Services | HCC Coders

Leading Software & Solutions for Risk Adjustment Coding

HCC Coders Helps Health Plan Providers Comply with CMS Coding Requirements

At HCC Coders, we assist health plan providers serving Medicare Advantage populations with the most efficient and reliable risk adjustment coding services on the market. Through our proven and trusted platform, you will improve the speed and accuracy of your coding activities to ensure maximum reimbursements.

Record Retrieval Rates Exceeding 90%

Not only do we obtain the most charts, we ensure all of the data within each chart is collected. HCC Coders is the highest-value, record retrieval partner in the industry.

Increase Revenue

We specialize in retrieving the most difficult charts as they often lead to the highest value of return. The combination of NLP, Human-Review and modern workflows ensure maximum reimbursement.

HCC Navigator: Boost Productivity and Efficiency

Our proprietary software platform features: a user friendly and flexible setup process, strategic overread parameters, work assignment capabilities, and a reporting suite that can be modified to meet your unique needs.

Proven Track Record

With over 27 years of industry experience, we have retrieved 1.3M+ Risk Adjustment charts, achieved 93.1% successful retrieval rates, and maintain a 98% customer retention rate.

Coding Network

With a worldwide network of 500+ certified coders, we believe humans are still the best way to produce results. Real people. Real accuracy. Real quality.

Flexible Service Offerings

HCC Coders understands that no two clients are the same, therefore we offer an infinite amount of service customizations.

Network of Certified Coders

HCC Coders has an exclusive network of certified coders and medical professionals. We strive to bring together qualified coding professionals with healthcare organizations and health plan groups. Our site provides a platform where clients can go to locate and hire experienced, certified HCC coders from our extensive network.

Retrospective Risk Adjustment

Using the documentation guidelines established by the CMS, HCC Coders performs total abstraction of HCC codes within all types of patient chart documentation. Our expert knowledge and detailed analysis ensure the submission of highly specific HCC codes. This translates into more accurate coding and maximized reimbursements. Benefits of these reviews and adjustments include:

Validation of diagnosis codes with medical records.
Highlighting of any key coding or documentation errors or omissions.
Inclusion of Part C and Part D coding in HCC data capture.
Opportunities for coding improvement and education using summary reports of physician chart audits.

Prospective Risk Adjustment

At HCC Coders, we also account for prospective risk adjustments. We have a team of certified coders who are dedicated to working on prospective annual visit forms and coding. Not only does this lead to faster, more accurate submissions, it can also help to identify potential problems or missed HCC’s before they are submitted.

Powerful, Secure & Scalable Technology Built for Risk Adjustment

Easy To Use

Simple and intuitive platform for managing end-to-end risk adjustment projects that increase accuracy and returns

Highly Scalable, Cloud-Based Platform

One of the most stable, secure and scalable platforms in the market, built for elastic scaling

NLP-Driven Coding

Configurable Natural Language Processing (NLP) engine for increased accuracy and productivity

Hi-Trust & HIpaa Certified

HCC Navigator’s platform has been rigorously tested and certified for Risk Adjustment

Ready to Elevate Your Risk Adjustment Strategy?

Discover how our certified coders, advanced HCC Navigator platform, and flexible service options can improve accuracy, compliance, and reimbursements. Let’s build a solution tailored to your needs—start today.