Clinical workflow automation refers to the use of intelligent systems to streamline healthcare processes like medical coding, quality reporting, and risk adjustment. By converting clinical documentation into structured data automatically, it helps reduce manual effort, improve accuracy, and support compliance across high-volume care settings.
This automation is especially valuable in value-based care, where timely, accurate coding and reporting are critical to reimbursement. Integrated with EMRs and billing systems, these workflows enable provider networks—across primary care and specialty services—to operate more efficiently, scale across markets, and maintain data integrity at every step.
Business Process Management (BPM) is the strategic discipline in which an enterprise employs various technologies to optimize workflows and processes at multiple levels. These technologies typically include a process engine, business analytics, content management, and collaboration tools at the core level. These key components are put in place to discover critical information, generate models, analyze data, measure growth, improve structures, and automate enterprise processes-- with the overarching goal of optimizing the organizational ecosystem as a whole.
As technologies have advanced, the benefits of employing BPM technologies have been achievable at an increasingly more granular level, and now some of the newest iterations are referred to as deep Digital Process Automation (DPA-deep)
Reduce Costs from Manual Coding
Manual workflows drain time and resources. Automation eliminates redundant effort and reduces errors, lowering administrative costs tied to retrospective review and rework.
Improve Coding Accuracy & Timeliness
Automated extraction of ICD-10, CPT, HCC, and HCPCS codes ensures near real-time capture of documentation with 98%+ accuracy—reducing downstream cleanup and payer rejections..
Streamline Provider Workflows
Seamlessly integrate into EMRs without disrupting physician workflow. Minimize additional clicks or queries to streamline documentation and boost provider satisfaction.
Ensure Audit-Ready Compliance
HIPAA-compliant automation with a transparent audit trail ensures that risk-adjusted data is always defensible, validated, and accessible during audits or compliance reviews.
Enhance Staff Efficiency
Let clinical and coding teams focus on edge cases while AI handles the bulk of structured extraction. Boost team productivity without increasing headcount.
Eliminate Workflow Variability Across Markets
Standardize how documentation is coded and measured across practices, geographies, and specialties—reducing variability and improving consistency in risk scoring.
Accelerate Risk Capture & Reporting
Surface risk factors, gaps, and quality measures (like BP, A1c) faster. Early visibility into patient risk improves care planning, RAF accuracy, and revenue forecasting.
Scale Nationally with Confidence
Whether you're adding clinics, regions, or entire networks, automation gives you the infrastructure to scale risk operations without scaling overhead or delay.
Diminish expenditure and mistakes
Repetitive and manual processes throughout tech stacks are more prone to errors. Humans, inherent workflow inefficiencies, or sometimes a combination of the two typically cause these issues. BPM processes are a great tool to eradicate these errors and stimulate cost savings. These changes can radically improve accuracy that directly benefits the Finance and Accounting branches of businesses.
Exponentially Increase Efficiency
Reducing inefficiencies is at the pinnacle of BPM. This inherent feature retains optimizing functionality across industries and business models. B2B, B2C, C2C, and C2B organizations can all benefit from introducing BPM to streamline workflows.
Enhance Client Experience
With technology advancing quickly, customers are likely to expect more value and ROI for each dollar spent. Implementing BPM solutions is paramount to modernizing processes to enhance the customer experience.
Augment compliance and governance
Introducing BPM solutions into an organization dramatically increases the transparency and traceability of data as it moves through workflows. This improvement enables the streamlining of regulatory protocols that would be otherwise complex and meticulous. Heavily regulated sectors such Oil & Gas, Medicine, Utilities, and Financial Services are just a few of many that can significantly benefit from the BPM solutions.
Boost Productivity
Enterprise software products continue to advance yet still have efficiency gaps that affect the end-user. Over time the burden of these gaps can quickly hinder the true potential of organizations. BPM improves digital tasks by tuning digital operations to run more streamlined. Reducing clicks, screens, and load times are just a few ways BPM can free up the workloads. Increased high-value work output is a direct result of reducing the burden of digital tasks by automating them.
Identify and optimize convoluted processes
Leaders of organizations must understand cumbersome business processes to optimize operations effectively. BPM solutions can map out all the step steps in workflows. The increased transparency unlocks the ability to optimize on various levels.
Accelerate Cycles
Essential tasks often bog down organizations. Processes, such as employee onboarding, for example, can be revamped to speed up the cycle and improve the experience for all parties involved.
