Risk Adjustment Coding Services
Get Paid What You Deserve - and Lower Your Risk - with CodeEMR
CodeEMR’s risk adjustment coding lets payers, physician groups, MSOs, ACOs, and health systems capture patient risk profiles accurately and cut audit risk. We keep documentation sharp and compliant, so you get paid fairly for the real complexity of your patients.
Why Pick CodeEMR for Risk Adjustment Coding?
Certified, Specialized Coders
Our coders are certified by AAPC and AHIMA, and they know HCC coding inside out - Medicare Advantage, ACA, Medicaid, RADV, you name it. They’re fluent in ICD-10 and risk-based models.
Layered Quality Checks
Every chart goes through several rounds of quality review. We catch every relevant diagnosis, lower your downstream risk, and make sure you’re ready for any audit.
Compliance and Audit Protection
We stick to CMS, Medicare Advantage, and ACA guidelines. That means fewer audit headaches and stronger coding integrity.
Thorough Chart Reviews
Our team runs both retrospective and prospective audits to confirm chronic conditions are coded and documentation is airtight.
Flexible Engagement
Pick the model that fits your workflow. Go full-service HCC coding, choose concurrent reviews, or stick with retrospective audits - they all work seamlessly with your EMR.
Payer & Provider Solutions
We help health plans, ACOs, and provider groups boost documentation accuracy and improve reimbursement.
What We Code
✅ Hierarchical Condition Categories (HCC) Coding
✅ Chronic Disease Coding and Validation
✅ Medicare Advantage and ACA Risk Program Coding
✅ Chart Audits and Risk Score Optimization
Our Risk Adjustment Coding Process
Interested in learning more?
Secure Data Intake
We pull records securely - EMR access, SFTP, or whatever works best for you.
Deep Review & HCC Coding
Our certified coders dive into your documentation, pull out diagnoses, and apply the right codes - always by the book.
Quality Review & Compliance
Each chart faces multiple audit layers, so nothing slips through, and everything lines up with CMS guidelines.
Why Work with CodeEMR?
✅ Improve RAF Scores & Optimize Reimbursements
✅ Cut Risk of RADV & OIG Audits
✅ Get Better Population Health Insights
Trusted Nationwide
Payers, MSOs, and provider groups across the U.S. count on CodeEMR for accurate, compliant risk adjustment coding. We help you keep revenue steady, care quality high, and documentation clean.
Need ongoing HCC support or a retrospective review? We’re ready to plug right in and work as part of your team.
Want to Learn More?
Talk to one of our coding experts today to see how CodeEMR can help with your value-based care goals.
Michelle Anderson