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

Healthcare Audit Services That Improve Quality and Reduce Risk

With over 20 million patient encounters reviewed, Chirok Health utilizes inferential and descriptive statistical models to uncover weak spots and redundancy, and to make an opportunity assessment.

Healthcare audit services

Why Healthcare Audit Gaps Go Unnoticed?

Even well-run healthcare organizations experience hidden breakdowns across documentation, quality assurance, and audit readiness.

Documentation errors discovered too late

Documentation errors discovered too late

Gaps in healthcare documentation management often surface after billing or audits—creating avoidable rework, risk, and revenue loss.

Coding and documentation misalignment

Coding and documentation misalignment

Inconsistent alignment between clinical documentation and coding weakens quality assurance in healthcare and increases compliance exposure.

Quality issues masked by surface metrics

Quality issues masked by surface metrics

Without structured medical quality assurance services, deeper quality risks remain hidden behind acceptable high-level performance indicators.

Operational strain slows resolution and follow-through

Operational strain from constant rework

Staff time is consumed correcting errors instead of preventing them, slowing teams and undermining sustainable quality outcomes.

Audit findings without clear remediation

Audit findings without clear remediation

Healthcare audit solutions often identify issues but fail to translate findings into actionable, organization-wide improvements.

Healthcare Audit Services for FFS and VBC Models

Audit services that strengthen documentation and quality across FFS and VBC.

FFS audit services

FFS Audit Services

Healthcare audit solutions for fee-for-service models focused on coding accuracy, documentation management services, and compliance validation, reducing denials and protecting earned revenue.

Value based audits

VBC & Risk-Based Audits

Medical quality assurance services that validate documentation completeness, quality alignment, and audit readiness across value-based and risk-adjusted programs.

Provider & Practice Performance Assessments

Our healthcare audit services evaluations help to identify areas for improvement and monitor adherence to best practices across payment models.

Risk Adjustment Performance Reviews

Risk Adjustment Performance Reviews

EHR and practice data analysis to establish risk baselines and evaluate provider- and practice-level performance accuracy.

Professional FFS & Facility DRG Audits

Professional FFS & Facility DRG Audits

Assessment of FFS and DRG performance against current standards to validate documentation, coding accuracy, and reimbursement integrity.

Risk adjustment performance

Information & Documentation Management Services

Our healthcare audit services are supported by structured healthcare documentation management, ensuring complete, accurate, and audit-ready information across clinical and financial workflows.

Documentation management services
Information Management

Information Management

We collect, organize, and consolidate clinical and operational data to create a complete, reliable foundation for audits and quality assurance in healthcare.

Chart Retrieval

Chart Retrieval

Efficient sourcing and collection of patient charts to support timely healthcare audit solutions and minimize delays during reviews.

Documentation Management & Abstraction

Documentation Management & Abstraction

Documentation management services that ensure accurate data abstraction and smooth documentation migration across EHR and EPM systems.

Staff Augmentation Support

Staff Augmentation Support

Optional deployment of experienced Chirok Health team members who integrate seamlessly with coding, billing, or revenue cycle teams.

Audit Expertise That Fits with Your Existing EHRs

Our healthcare audit services operate natively within leading EHRs, ensuring accurate reviews, minimal disruption, and reliable audit outcomes.

Who we serve

Chirok Health supports healthcare organizations seeking stronger audit outcomes, documentation integrity, and quality assurance across diverse care and payment environments.

Hospitals and Health Systems

Hospitals

Healthcare audit services that improve real-time documentation and coding accuracy across inpatient and outpatient care.

Outpatient Care Organizations

Community & Integrated Health Systems

Audit and documentation management services that support consistent performance across facilities and system-wide operations.

Risk Bearing Entities

Academic Medical Centers

Medical quality assurance services that support complex care environments while maintaining documentation and compliance accuracy.

Payors and TPAs

Medical Groups

Healthcare audit solutions that improve E/M and procedure capture without disrupting clinic workflows.

Payors and TPAs

ACOs & Risk-Bearing Organizations

Quality assurance in healthcare that supports accurate diagnosis capture and performance across value-based models.

Payors and TPAs

Payors & TPAs

Independent healthcare audit services that validate documentation and support accurate reimbursement decisions.

Why Choose Chirok Health for Healthcare Audit Services?

Because healthcare audit services demand accountability, clarity, and measurable outcomes, not just activity.

Proactive Documentation & Coding Accuracy

Audit-First Operating Model

Integrated CDI + RCM Model

Insights That Drive Action

Specialized Fee-for-Service Expertise

Technology-Supported Precision

Transparent Performance Metrics

Clear Accountability Frameworks

Scalable, Remote Staffing Support

Built for Ongoing Readiness

Trusted by Healthcare Leaders Accross the Nation

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

Talk with our team about audit, quality, and documentation priorities.

Whether you’re preparing for an audit, strengthening quality assurance in healthcare, or improving documentation management services, our team helps define the right next step, clearly and confidently.

Contact Form

Got Questions?

We’ve Got Answers!

Healthcare audit services evaluate documentation accuracy, coding integrity, quality performance, and compliance across clinical and financial workflows. They help identify risk, gaps, and improvement opportunities before they impact revenue or quality outcomes.

Unlike one-time reviews, Chirok Health’s healthcare audit solutions focus on actionable insights, system-aligned analysis, and sustained improvement across documentation management services and quality assurance in healthcare.

Yes. Our healthcare audit services are designed to support fee-for-service, value-based care, and risk-bearing models, addressing coding accuracy, documentation completeness, and performance measurement across payment structures.

Yes. Our approach prioritizes minimal workflow disruption by working within existing systems and processes, allowing audits and medical quality assurance services to be conducted without slowing care delivery or operations.

Chirok Health works with hospitals, health systems, medical groups, ACOs, risk-bearing organizations, payors, and TPAs that require reliable healthcare audit services and strong documentation and quality oversight.

By validating documentation accuracy, identifying variation, and aligning performance to standards, healthcare audit services strengthen quality assurance in healthcare and support better clinical, operational, and reimbursement outcomes.

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