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Risk Adjustment Coding Services

At CodeEMR, our certified coders provide specialized Risk Adjustment Coding Services and ensure precise HCC scoring to help healthcare providers and payers succeed in value-based care models.

Our Approach

CodeEMR delivers facility coding services across multiple hospital departments, with a compliance task force ensuring adherence to strict quality standards.

Comprehensive Risk Adjustment Coding Solutions

🔹 HCC Coding & Validation – Capture all chronic conditions to improve financial outcomes.
🔹 ICD-10-CM Coding Accuracy – Ensure precise coding for Hierarchical Condition Categories (HCCs).

risk-adjustment-overview

CodeEMR’s risk adjustment coders review and code using these types of reviews

Retrospective Review

Reveals a myriad of overlooked diagnoses and other issues commonly hidden in secondary reports and other supporting documentation.

Concurrent Review

Aims to ensure documentation is thorough and integrates all diagnoses and evidence into both patient records and claim submissions.

Prospective Review

Helps physicians prepare for patient encounters with “clinical indicator” clues from available sources that strongly suggest an underlying, unreported condition.

our risk adjustment coding services

Our Risk Adjustment Coding Services

Our well-trained staff excels in risk adjustment coding for intricate cases, utilizing HCC coding to secure precise Risk Adjustment Factor (RAF) scoring and reimbursements for patients with chronic conditions. 

Trust CodeEMR coders to:

  • Verify risk-adjusted codes meet industry standards. 
  • Perform precise diagnostic coding for accuracy.
  • Ensure medical records align with HCC guidelines.

Why Choose CodeEMR for Risk Adjustment Coding?

Leading healthcare institutions nationwide rely on our extensively trained specialists for their proven track record promoting precision, expediting reimbursement processes, and safeguarding against revenue loss.

Certified Risk Adjustment Coders

AHIMA- and AAPC-certified professionals with deep expertise in HCC, ICD-10, and risk models.

Compliance & Audit Readiness

Ensure CMS, Medicare Advantage, and ACA compliance to minimize risk.

Comprehensive Chart Reviews

In-depth retrospective and prospective coding audits for accurate documentation.

Payer & Provider Solutions

We support health plans, ACOs, and provider groups in maximizing reimbursements.

Interested in learning more?

Contact us today to speak with one of our medical coding experts.

Comprehensive Coding Services to
Streamline Your Revenue Cycle

Medical Billing Services

At CodeEMR, we specialize in end-to-end Revenue Cycle Management (RCM) to help healthcare providers. Read More

Facility Coding Services

CodeEMR expertly applies CPT, HCPCS, and ICD-10-CM codes to facility services. Read More

Pro Fee Coding Services

CodeEMR’s team specializes in pro-fee coding with 98% accuracy and a 3-4x ROI. Read More

Coding Audit Services

Our coding audits boost confidence, ensuring compliance and maximizing claim ROI. Read More

CHC and FQHC Coding Services

Our FQHC coding expertise sets us apart from other medical coding companies. Read More

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