# Cracking the Medical Code: Why Cleveland Clinic Doctors Love Their Ambience Healthcare AI Scribe

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Text version: https://stenobird.com/podcast/the-cognitive-revolution/cracking-the-medical-code-why-cleveland-clinic-doctors-love-their-ambience-healthcare-ai-scribe.md
Podcast: ["The Cognitive Revolution" | AI Builders, Researchers, and Live Player Analysis](https://stenobird.com/podcast/the-cognitive-revolution)
Published: 2025-07-10T15:21:00+00:00
Episode link: https://www.cognitiverevolution.ai
Audio file: https://pdst.fm/e/mgln.ai/e/1113/pscrb.fm/rss/p/traffic.megaphone.fm/RINTP3497037706.mp3?updated=1752161129
Processing state: processed
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Duration seconds: 5318

## Resource

Brendan Fortuner from Ambience Healthcare and Ben Shahshahani from Cleveland Clinic discuss how AI is transforming medical documentation and coding in a healthcare system that spends $1 trillion annually on administrative tasks. They explore Ambience's technical breakthrough using OpenAI's Reinforcement Fine-Tuning to achieve medical coding accuracy that exceeds human doctors by 12 percentage points, including their specialty-by-specialty approach and solutions to reward hacking behavior. The conversation reveals key insights about AI deployment strategy, including how Cleveland Clinic achieved 75% voluntary adoption across 4,000 physicians after requiring just a single use of the AI scribe. This case study demonstrates what it takes to successfully implement AI tools in complex, high-stakes healthcare environments where user skepticism and regulatory requirements create significant deployment challenges. Sponsors: Oracle Cloud Infrastructure: Oracle Cloud Infrastructure (OCI) is the next-generation cloud that delivers better performance, faster speeds, and significantly lower costs, including up to 50% less for compute, 70% for storage, and 80% for networking. Run any workload, from infrastructure to AI, in a high-availability environment and try OCI for free with zero commitment at https://oracle.com/cognitive The AGNTCY: The AGNTCY is an open-source collective dedicated to building the Internet of Agents, enabling AI agents to communicate and collaborate seamlessly across frameworks. Join a community of engineers focused on high-quality multi-agent software and support the initiative at https://agntcy.org NetSuite by Oracle: NetSuite by Oracle is the AI-powered business management suite trusted by over 42,000 businesses, offering a unified platform for accounting, f…

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