# Coding & CDI Quality Check for Medical Coding Managers with Optum CAC

> AI reviews every encounter in 3M 360 Encompass, flags missing specificity, suggests the supported code, and queues physician queries — revenue per encounter climbs and audit risk falls. Purpose-built for teams running Optum CAC — uses the native API or agent integration so nothing leaves the system of record.

- **Tool:** [Optum CAC](https://calish.com/workflows/tool/optum-cac/)
- **Role:** [Medical Coding Manager](https://calish.com/workflows/for/medical-coding-manager/)
- **Specialty:** CDI & Coding
- **Category:** Reporting & Analytics
- **Canonical URL:** https://calish.com/workflows/with/coding-and-cdi-quality-check-for-medical-coding-manager-with-optum-cac/

## The Problem

Missing specificity in CDI & Coding coding leaves revenue on the table and creates audit risk — CDI specialists can only review a fraction of charts.

## What We Build in Optum CAC

AI reviews every encounter in 3M 360 Encompass, flags missing specificity, suggests the supported code, and queues physician queries — revenue per encounter climbs and audit risk falls. Purpose-built for teams running Optum CAC — uses the native API or agent integration so nothing leaves the system of record.

## Optum CAC Integration Approach

1. **Audit your Optum CAC configuration.** We map the specific Optum CAC objects, custom fields, and workflows the automation needs to touch for your cdi & coding practice.
2. **Build on the Optum CAC API or agent.** Integration happens inside Optum CAC — no data leaves the system, no parallel tool for your team to learn, no license changes.
3. **Human-in-the-loop handoff.** Every automation routes exceptions back to a human in Optum CAC with full context — AI handles the 80%, your team owns the judgment calls.

## About This Workflow

- [Coding & CDI Quality Check for Medical Coding Managers](https://calish.com/workflows/coding-and-cdi-quality-check-for-medical-coding-manager/)
- AI reviews every encounter in 3M 360 Encompass, flags missing specificity, suggests the supported code, and queues physician queries — revenue per encounter climbs and audit risk falls.

## Other Optum CAC Automations

- [No-Show Reduction & Recall for Medical Coding Managers](https://calish.com/workflows/with/no-show-reduction-and-recall-for-medical-coding-manager-with-optum-cac/)
- [Chart Closure & Encounter Documentation for Medical Coding Managers](https://calish.com/workflows/with/chart-closure-and-encounter-documentation-for-medical-coding-manager-with-optum-cac/)
- [Insurance Eligibility Verification for Medical Coding Managers](https://calish.com/workflows/with/insurance-eligibility-verification-for-medical-coding-manager-with-optum-cac/)
- [Patient Balance Collections for Medical Coding Managers](https://calish.com/workflows/with/patient-balance-collections-for-medical-coding-manager-with-optum-cac/)
- [Rx Refill Request Processing for Medical Coding Managers](https://calish.com/workflows/with/rx-refill-request-processing-for-medical-coding-manager-with-optum-cac/)
- [Lab Result Triage & Follow-up for Medical Coding Managers](https://calish.com/workflows/with/lab-result-triage-and-follow-up-for-medical-coding-manager-with-optum-cac/)
- [HEDIS / Quality Measure Tracking for Medical Coding Managers](https://calish.com/workflows/with/hedis-quality-measure-tracking-for-medical-coding-manager-with-optum-cac/)

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