admin The modern healthcare ecosystem is evolving at an unprecedented pace, driven by technology, data intelligence, and an urgent need for efficiency. Among the leaders shaping this transformation is Jim Sholeff, CEO and co-founder of Claimocity, a healthcare technology company purpose-built to serve hospital and facility-based physicians.
Under his leadership, Claimocity has emerged as a pioneering force in inpatient billing, workflow optimization, and financial transparency, areas long burdened by complexity and inefficiency.
“Inpatient physicians dedicate their lives to patient care, and they deserve systems that support, not complicate their work.”
– Jim Sholeff
Identifying a Critical Gap in Inpatient Care
Claimocity was born from a rare blend of frontline experience and technological foresight. The founding team brought together seasoned medical billers and innovative product developers who recognized a fundamental oversight in healthcare software: inpatient physicians were being underserved. While most solutions catered to office-based practices, hospitalists and other inpatient specialists faced unique challenges that existing platforms failed to address.
By focusing exclusively on inpatient workflows, Claimocity was able to design a solution that addressed the real-world pain points of physicians working across hospitals, skilled nursing facilities, and rehabilitation centers. The platform was engineered to support mobility, cross-device access, and real-time data flow, essential features for physicians constantly moving between patients and facilities.
Purpose-Built for Hospital-Based Physicians
Hospitalists, physiatrists, intensivists, and other inpatient specialists operate in fast-paced, high-stakes environments. Recognizing this, Claimocity developed a platform that integrates directly with hospital systems and leading EHRs such as PointClickCare and MatrixCare. These integrations allow real-time access to admissions, patient demographics, census updates, prescriptions, and care coordination data.
One of the platform’s standout innovations is its SOAP Note Generator, which enables physicians to document patient encounters efficiently while rounding. Notes are automatically synced with the EHR and aligned with billing workflows, dramatically reducing redundant clerical work. This approach allows physicians to complete charting and billing simultaneously, cutting administrative workload while improving accuracy.
Expanding Impact Across Inpatient Specialties
Claimocity’s reach extends well beyond hospital medicine. The platform supports a broad spectrum of inpatient specialties, including Physical Medicine and Rehabilitation, inpatient psychiatry, pulmonology, neurology, emergency medicine, and critical care. By addressing the nuanced needs of acute and sub-acute care providers, Claimocity has helped reshape expectations across the healthcare technology landscape.
Its success has also prompted broader industry change, encouraging traditional vendors to adapt their offerings for inpatient workflows. Despite increased competition, Claimocity continues to lead through specialization, depth of integration, and relentless focus on physician experience.
Practice IQ: Turning Data Into Actionable Insight
At the core of Claimocity’s platform lies Practice IQ, a robust analytics and benchmarking engine designed to drive continuous improvement. Practice IQ delivers over 1,000 process analytics, offering both high-level snapshots and deep operational insights.
Physicians and practice owners can track E/M coding benchmarks, peer rankings, revenue patterns, and audit risk indicators across states, specialties, and code groups. Machine learning enhances these insights over time, identifying trends, inefficiencies, and revenue opportunities that would otherwise remain hidden.
Complementing this is Code Assist, a concierge-level coding solution where experienced professionals analyze documentation and select appropriate codes. This approach not only saves physicians valuable time but also improves compliance, revenue capture, and benchmark performance.
Financial Transparency Through Claim Intelligence
Medical billing remains one of the most opaque areas of healthcare finance. Claimocity addresses this challenge head-on by providing full visibility into claim updates, denials, and reimbursement patterns. This transparency empowers providers to understand where revenue is lost and why.
Accurate coding is central to this effort. A significant percentage of claim denials are preventable, yet once a claim is denied, many cannot be corrected. By prioritizing clean claims and first-pass approval, Claimocity helps practices protect revenue while reducing rework costs and audit exposure.
Grey areas in coding often force physicians into undercoding or overcoding, both of which carry serious legal and financial risks. Claimocity mitigates these risks by aligning provider documentation, coding expertise, and data-driven insights into a unified workflow.
Elevating User Experience and Physician Wellbeing
From its inception, Claimocity placed user experience at the center of product design. The platform was built to be intuitive, elegant, and easy to adopt, eliminating steep learning curves and workflow disruptions. Physicians can manage patient lists, admissions, documentation, billing, and progress tracking from a single Smart Census dashboard.
Beyond software, Claimocity provides concierge-level support, tailored onboarding, and live access to experienced specialists. This commitment ensures that providers are never left navigating complex systems alone.
“The future of healthcare lies in combining intelligent automation with experienced human teams to deliver accuracy, efficiency, and peace of mind.”
– Jim Sholeff
The Future: Automation, AI, and Human Expertise
Claimocity’s platform is built on a collaborative model that combines AI-driven intelligence with seasoned human expertise. Long before AI became a healthcare buzzword, Claimocity embedded machine learning into its workflows to improve speed, accuracy, and adaptability.
Looking ahead, the company is advancing toward fully automated billing and coding processes. Physicians will be able to focus entirely on patient care, while expert teams handle reimbursement optimization behind the scenes. This shift promises higher revenue, reduced burnout, improved patient satisfaction, and fewer errors.
By harmonizing advanced technology with human judgment, Claimocity is shaping a future where healthcare economics support clinical excellence.
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