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Risk Adjustment Coding Services

At CodeEMR, our team of AAPC- and AHIMA-certified coders specializes in risk adjustment coding and precise Hierarchical Condition Category (HCC) scoring. We help healthcare organizations succeed in value-based care programs.

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. 

risk-adjustment-overview

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.

our risk adjustment coding services

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.

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

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.

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