Charta Health

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Charta Health attacks a different point in the revenue cycle from the autonomous coding vendors it sits beside. Its target is pre bill chart review, and the statistic it builds on is stark: because manual review requires specialists to comb through thousands of records, fewer than one percent of charts are ever actually reviewed. Charta reviews one hundred percent of them, immediately after each encounter note closes and before the claim goes out. Founded in 2022, it raised 30 million dollars in a single year, an 8.1 million dollar seed in March followed by a 22 million dollar Series A, both led by Bain Capital Ventures with Madrona, SV Angel, Refract Ventures and South Park Commons participating. Healthcare organisations across 43 states use it, and reported outcomes include 10.6 times the chart coverage per full time employee, a 72 percent improvement in accuracy, and revenue increases averaging 11 percent measured through relative value units per patient, reaching 15.2 percent at the top end. The design choice that distinguishes it is configurable oversight. Charta can autonomously code every note, autocorrect coding mistakes directly in the EHR, send automated notes back to the provider, or queue problem charts for human intervention, and the practice chooses how much oversight it wants rather than accepting the vendor default. Every decision is backed by detailed reasoning and document citations, so a reviewer validates against the source rather than trusting a score, and the organisation is audit ready by construction. Scope runs wider than coding: payer compliance validation against payer specific logic rather than one generic rule set, provider performance management, clinical quality measures and risk adjustment, all from the same review of every encounter. Each customer gets a dedicated AI engineer who trains the model to the organisation standards and retrains it on feedback from providers and revenue cycle teams. Evaluation is unusually concrete, with a sample batch of historical charts and claims run through the system so a buyer sees what would have been caught before paying anything. Compliance covers HIPAA, SOC 2 and GDPR, with reports available on request.