Smart medical coding auto coded in seconds

A multi-agent AI streamlines MedDRA and WHODrug workflows with built-in peer reviews, full audit trails, and continuous human-in-the-loop precision.

Rank-1 Model Confidence
0 %

Rank-1 model confidence — on real-world verbatims

"Stenosis Channel L4-L5" → Lumbar Spinal Stenosis (89%)
"Neck spasm" → Cervical Spasm (92%)
"Zyrtec (Cetirizine HCl)" → Zyrtec [CETIRIZINE HYDROCHLORIDE] (97%)

Automate medical coding. Code faster. Code consistently.

Smart Medical Coding (SMC) is Saama’s AI-powered, agentic coding solution that auto-codes MedDRA and WHODrug verbatim terms in seconds — with a multi-agent workflow, built-in peer review, a full audit trail, and continuous human-in-the-loop learning.

The Value

One source of truth for verbatim coding

SMC eliminates the manual, spreadsheet-driven workflows that slow clinical trials down. Agentic AI transforms error-prone coding — inconsistent verbatims, unscalable peer review, dictionary-upgrade rework — into an intelligent, self-governing, continuously improving system.
Auto-code in seconds, not minutes

Replace manual dictionary lookups with NLP-powered ranked predictions for MedDRA and WHODrug. Coders pick from the top 5 matches instead of searching dictionaries by hand.

Code consistently across studies

Centralized synonym lists, unique-term detection, and cross-study consistency reports eliminate the verbatim-coded-three-different-ways problem.

Stay audit- and submission-ready

Built-in peer review, role-based access, and a 21 CFR Part 11–compliant audit trail keep every coding decision inspection-ready.

Get smarter with every coder action

A human-in-the-loop learning loop captures every approval and rejection, retraining models so accuracy and auto-code rates improve continuously.

The Architecture

A multi-agent coding system, with humans in command

A specialized AI agent handles each phase of the coding workflow — with human oversight at every escalation point.

Intake & Pre-Processing Agent
Parses each eCRF entry into AE and CM verbatims and extracts context — indication, country.
MedDRA & WHODrug Coding Agents
Auto-code AEs to the correct Preferred Term and medications to the correct WHODrug entry, logging the full reasoning chain.
Query Outbound Agent
Validates codes against study conventions, checks cross-study consistency, and flags anomalies for review.
Dictionary Management Agent
Manages dictionary versions, browsing, and up-versioning impact analysis.
Orchestrator Agent
Updates the EDC and safety database, logs every decision in the audit trail, and manages human-in-the-loop escalations.

The Workflow

Three roles. One audit trail. Zero spreadsheets.

From verbatim entry to approved code, every term moves through clearly owned roles — with the AI doing the heavy lifting in between.

1

Coding Manager - Assigns the work

Verbatim terms flow in from your EDC or via file upload. The manager assigns terms individually or in bulk and tracks status on a live dashboard.

2

Junior Coder - Reviews AI predictions

SMC returns the top 5 MedDRA or WHODrug matches with confidence scores. The coder confirms, picks from the ranked list, or runs a manual search and submits for approval.

3

Senior Coder - Approves or rejects

A peer reviewer approves the code or sends it back with a reason. Approved codes flow to the EDC and safety database, with every decision in the audit trail.

1
Coding Manager Assigns the work
Verbatim terms flow in from your EDC or via file upload. The manager assigns terms individually or in bulk and tracks status on a live dashboard.
2
Junior Coder Reviews AI predictions
SMC returns the top 5 MedDRA or WHODrug matches with confidence scores. The coder confirms, picks from the ranked list, or runs a manual search and submits for approval.
3
Senior Coder Approves or rejects
A peer reviewer approves the code or sends it back with a reason. Approved codes flow to the EDC and safety database, with every decision in the audit trail.

And the model keeps learning.

Every approval and rejection becomes labeled training data — so SMC gets more confident on your sponsor-specific verbatims, indication terminology, and unseen drug names, without retraining from scratch.

And the model keeps learning. Every approval and rejection becomes labeled training data — so SMC gets more confident on your sponsor-specific verbatims, indication terminology, and unseen drug names, without retraining from scratch.

The Platform

Everything coding teams need, built in

High-confidence terms code automatically; lower-confidence terms route to review — always with top-5 ranked predictions. No blind auto-coding.

Any current or historic version, managed centrally, with up-versioning impact analysis that flags terms needing re-coding.

Search terms and visualize coding hierarchy, including SMQ and SDG groupings, directly in the UI.

Code drugs to the ATC level for precise submissions; configure terms that bypass auto-coding and trigger automatic queries.

The full coder-to-approver chain captured on every term, with re-coding of previously approved terms supported.

Four query categories — Clarify, Split, Move, Multiple — with ten pre-built query text templates. Replaces spreadsheet-based review.

Inbound/outbound APIs, EDC connectors, and token-based authentication. ASCII / XML export to your safety database.

Every action timestamped and attributable; validation packages support regulatory inspections.

Real-time auto-code rates, pending queues, reviewer throughput — plus coding consistency reports for medical monitors.

Every approval and rejection retrains the models, raising accuracy with every term reviewed.

Delivered on Saama's Life Science Analytics Cloud. Provision per study or portfolio — no on-premise install.

AI-powered auto-coding

High-confidence terms code automatically; lower-confidence terms route to review — always with top-5 ranked predictions. No blind auto-coding.

MedDRA & WHO Drug support

Any current or historic version, managed centrally, with up-versioning impact analysis that flags terms needing re-coding.

Dictionary browser

Search terms and visualize coding hierarchy, including SMQ and SDG groupings, directly in the UI.

ATC coding, block terms & stop words

Code drugs to the ATC level for precise submissions; configure terms that bypass auto-coding and trigger automatic queries.

Peer-review workflow

The full coder-to-approver chain captured on every term, with re-coding of previously approved terms supported.

Integrated query management

Four query categories — Clarify, Split, Move, Multiple — with ten pre-built query text templates. Replaces spreadsheet-based review.

Synonym & unique-term management

Reuse unique verbatim mappings and build a synonym library that raises auto-code rates study over study.

EDC & API integration

Inbound/outbound APIs, EDC connectors, and token-based authentication. ASCII / XML export to your safety database.

Audit trail & Part 11 readiness

Every action timestamped and attributable; validation packages support regulatory inspections.

Dashboards & consistency reports

Real-time auto-code rates, pending queues, reviewer throughput — plus coding consistency reports for medical monitors.

Human-in-the-loop learning

Every approval and rejection retrains the models, raising accuracy with every term reviewed.

Cloud SaaS deployment

Delivered on Saama's Life Science Analytics Cloud. Provision per study or portfolio — no on-premise install.

The Difference

The only coder that learns from every action

SMC is the only solution in the category with a true human-in-the-loop learning loop that retrains models on every coder action  combined with EDC-agnostic integration and unified query management.

Capability Saama SMC Medidata Rave Coder Veeva Vault Coder Oracle Central Coding
NLP & Machine-Learning Coding Suggestions ✓ ✓ — —
Human-in-the-Loop Feedback Learning ✓ — — —
Integration with Any EDC System ✓ Partial ✓ Partial
All Historic MedDRA / WHODrug Versions ✓ ✓ ✓ ✓
Consolidated Query Management ✓ ✓ ✓ ✓
Export Coded Data (ASCII / XML) ✓ ✓ — —

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