The healthcare industry is facing a critical shortage of medical coders, exacerbated by an aging workforce and an increasing demand for healthcare services. Traditional computer-assisted coding (CAC) and other rules based technologies have reached their productivity limits, prompting the need for more advanced solutions. Autonomous coding, utilizing sophisticated AI technologies, has emerged as a promising tool to fully automate routine coding tasks, allowing human coders to focus on more complex cases and quality assurance. This shift not only enhances productivity and accuracy but also reduces claim processing times and denial rates. Additionally, the integration of single path coding (SPC) can streamline workflows by consolidating professional and facility coding processes, further improving efficiency and data quality. The combined implementation of autonomous coding and SPC, offers a comprehensive approach to mitigating the coder shortage, optimizing revenue cycle management, and enabling healthcare organizations to adapt to current and future demands.