Risk Adjustment Coding Services:
Built by Auditors, Not Just a Coding Factory
Does your risk adjustment coding tell the full clinical story?
Your plan’s performance is a direct reflection of your data completeness. If you’re experiencing persistent gaps in HCC capture or questioning the accuracy of your current submissions, it’s a sign that high-volume, black box coding isn’t enough.
With Validira from ATTAC Consulting, we’ve expanded our world-class auditing infrastructure into a nimble, high-touch coding engine designed to solve these challenges at their source.
Validira is a national leader in RADV and compliance. Now, we’ve taken that same auditor-first precision and applied it to the entire coding cycle, ensuring that your data is as defensible as it is complete.
Strategic Risk Adjustment Leadership Built on Decades of Experience
Our executive leadership team brings a combined perspective that most coding factories simply cannot match. We’ve been where you are, and we know exactly where the data gaps hide.
- 15+ Years of Front-Line Expertise: Our leaders average more than 15 years of experience specifically within Medicare Advantage, ACA, and Medicaid programs.
- End-to-End Lifecycle Knowledge: We don’t just understand coding. Our backgrounds span the entire risk adjustment continuum, from complex auditing and submissions to strategic coding operations.
- Diversified Insider Perspective: We’ve built our careers within health plans, top-tier consulting firms, and major risk adjustment vendors. We understand the pressures of plan operations because we have lived them.
Precision Technology Meets Human Expertise
Our risk adjustment coding services are powered by advanced technology but led by subject matter experts.
- Advanced NLP Integration: We leverage cutting-edge Natural Language Processing (NLP) to help our coders identify diagnoses throughout the medical record with higher speed and accuracy.
- 95%+ Performance Baseline: Our auditing heritage drives a rigorous QA process, ensuring your retrospective projects meet the highest standards of accuracy.
- HITRUST Certified Security: We take data protection seriously. Our environment features multi-layer authentication and complete system redundancy.
- Real-Time Transparency: Stop waiting for monthly reports. Access web-enabled dashboards to see your coding outcomes as they happen.
Full Suite Risk Adjustment & HCC Coding Solutions
We provide a full-stack suite of services designed to bridge the gap between clinical documentation and reported data.
Retrospective Chart Coding
Maximize HCC capture and data completeness with rigorous, multi-layer reviews of member medical records. Our process ensures that every risk-adjustable condition is identified and supported.
Second Pass Over-Read & Validation
Add a critical layer of quality assurance to your internal or vendor-coded charts. We identify missed opportunities and validate results to ensure your submission is 100% accurate.
Clinical Documentation Improvement (CDI)
Bridge the gap between provider documentation and quality outcomes. We help identify and correct documentation gaps before they impact your performance or audit readiness.
Provider Education & Training
We help providers understand the direct link between documentation accuracy and compliant HCC capture, improving your data integrity at the source.
RADV Audit Support (Auditor-on-Demand)
Access 20 years of risk adjustment leadership. We provide CMS-defensible results for MA RADV audits, mock audits, and compliance reviews.
