HCC Coding Services Built for Accurate Risk Adjustment
Real Challenges that Hinder Accurate HCC Risk Adjustment
How Chirok Health Delivers Accurate HCC Coding
Why the Approach Works
- Aligns clinical documentation with HCC risk adjustment coding needs
- Uses prospective and retrospective reviews to improve HCC accuracy
- Maintains audit-ready documentation for Medicare Advantage compliance
Clinically Validated Reviews
Clinically validated conditions for accurate HCCs healthcare coding
Program-Ready Workflows
Scalable HCC coding services for MA and value-based risk programs
HCC Coding Services That Sustain
Value-Based Care Models
Chirok Health supports value-based organizations with HCC coding services that align clinical accuracy, risk adjustment, and performance measurement.
Risk Accuracy for VBC Models
Accurate HCC risk adjustment coding supports fair benchmarking, contract performance, and population risk stratification.
Documentation That Supports Outcomes
Clinically supported HCC medical coding ensures patient complexity is reflected in quality reporting and shared savings models.
Core Components of Our HCC Coding Services
Prospective Risk Review
Retrospective Chart Validation
Clinical Evidence Alignment
Risk Adjustment Quality Controls
How Chirok Health’s HCC Coding Services Work
The Impeccable Benefits of Accurate HCC Coding
Clinically validated HCC risk adjustment coding ensures patient complexity is fully and accurately reflected.
Audit-ready documentation supports compliant HCC medical coding and reduces exposure to CMS and RADV findings.
Consistent prospective and retrospective reviews improve continuity and accuracy of chronic condition capture.
Accurate HCCs healthcare coding supports equitable benchmarking, shared savings, and performance-based payments.
HCC coding services scale across programs without increasing internal staffing or operational burden
Proven Outcomes From Clinically Accurate HCC Coding
HCC Coding Services That Adapt to Your EHR
HCC coding services are delivered by specialists experienced across 50+ EHR systems.
Adaptability Focus:
- Faster onboarding without EHR customization or system changes
- Minimal disruption to clinical and coding workflows
- Accurate, system-native HCC medical coding and reporting
Who we serve
Chirok Health supports healthcare organizations responsible for risk adjustment accuracy, RAF performance, and audit readiness across Medicare Advantage and value-based care models.
Value-Based Care RCM Staff Augmentation
Dedicated Chirok Health specialists extend your value-based care revenue cycle, supporting risk, quality, and contract performance across your organization.
Hear from Organizations 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.
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.
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.
Get in Touch
Talk to Our HCC Coding Experts
Whether you manage Medicare Advantage lives or value-based contracts, Chirok Health provides HCC coding services tailored to your organization’s risk, documentation, and compliance requirements.
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FAQs
We have got answers!
Chirok Health’s HCC coding services ensure chronic conditions are accurately captured, validated, and recaptured annually. By aligning clinical documentation with CMS risk adjustment requirements, organizations achieve more reliable RAF scores and defensible reimbursement.
Without specialized HCC coding support, organizations risk missed chronic conditions, documentation gaps, inaccurate RAF scores, and increased exposure to RADV audits. Chirok Health helps close these gaps through clinically validated, compliant coding workflows.
Outsourced HCC coding services provide scalable expertise without adding internal staffing. Chirok Health supports ACOs and risk-bearing organizations by improving risk stratification, benchmarking accuracy, and shared savings performance across value-based contracts.
Chirok Health reduces audit risk by validating each HCC against clinical evidence, applying consistent QA processes, and maintaining audit-ready documentation aligned with CMS and RADV expectations. This approach minimizes unsupported diagnoses and compliance exposure.
Yes. Chirok Health combines prospective suspect identification with retrospective chart validation to improve continuity and consistency of chronic condition capture, supporting stronger year-over-year recapture and RAF stability.
Unlike volume-driven medical coding vendors, Chirok Health delivers clinically driven HCC coding services focused on accuracy, compliance, and risk adjustment outcomes. The emphasis is on defensible RAF performance, not just code throughput.
Yes. Accurate HCC risk adjustment coding ensures patient complexity is reflected in quality measures, benchmarking, and shared savings calculations. Chirok Health aligns coding accuracy with value-based care performance and population health goals.
Organizations responsible for Medicare Advantage compliance and risk performance benefit most, including hospitals, integrated health systems, academic medical centers, medical groups, ACOs, and other risk-bearing organizations.
Chirok Health supports HCC coding across 50+ EHR platforms without requiring system customization. This EHR-agnostic approach minimizes disruption while maintaining accurate, system-native coding and reporting.
While timelines vary, many organizations begin seeing improvements in documentation quality, RAF accuracy, and chronic condition capture within the first review cycles. Performance insights are shared to support continuous optimization.
Quality is maintained through standardized workflows, clinical validation, internal audits, and ongoing QA checks. This ensures consistent accuracy and compliance across large populations and multiple risk-based programs.
Chirok Health follows strict data governance and compliance practices. All HCC coding services are delivered in alignment with HIPAA and CMS requirements, ensuring secure handling of PHI and audit-ready documentation.
Organizations can begin by speaking with an HCC coding expert to assess population risk, documentation gaps, and compliance goals. Chirok Health tailors services to Medicare Advantage and value-based care needs.