Medical Record Coding & Retrospective Chart Coding

Risk Adjustment Coding Built by Auditors,
Not a Coding Factory

Our retrospective chart coding services optimize for defensibility, not volume. Our team came up through RADV audits which means we know exactly how coding decisions get scrutinized, and we build that rigor into every chart we touch.

At Validira, we're auditors who got into coding because we kept seeing what high-volume, low-touch work leaves behind: missed HCCs, data that doesn't hold up under scrutiny, and plans left scrambling when the auditors show up.

We don't do chart minimums, and we don't take shortcuts. Every supported HCC matters not just for revenue, but for accuracy, compliance, and defensibility when CMS comes looking.

When your results need to hold up under audit, the vendor you chose matters. That's the difference between a coding factory and Validira.

~98%
Coding accuracy,
measured internally CY2025
8–10%
More HCCs identified on average
vs. prior coding efforts
100%
SVA concurrence on
HHS-RADV audits since inception
20+
Years of risk adjustment
leadership experience
Why Validira

Built by auditors. Backed by the data.

Our leadership team has spent careers inside health plans, audit operations, and major risk adjustment vendors. We've seen what happens when coding quality slips and we built Validira specifically to prevent it.

We provide accurate, defensible work because every plan deserves auditor-level precision whether you have 1,000 members or 100,000.

We can spin up onshore or offshore teams in 2–3 weeks, using your coding guidelines or ours. Your choice.

"ATTAC has been a gamechanger for us. They're agile, responsive, and willing to bend over backwards to provide us with what we need. Compared to past partners, the experience has been night and day. We only wish we'd brought them on sooner."

Top 5 Health Plan Executive
Our Capabilities

Full-Suite Retrospective Chart Coding & Risk Adjustment Services

From retrospective sweeps to RADV-ready validation, we provide the coding infrastructure that keeps your data accurate, complete, and audit-ready year-round.

📋

Retrospective Chart Coding

1-pass and 2-pass full chart coding across all dates of service. Every risk-adjustable condition identified and documented with auditor-level precision.

🔍

Coding Accuracy Over-Read

Second-pass review of internally or vendor-coded charts. We identify missed HCC opportunities and validate results before your submission window closes.

🛡️

MA RADV HCC Validation

Specialized coding for MA RADV audit support. We coded charts for 10%+ of H-contracts in PY2019 RADV audits. We know exactly what CMS is looking for. Learn about our MA RADV services →

📊

ACA Chart Review & Coding

Full chart coding for ACA HHS-RADV audit preparation and ongoing retrospective coding cycles, including RXC and demographic validation support. Learn about our HHS-RADV audit services →

📝

Clinical Documentation Improvement

Bridge the gap between provider documentation and reported diagnoses. We identify and correct documentation gaps before they impact your audit outcomes.

🎓

Provider Education & Training

Help providers understand the direct link between documentation accuracy and compliant HCC capture improving data integrity at the source.

It's not one pressure point in 2026.
It's all of them. At once.

Let's Talk Capacity
Our Approach

How we work

01

Rapid Onboarding

Onshore or offshore teams ready in 2–3 weeks. We use your coding guidelines or ours your choice.

02

Full Chart Coding

Every date of service coded. Every HCC documented. Documentation quality ranked to support submission decisions.

03

QA & Oversight

10% QA minimum on all coded records. Our QA team averages 5+ years of risk adjustment coding experience.

04

Real-Time Reporting

24/7 access to validation status, HCC gaps, and coding outcomes through our Validira client portal.

The Team

Coding led by people who know what's at stake

Our coding leadership team has spent careers inside health plans, audit operations, and major risk adjustment vendors.

Laura Breisch - Retrospective Chart Coding Leader at Validira
Laura Breisch
Vice President, Coding Operations

20+ years building and managing coding operations programs across hundreds of health plans. Deep expertise in MA, ACA, and Medicaid risk adjustment coding.

Kirk Martindale - Risk Adjustment Audit Leader at Validira
Kirk Martindale
Vice President, Data Audit Group

9+ years leading Validira's RADV audit operations across MA RADV and ACA HHS-RADV. Oversees all audit support activities on behalf of clients.

Christine Carbonaro - Retrospective Chart Coding Director at Validira
Christine Carbonaro
Director, Coding Operations

19 years of Medicare Risk Adjustment coding and leadership. CPC, CPC-P, CPMA, CRC, CPC-I certified. Previously Assoc. Director of Coding Operations at Change Healthcare.

Elizabeth Nunez - Risk Adjustment Audit Director at Validira
Elizabeth Nunez
Sr. Director, Data Audit Group

6+ years leading Validira RADV audit management teams. Recognized by clients for high-touch service, from Day 1 setup through final reporting.

Get in Touch

Ready to close the gap?

We don't want to tell you we're better. We want to show you. Whether you need immediate coding capacity, a second opinion on current results, or a long-term audit readiness partner, let's start with a conversation.

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