified Professional Coder credentials and conducting in-depth technical audits with more than 100 health system and payer executives. Today, that discipline is embedded across the company’s operating culture: Charta mandates that all members of its engineering and go-to-market teams achieve formal medical coding certification.

Operating directly on clinical documentation, Charta’s AI engine analyzes medical charts with the precision of senior medical coders and compliance auditors. The underlying model parses complex, unstructured physician progress notes, operative reports, lab values, and discharge summaries immediately after a note is finalized. The platform automatically flags missing codes supported by the clinical narrative, validates Evaluation and Management service levels to prevent undercoding, and removes billed codes lacking sufficient documentation to withstand post-payment audit.

Coinciding with the funding, Charta officially launched Charta for Payers, a comprehensive software suite developed in collaboration with one of the largest health plans in the United States. The platform equips health insurance organizations participating in Medicare Advantage and Affordable Care Act Individual Marketplace exchanges to improve diagnostic accuracy and clinical quality capture across several core operational areas.

The payer suite incorporates retrospective Hierarchical Condition Category coding to identify valid, uncaptured diagnoses from historical records, alongside an automated second-pass review engine that validates processed claims against underlying clinical narratives.

Source link