Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.

Quality Documentation

Improving Accuracy & Data Integrity

Review

Defensible, Audit-Ready Records

Automation

Automating Clinical Documentation

Education

Training Teams for Documentation Accuracy

Compliance & Risk-Based Training

Risk-Focused Documentation Compliance

Demographic Registration

Accurate Data From First Touch

Prior Authorization

Preventing Delays Before Care

Charge Capture

Capturing Charges Without Leakage

Edits & Rejections

Reducing Claim Errors Early

Denials Management

Recovering Revenue From Denials

Payment Posting

Accurate Payments, Faster Close

Credit Balances

Resolving Credits With Precision

Insurance Follow-Up

Accelerating Payer Responses

Correspondence & Appeals

Strengthening Payer Appeals

Concurrent Coding

Real-Time Coding for Better Outcomes

HCC Coding

Improving Risk Capture Accuracy

Inpatient & Outpatient Coding

Precise Coding Across Care Settings

Ancillary Coding

Complete Coding for Ancillary Services

CPT, DRG & HCPCS Optimization

Optimized Codes for Proper Reimbursement

Revenue Integrity

Protecting Revenue Through Coding

Population Health & RAF Optimization

Optimizing RAF for Population Health

Risk Adjustment Analytics

Analytics-Driven Risk Adjustment

Audit & Quality

Audit & Quality Services

Revenue Integrity Services That Protect Every Dollar You Earn

Chirok Health delivers proactive charge capture, coding validation, and audit-ready revenue integrity solutions tailored for enterprise-level healthcare organizations.

Certified and Compliant with
HCC Coding Services

Why Healthcare Organizations Face Revenue Integrity Challenges?

Fragmented workflows, coding gaps, and missed charges create financial and compliance risk. Without revenue integrity management services, providers face denials, audits, and revenue leakage.

Charge Capture Gaps Missed procedures, supply charges, and undocumented bedside services silently erode revenue. Inefficient charge workflows prevent providers from capturing the full value of care delivered.
Coding & Documentation Misalignment Inaccurate coding and incomplete clinical documentation trigger denials, underpayments, and compliance scrutiny, increasing both financial risk and audit vulnerability.
Limited Revenue Visibility Siloed systems restrict financial transparency, making it difficult to detect leakage patterns, monitor performance, or implement proactive hospital revenue integrity solutions.

What Sets Our Revenue Integrity Services Apart?

Chirok Health combines clinical insight, coding precision, and analytics-driven workflows to strengthen financial accuracy. Our revenue integrity services proactively identify risk, protect compliance, and optimize reimbursement outcomes.

What is Unique:

Clinically Validated Reviews

Data-Driven Reviews

Analytics-powered validation across coding, charges, and claims.

Program-Ready Workflows

System-Wide Coverage

Revenue integrity solutions spanning departments and specialties.

Accurate HCC coding workflows

Revenue Integrity Services Across FFS & VBC Models

Chirok Health delivers revenue integrity services aligned to both fee-for-service and value-based reimbursement, ensuring charge accuracy, risk capture, and financial performance across payment models.

Fee-for-Service Revenue Integrity

We strengthen charge capture, coding accuracy, and modifier validation to prevent underbilling, denials, and missed reimbursement in high-volume FFS environments.

Value-Based Care Revenue Integrity

Our revenue integrity solutions protect risk adjustment accuracy, quality reporting, and documentation alignment to safeguard value-based reimbursement.

Core Capabilities of Our Revenue Integrity Services

Our revenue integrity services combine clinical, coding, and financial expertise to eliminate revenue leakage, strengthen compliance, and optimize reimbursement across the care continuum.

Prospective Risk Review

Charge Capture Optimization

We validate order-to-charge workflows, reconcile clinical services, and ensure every billable encounter is accurately captured and billed.

Retrospective Chart Validation

Coding & Documentation Integrity

Our experts align clinical documentation with coding standards to reduce denials, improve accuracy, and support compliant reimbursement.

Clinical Evidence Alignment

Revenue Leakage & Denial Prevention

Advanced analytics identify missed charges, underpayments, and denial trends to recover revenue and prevent future loss.

Risk Adjustment Quality Controls

Compliance & Audit Readiness

We conduct regulatory reviews and risk assessments to protect against payer audits and ensure billing compliance.

How Our Revenue Integrity Services Work?

Our structured approach combines analytics, clinical expertise, and compliance reviews to identify revenue risk, strengthen charge accuracy, and improve reimbursement performance.

Benefits of Our Revenue Integrity Services

Our revenue integrity services deliver financial accuracy, compliance protection, and operational transparency across the healthcare revenue cycle.

Accurate RAF representation
Revenue Leakage Reduction

Our proactive audits and analytics identify missed charges, underpayments, and workflow gaps, enabling healthcare organizations to recover revenue and prevent future loss through targeted revenue integrity solutions.

