Risk Adjustment Coding / HCC Coding
Fast, accurate estimations of member risk using AI-based coding
Achieve the fastest turnaround times in risk adjustment coding with Datavant’s uniquely consolidated approach to retrieval and coding.
Paint an accurate picture of the health of your members
Reduced errors with coding automation
Accurate risk adjustment leading to maximum reimbursement
Identify and mitigate costly healthcare gaps for optimal patient-provider interactions.
AI-enabled coding tools minimize human error in the coding process, leading to more accurate outcomes.
Capture the complexity and severity of a member’s health status, ensuring maximum reimbursement.
End-to-end risk adjustment coding
Experience Datavant’s standard coding and quality processes after retrieving charts.
Project initiation
Includes data input/output formats and established reporting frequency.
Chart acquisition and preparation
Includes data input/output formats and established reporting frequency.
Coding review
Analyze charts and assign diagnosis codes that are supported that risk adjust.
Tiered quality assurance
Conduct comprehensive quality audits. Includes targeted, trend-based, random sampling for accuracy and completeness across coder, project, and client levels.
Results delivery
Fast and actionable coding data to make decisions early in your program.
Enhance coding precision and speed
Enhance coding accuracy and completeness while achieving superior efficiency and operational performance through AI automation.
Multiple levels of review
Enhance coding accuracy and completeness
Datavant offers first pass coding, as well as second- and third-level review to improve accuracy of previously-coded charts.

Automated code review
Automate code review with natural language processing
Datavant’s proprietary AI-enabled coding engine uses NLP to extract codes from charts and compare to prior coding results.

Multiplan support
Access risk adjustment coding for all types of health plans
Datavant provides risk adjustment coding for all types of health plans.
- Health plans supported include:
- Medicare Advantage
- Commercial health plans
Medicaid

Explore our offerings

Health plans

Health data retrieval

HIM coding