Cultivate a robust digital transformation
Implementing BPM allows for organizations to fine-tune all phases and workflows. Revamping and customizing these processes will enable businesses to be more agile, have a faster speed to market, and scale with ease.
At Odesso, we begin with the end in mind—targeting outcomes like optimized risk capture, faster reimbursement cycles, and improved quality scores. Our team works with healthcare executives to define precise automation goals aligned with value-based care initiatives.
We don’t guess—we model. Our automation frameworks simulate a variety of documentation and billing scenarios across specialties and markets, allowing organizations to test, validate, and refine workflows before they scale.
Odesso’s automation engine integrates directly with EMRs, coding platforms, and quality reporting tools. We ensure workflows are deployed with minimal disruption—optimized for accuracy, scalability, and compliance from day one.
Every automated process is fully traceable and auditable. We provide end-to-end visibility to monitor how data flows, where value is created, and where improvement is needed—so your teams stay proactive, not reactive.
Odesso's analytics layer surfaces insights across your operations, from provider-level bottlenecks to systemic data quality gaps. Our customers use this intelligence to evolve faster, deliver better care, and maximize financial performance.
With over three decades of experience in digital automation, Odesso is a leader in AI-driven clinical workflow solutions for value-based care. Our platform delivers unmatched accuracy and speed in coding, quality capture, and reimbursement—across specialties and at scale. Trusted by top health systems, Odesso empowers providers to modernize operations without disruption.
BPM is put in place to revamp processes and foster long-term operational improvement. Outsourcing processes and introducing immediate automation tools are often critical strategies to kickstart a redesigned process.
Business Process Outsourcing (BPO) streamlines processes by leveraging the expertise of a third party that is specialized for a particular Process and can perform with speed.
For example, various immediate automation processes, such as Robotic Process Automation (RPA), are put in place to accelerate, streamline, and optimize processes with exceptional accuracy.
Use BPM to transform process(es)
Organizations should put BPM at the forefront to alleviate complicated processes and achieve game-changing results. An example of this would be using BPM to streamline payment processes to allow more transactions and improve clientele’s experience.
Use RPA to automate tasks
Some processes have a high potential for errors. These can often be eliminated with RPA to allow workers to focus on higher-value tasks. Repetitive and organized tasks are good signifiers for processes that should optimize with RPA solutions.
Be Agile & Adapt Faster
Use the data gathered from monitoring to fine-tune adjust the process as needed to improve efficiency and output.
As value-based care accelerates, clinical leaders face mounting pressure to deliver better outcomes, reduce costs, and maintain compliance—often across fragmented systems and diverse care networks. To meet these demands at scale, digital automation, hyperautomation, and advanced AI tools like large language models (LLMs) are becoming essential.
Odesso stands at the forefront of this transformation. With over three decades of experience in digital automation, we help provider networks streamline complex clinical workflows—from risk adjustment and quality capture to documentation and billing. Our platform uses AI-powered process automation and domain-trained LLMs to extract structured data from clinical notes, apply coding logic, and trigger downstream workflows—all within a secure, HIPAA-compliant environment.
What once required manual review and siloed teams is now orchestrated through intelligent automation. Technologies like Intelligent Document Processing (IDP), robotic process automation (RPA), and real-time process discovery allow Odesso to deliver unmatched accuracy and operational scale—supporting multiple specialties and geographies without adding manual burden.
For clinical leaders aiming to thrive under value-based models, this convergence of automation and AI isn’t just a technology shift—it’s a foundational strategy. And with Odesso as your partner, you’re backed by one of the most experienced teams in the field.
✔ Automation is foundational to scaling value-based care, enabling provider organizations to streamline operations, reduce manual overhead, and standardize workflows across diverse settings.
✔ In today’s complex healthcare landscape, AI and intelligent automation are critical for driving performance in value-based models—from risk adjustment and quality tracking to documentation and revenue cycle optimization.
✔ Clinical workflow automation powered by AI ensures data is extracted, validated, and acted on in real time, helping organizations meet outcome-based metrics with greater precision and consistency.
✔ Once care processes are redesigned to align with value-based goals, automation technologies can execute and sustain those workflows, ensuring scale without sacrificing accuracy or compliance.
✔ While not all improvements require full BPM redesign, value-based care initiatives see their greatest impact when supported by automation and AI, enabling care teams to operate at peak efficiency and focus on delivering better patient outcomes.
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