BUTTER.
Buttery Smooth Medical Coding, Powered by AI
What if you had a coder who could process charts with unparalleled accuracy and speed? Butter combines authoritative coding references with AI-driven assistance to help you code smarter, faster, and with confidence.
Cost, Speed, and Accuracy.
No trade-offs. With Butter, you get all three.
50%
Cost Reduction
Lower operational costs
10x
Faster Processing
Accelerated turnaround
99.2%
Coding Accuracy
Precision you can trust
Cookbook.
Reference Tool
Butter Cookbook is a reference tool for navigating code sets, indexes, and official guidance with speed and confidence. It mirrors the way experienced coders think—moving from clinical concepts to indexed terms, applicable guidelines, and final code selection. Cookbook keeps authoritative rules, notes, and conventions visible at the point of use, helping coders justify decisions and reduce downstream corrections without interrupting their workflow.
Automatic Leveling based on MDM or Time. Easily review and edit basic visit details.
AI Chef.
AI Assisted Coding
Getting correct and defensible codes is a process, not a black box. AI Chef is a coding assistant that augments—not replaces—coder judgment. It analyzes clinical documentation, proposes code selections, and evaluates them against official guidelines, coding conventions, payer rules, and published standards. Each recommendation is fully explainable, with cited sources and reasoning that coders can review, challenge, and refine through natural dialog.

Automatically detect Preventative and Problem focused encounters and assign modifiers.
Clarity.
Automated Audit & Validation
Butter Clarity is a purpose-built audit and education platform for reviewing coding decisions in context. It applies the same comprehensive compliance checks as AI Chef while allowing auditors to annotate records, document alternative code choices, and explain rationale directly alongside the clinical narrative. Built-in dialog supports collaborative discussion between auditors and coders, turning audits into shared learning.

Need to account for a separately billed service? Clarify it, and Butter recalculates the level.
Benefits
Why Choose Butter?
Built for medical coding professionals who demand accuracy, speed, and reliability.
Cost Efficiency
Reduce the total cost of your coding operations significantly while maintaining quality.
Accuracy
Instantly reduce claim denials and mitigate audit risk with precise code selection.
Speed
Cut your coding turnaround time dramatically, not by hours or minutes, but by days.
Scalability
Effortlessly scale your coding capacity to handle volume fluctuations with ease.
Reliability
Ensure your coding operations run smoothly around the clock, every single day.
Security
Keep PHI secure with HIPAA-compliant technology and industry-leading protocols.
Testimonials
Hear From Our Clients.
Hear directly from coding, operations, and physician leaders who trust Butter for their coding needs.
"Butter has transformed how our coding team operates. The accuracy is remarkable, and the time savings have allowed us to focus on complex cases that truly need human expertise."
Sarah Mitchell
Director of Revenue Cycle
Regional Health System
"The explainability of Butter's AI recommendations is what sets it apart. Our coders can see exactly why a code was suggested, making it easy to verify and learn."
Dr. James Chen
Chief Medical Officer
Multi-Specialty Physician Group
"We've reduced our claim denials significantly since implementing Butter. The compliance checks catch issues before they become costly problems."
Maria Rodriguez
Coding Manager
Ambulatory Care Network
Diagnosis data? It's Free.
ICD-10-CM is free FOREVER!
This information is free. And should be free for you to access
Choose Your Plan.
Butter Cookbook.
Reference Tool
$49
/month
Comprehensive coding reference
Automatically check PTP Bundles, MUE & ICD-10-CM guidelines
AI-powered search assistance
Real-time code lookup
Expert coding guidance
Butter AI Chef.
AI Assisted Coding
$249
/month
Automatic coding of 100 charts
Industry leading accuracy for AI coding
Instant diagnosis & procedure codes
Auto-detects modifiers & optimizes E/M levels
Cookbook plan required
Butter Clarity.
Automated Audit & Validation
$149
/month
Automate much of your audits
AI validates LCD/NCD, PTP, MUE & guidelines
Catch errors before claim submission
Auto-generate audit reports
AI Chef plan required
Trusted & Compliant
Butter uses industry-leading security protocols and HIPAA-compliant infrastructure to ensure your protected health information stays secure.
FAQ
Common Questions.
Everything you need to know about Butter's AI-powered medical coding solutions.
Can you handle modifiers and other special E&M circumstances?
Yes, Butter can handle modifiers and special circumstances such as preventative visits, prolonged services, split / shared visits, incident-to, global surgical package, multiple E&Ms on the same day, and telehealth.
What if my company has its own coding guidelines?
When clients have coding policies or guidelines that differ from Butter's standard approach, Butter can create client-specific settings that are only available for that client. We will not share your policies or guidelines with other clients.
How does Butter’s AI work?
Butter uses large language models to review the medical record and then sends that information to Butter's proprietary coding system, which assigns the correct diagnoses and procedures including E&M category and level based on either MDM or time, as applicable.
How is Butter better than currently available coding tools like CAC or NLP?
CAC tools are glorified dictionaries. You decide what to look up, then decide what information is relevant. NLP tools are better but far from sufficient. They are like chatbots before ChatGPT. They kind of worked, but not well. Butter uses Generative AI to answer questions that would have been out of reach for "AI" technologies like NLP.
How does Butter protect my clients’ sensitive, privacy-protected medical records?
Butter uses HIPAA compliant LLMs and cloud storage technology to ensure your clients’ protected health information is not shared with unauthorized entities.
Do I need a Business Associate Agreement (BAA) to work with Butter?
If using Butter AI Chef or Butter Clarity, your organization will need to sign a BAA so that we can process your clients’ protected health information. The sign up process includes a BAA to sign online.
