From chart to defensible finding
Cierta is built around one idea: a coding decision should travel with the evidence and reasoning behind it. Here's how that works, end to end.
A controlled path for every chart
Charts move through a defined sequence — never an opaque single step. Each stage is observable, and PHI handling is applied up front so the rest of the pipeline works on protected data.
Controlled intake; PHI scrubbed before processing.
Conditions and candidate codes identified from the record.
Each finding tied to its source page and attribution.
Documentation support checked before surfacing.
Coders confirm or reject; nothing auto-submits.
Every finding shows its work
Cierta doesn't just return a code — it returns the documentation behind it. Findings reference the exact source page and provider attribution they were drawn from, so a reviewer can verify the basis in seconds rather than hunting through the chart.
- Source-page citation on each finding
- Provider attribution carried through
- Documentation support surfaced alongside the code
- Findings without adequate support are held back
Coders stay in control
The platform is an assistant, not an autopilot. Candidate findings are presented for a coder to confirm or reject, and submission stays behind explicit human approval. Cierta is designed to make expert review faster and more consistent — not to remove the expert.
- Confirm / reject workflow for every candidate
- No autonomous submissions
- Role-aware access and approval gates
- Consistent review structure across coders
Defensibility is engineered in
Underneath the workflow is infrastructure built for regulated healthcare data: a production cloud footprint, per-organization isolation, a tamper-evident audit chain, and guardrails around the AI itself, including spend controls, provider governance, and PHI handling controls.
Cierta is deployed under a synthetic-data-first posture. Real-PHI activation remains gated behind signed agreements and compliance approval. More on security & compliance →
- Production cloud deployment with real-PHI activation gates
- Row-level security enforced per tenant
- Hash-chained, tamper-evident audit log
- Governed AI provider layer with operational guardrails
Want to see the evidence trail?
We'll run Cierta on representative charts and walk through how each finding is supported.