The cost of administrative complexity in healthcare

30–60%

potential reduction in cost to collect

McKinsey:Touchless Revenue Cycle
Up to 90%

of prior auth workflows potentially touchless

McKinsey:Touchless Revenue Cycle
25–30%

of hospital revenue is administrative overhead

McKinsey:Touchless Revenue Cycle
Key Challenges

Engineering challenges in healthcare

The problems organizations in this sector bring to us most consistently.

Process

Fragmented operational workflows

Connecting revenue-cycle data, documents, and exception workflows

Reduced manual administrative effortFaster exception resolutionImproved revenue-cycle visibilityStronger audit documentation

The challenge

Revenue-cycle operations span payer, provider, billing, document, and patient-service systems. Manual exception handling increases administrative effort, slows resolution, and limits visibility into where value is lost.

McKinsey estimates that AI enablement of healthcare revenue-cycle operations could reduce cost to collect by 30% to 60%.

McKinsey and Company, 2026

This is a third-party industry estimate and is not a CodeCones customer result or guaranteed outcome.

What we engineer

  1. Data and document ingestion pipelines
  2. Classification and extraction from clinical documents
  3. Workflow orchestration with business-rule integration
  4. Human review routing for exceptions
  5. Ownership and escalation controls

Also in this industry

Connecting clinical and administrative data for operational decision-making

Service Pathways

How we work with healthcare organisations

Healthcare engagements typically begin with a specific operational problem: a revenue-cycle workflow generating excessive exception volume, a data pipeline that cannot connect clinical and administrative systems, or an administrative process consuming disproportionate staff time. We identify the right service combination and build from there.

Agentic AI and Automation

Automate structured administrative workflows such as prior authorisation routing, document classification, and exception escalation. Agentic systems coordinate across multiple data sources with human review steps built in.

Common applications

  • Revenue-cycle exception routing and resolution
  • Prior authorisation data extraction and submission
  • Patient complaint intake and escalation management
  • Cross-department case handoff automation
AI Product Development

Build AI-enabled product capabilities inside clinical and administrative systems. Includes model development for clinical decision support, NLP for documentation, and intelligent workflow features embedded in existing platforms.

Common applications

  • Clinical documentation assistance and coding support
  • Readmission risk scoring and intervention flagging
  • Billing anomaly detection and claim review
  • Patient satisfaction and feedback analysis
Data Engineering and MLOps

Build the data infrastructure that makes clinical and administrative AI possible. This includes EHR and claims data pipelines, document processing, feature engineering, and model deployment with governance controls.

Common applications

  • EHR and claims data platform integration
  • HL7 FHIR data pipeline development
  • Document processing and extraction pipelines
  • ML model deployment and performance monitoring
Cloud and Platform Engineering

Design and operate the cloud infrastructure that supports healthcare data and AI systems, including access controls, audit logging, and the reliability requirements of clinical environments.

Common applications

  • Healthcare data platform infrastructure
  • Cloud environment access controls and segmentation
  • Pipeline and model serving infrastructure
  • Monitoring and alerting for healthcare workloads

Technology

Technology we use in healthcare projects

A curated set of platforms and tools relevant to this industry's data and AI requirements.

  • Python, Backend
  • Node.js, Backend
  • PostgreSQL, Database
  • AWS, Cloud
  • Azure, Cloud
  • Docker, Containers
  • Kubernetes, Orchestration
  • Terraform, Infrastructure
  • Datadog, Monitoring
  • GitHub, Source Control
  • OpenTelemetry, Observability

Technology selection is guided by project requirements, existing environments, and client preferences. This list is not exhaustive.

Governance

Governance and operational considerations

Healthcare AI and data engineering work operates within a complex governance environment. We design systems to support your requirements rather than assert compliance on your behalf.

Data access and patient privacy

All data pipeline and AI systems are designed with access controls, audit trails, and data-handling policies defined in collaboration with your compliance and legal teams.

Human review and exception handling

Automated workflows include defined escalation paths and human review steps for exceptions. No clinical decision is automated without explicit human oversight.

Audit evidence and traceability

System designs include logging and traceability so that processing history, model decisions, and workflow actions can be reviewed and exported for audit purposes.

Model monitoring and performance

Deployed ML models are monitored for drift, accuracy degradation, and operational performance. Governance checkpoints are embedded in the release process.

Engagement Models

Engagement options for healthcare organisations

We offer three engagement models depending on where you are in your AI and engineering journey. Some organisations bring us in to deliver a specific product or platform build. Others need embedded engineering capacity that works inside their existing team.

Defined project delivery

We scope, architect, and deliver a specific AI product, data platform, or automation system. You own the output completely. Suitable for organisations with a clear problem and defined success criteria.

Discuss a project

Engineering Teams

Embed engineers directly inside your team. We provide backend, data, AI, or platform engineers who work in your processes, tools, and codebase. Suitable for organisations that need capacity, not just delivery.

Build your team

Exploratory discovery

Not sure where to start? We work with you to assess your data environment, map the AI opportunities, and identify where engineering investment will have the highest impact.

Start a conversation

Engineering breadth across modern cloud platforms

Microsoft Azure
Google Cloud
Amazon Web Services

Cloud architecture and delivery capability across AWS, Azure, and Google Cloud

Get in Touch

Talk to our healthcare team

Tell us about your operational challenge. We respond within one business day.

  • Dedicated project manager from day one
  • Fixed-scope or continuous engagement options
  • Full IP ownership: all deliverables are yours
  • Response within one business day
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FAQs

Frequently Asked Questions

Ready to explore what AI can do for your operations?

Healthcare organisations work with us to modernise revenue-cycle workflows, connect clinical and administrative data systems, and build governed AI that fits inside their existing infrastructure.