Coding That Stands Up to Scrutiny — and Delivers Financial Impact
Health plans face continual pressure to secure high-quality, audit-ready, flexible, coding resources and capacity to support their Medicare Advantage, ACA, and Medicaid chart coding needs. Not just for additional capacity during sweeps or audits but throughout the year.
Meet Your Needs by Choosing Validira Coding Services. We bring clients:
- Decades of risk adjustment and RADV audit experience
- An advanced technology-enabled platform supporting complete capture
- A highly trained coding team with onshore and offshore resources
- High-touch boutique-level client support to rapidly launch engagements
Validira brings you compliant, defensible, complete and accurate coding that drives measurable financial impact.
Our Coding Services
Retrospective Chart Coding
Capture all supported HCCs from member records for accurate, compliant risk adjustment revenue.
Second Pass Coding Over-Read & Validation
Add second-pass coding capacity to confirm accuracy, identify missed conditions, and validate vendor results.
Clinical Documentation Improvement (CDI)
Identify and correct documentation gaps to improve coding quality and audit readiness.
Provider Education & Training
Help providers understand the link between documentation accuracy and compliant HCC capture.
RADV Audit Support
Access our Auditor-on-Demand program and leverage 19 years of RADV leadership for CMS-defensible results for MA RADV Audits
Why Health Plans Choose Validira Coding Services
Accuracy You Can Count On
Over the past nine years of coding for ACA HHS-RADV audits, CMS has noted sufficient agreement on 100% of the HIOS we audited.
Balanced Technology + Expertise
Advanced NLP tools along with our seasoned coders provide best-in-class capture and accuracy.
Demonstrated Coding ROI
We consistently identify 8-10% additional / missed conditions in the medical records we code. That’s real financial impact.
Scalable Speed + Capacity
Ramp to tens of thousands of charts within weeks; perfect for sweeps or year-end crunches or for extra capacity during the year.
Boutique, High-Touch Service
Fast setup, flexible reporting, and white-glove client support tailored to plan needs.
Audit-Supportable Output
Transparent, web-based client reporting and RADV audit cycle management that reduce workload and increase in-house efficiency.
How We Deliver
- Onshore and Offshore Teams for flexible pricing and rapid scale.
- Technology-Enabled Platform with advanced NLP and integrated QA.
- Fast Setup — engagements stood up in 2–3 weeks.
- Consistent 8–10% New HCC Find Rate across retrospective projects.
- HITRUST Certified Data Environment ensuring privacy, security, and reliability.
Proven Results
- 100% sufficient agreement in CMS-audited ACA HIOS files.
- Coding validation results that beat national mean error rates across every ACA Error Rate Group.
Let’s Strengthen Your Coding Bench
Talk with ATTAC about adding Validira Coding Services to support retro coding sweeps, RADV support, or overflow capacity.