Improved Charge Capture Accuracy

We validate order-to-charge workflows and reconcile clinical activity to ensure all billable services, supplies, and procedures are accurately captured and reimbursed.

Stronger Coding & Documentation Alignment

Our reviews align clinical documentation with coding standards, reducing denial risk and supporting compliant reimbursement across specialties.

Audit-Ready Compliance Protection

We conduct regulatory and payer-focused assessments to strengthen billing compliance and reduce exposure to external audits and penalties.

Enterprise Financial Visibility

Advanced dashboards and reporting tools provide system-wide insight into revenue performance, leakage trends, and operational risks.

Proven Outcomes from Our Revenue Integrity Services

Our revenue integrity services deliver measurable financial, clinical, and operational improvements, strengthening coding accuracy, reimbursement performance, and enterprise revenue outcomes.curacy, documentation quality, and audit readiness across Medicare Advantage and value-based care programs.

Improved coding accuracy
0 %
Stronger wRVU performance
0 %
More accurate RAF capture
0 %
Improved charge capture rate
0 %

Revenue Integrity Services that Adapt with Your Existing EHR

Our revenue integrity specialists work directly within your healthcare organization’s EHR, reviewing charges, coding, and documentation using your existing workflows.

Why EHR Expertise Matters?

Who we serve

Our revenue integrity services support healthcare organizations in strengthening charge accuracy, coding compliance, and reimbursement performance across care settings.

Hospitals and Health Systems

Hospitals

Delivering hospital revenue integrity solutions that improve charge capture, documentation accuracy, and coding compliance across inpatient and outpatient services.

Outpatient Care Organizations

Community & Integrated Health Systems

Scaling revenue integrity management services across facilities to standardize workflows, reduce revenue leakage, and strengthen system-wide financial performance.

Risk Bearing Entities

Academic Medical Centers

Supporting complex care environments with revenue integrity services that align documentation, coding, and compliance across teaching and research settings.

Payors and TPAs

Medical Groups

Enhancing physician revenue through revenue integrity solutions that optimize E/M capture, procedure coding accuracy, and documentation integrity.

Payors and TPAs

ACOs & Risk-Bearing Organizations

Enabling accurate risk capture and documentation through outsource healthcare revenue integrity services that support value-based reimbursement models.

Hear from Healthcare Leaders We’ve Helped

Chirok Health’s partnership has been invaluable, demonstrating remarkable adaptability in meeting our needs. Their comprehensive chart reviews ensure chronic conditions and potential health conditions are brought forth to our providers on time, enabling us to establish tailored care plans that truly meet our patients' needs.

Chief Financial Officer

Our Chirok partnership over the years has been amazing. The depth of knowledge and expertise is a given for Chirok, but their dedication to getting things right, working with us to improve each day, and the warmth of their people has set them apart. They are close colleagues and friends as well as coding partners, and we are very grateful for that.

Medical Compliance Officer

The Chirok team consistently puts quality at the forefront, maintaining an unwavering dedication to compliance. Their commitment to accuracy is unparalleled, ensuring that our organization benefits from the highest standards without compromise. They are prompt, supportive, and a joy to work with. We are grateful for a partnership that blends excellence with efficiency.

Chief Operations Officer, Ambulatory Services

Get in Touch

Connect with Revenue Integrity Specialists

Whether you’re seeking to outsource healthcare revenue integrity services or enhance internal workflows, Chirok Health delivers scalable revenue integrity solutions tailored to your organization’s financial and operational goals.

Contact Form

Got Questions?

We have got answers!

Revenue integrity services ensure that healthcare organizations capture, code, bill, and collect revenue accurately for the care delivered. They combine charge capture reviews, coding validation, documentation integrity, and compliance audits to prevent revenue leakage and strengthen reimbursement performance.

Hospital revenue integrity solutions help reduce denials, prevent underbilling, improve charge capture accuracy, and maintain regulatory compliance. They also enhance financial visibility, ensuring hospitals are reimbursed correctly while minimizing audit risk.

Revenue integrity management services typically include charge capture audits, coding accuracy reviews, CDI alignment, denial analysis, underpayment recovery, compliance monitoring, and revenue leakage identification across departments and service lines.

Many providers choose to outsource healthcare revenue integrity services to access specialized expertise, advanced analytics, and scalable audit support. Outsourcing reduces internal workload while accelerating revenue recovery and compliance performance.

Revenue integrity solutions improve reimbursement by validating coding accuracy, strengthening documentation, identifying missed charges, and ensuring payer billing compliance, resulting in fewer denials and optimized claim payments.

Yes. Modern revenue integrity services are performed directly within a healthcare organization’s existing EHR environment, allowing specialists to review charges, coding, and documentation without disrupting clinical or revenue cycle workflows.

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