HCC Coders is the Industry Leading Software and Solution Provider for Risk Adjustment Coding Services
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.
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.
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.
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
hi-trust & HIpaa certified
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.