HCC Coders

Certified HCC Coders & Smart Software to Maximize Reimbursements

Access a nationwide network of certified risk adjustment coders and our HITRUST & HIPAA-certified HCC Navigator platform. From record retrieval to retrospective and prospective reviews, we provide flexible, end-to-end solutions that boost coding accuracy, compliance, and revenue.

Maximize Risk Adjustment Revenue with Certified Coders & Scalable Software

Partner with HCC Coders to streamline risk adjustment projects through expert chart coding, record retrieval, and our cloud-based HCC Navigator. Ensure coding accuracy, compliance, and higher reimbursements with every chart.

What We Offer

HCC Coders connects health plan providers with certified professionals skilled in ICD-10 and HCC coding. From chart reviews to retrospective and prospective risk adjustments, we supply the right talent—whether it’s one coder or an entire outsourced team.

On-Demand or Full-Service Network of Certified Coders

Get access to a nationwide pool of rigorously trained, certified HCC coders—whether you need a single expert or a fully managed coding team to handle large-scale risk adjustment projects.

Proprietary Coding Software (HCC Navigator)

Our HITRUST & HIPAA-certified HCC Navigator platform combines powerful NLP with an intuitive interface to streamline chart reviews, audits, and coding workflows for maximum efficiency.

Over 90% Medical Record Retrieval Rates

We specialize in retrieving even the hardest-to-access charts, achieving industry-leading retrieval success rates that drive higher coding accuracy and reimbursement potential.

Identification of Opportunities for Coding Improvement and Education

Through detailed audits and performance insights, we uncover documentation gaps and offer targeted education to continuously improve coding precision and compliance.

Boost Accuracy with Software & Retrieval Services

In addition to expert coding support, we offer medical record retrieval and access to our HCC Navigator platform—a robust charting and coding tool that enhances workflow efficiency, ensures compliance, and helps you achieve maximum reimbursement.

Software Platform

HCC Navigator, our proprietary software platform, allows any approved user to easily and efficiently view, adjust, and audit medical records with supporting configurable Natural Language Processing (NLP) documentation on a chart-by-chart basis. Not only does the HCC Navigator enable clients to use their own, in-house coders, it also affords them the option of using our coders or any combination of the two. Our web-based platform has been rigorously tested and is HITRUST and HIPAA certified for risk adjustment.

Health Plan Representatives

We are here to assist you with every important aspect of HCC project(s), which include: chart retrieval, chart coding, and HCC Workflow Software. Hire our HCC Coders to assist your plan from consulting to full-scale utilization.

Chart Review Nurses Training

Hedis abstraction training courses will be conducted by our senior clinical staff members utilizing the latest NCQA technical specifications for guidance on hybrid measures. Course content includes: measure specifications, online presentations, collaboration with classmates, assignments, quizzes, real-time chart review scenarios, and a certificate upon completion. Coming Soon: We will be offering additional training resources via an industry-leading Learning Management System (LMS) provider.

Humans, Still the Best Way to Produce Results in Risk Adjustment

At HCC Coders, we believe human expertise is irreplaceable in achieving accurate, compliant, and high-quality risk adjustment results. Our certified coders—many with clinical backgrounds—deliver precise, context-aware coding that technology alone can’t replicate. Backed by continuous training and rigorous auditing, our team ensures every chart is coded with care and accuracy.

Expert Coders You Can Trust

Our certified coders bring clinical experience and deep industry knowledge, ensuring every chart is accurately reviewed and compliant with CMS guidelines.

Reliable Results, Every Time

With 90%+ record retrieval rates and a 98% client retention rate, we deliver consistent, high-quality outcomes you can count on.

Real People. Real Accuracy. Real Results.

Real People

Our coding team members are highly experienced, rigorously trained, and industry certified. Some are even Medical Doctors or have clinical and field level experience.

Real Accuracy

Risk Adjustment campaigns can be setup to provide double and even triple blind chart reviews to ensure coding accuracy, consistency and thoroughness. Additionally, charts are audited at 100% for the first 2 weeks and a minimum of 95% accuracy is required.

Real Quality

At HCC Coders, we believe that continuous performance analysis is essential for maintaining extraordinary quality. The combination of Natural Language Processing (NLP), human-review and modern workflows ensure the best results possible.

Discover a Smarter Way to Code for Reimbursement Compliance Accuracy

Partner with HCC Coders to streamline your risk adjustment operations. From expert coding services to advanced software and reliable record retrieval, we deliver everything you need for better results—on your terms.