Precision Coding
at Scale.
Combining the thoroughness of AI with the expertise of certified coders, HealthMC delivers unmatched accuracy and audit-ready results for best in class risk adjustment.
HealthMC delivers superior recall and scalability with LLM-based automation, surpassing traditional NLP systems.
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Your Strategic Partner
At HealthMC, we’re more than just a vendor - we’re a strategic partner. Our team of industry experts works closely with you from day one, offering hands-on support, clear guidance, and advice tailored to your organization’s needs.
With deep experience in risk adjustment and coding operations, we help you make smart decisions and get better results, faster. We’re committed to doing what’s best for your business and delivering results you can trust.
Key Features
Unmatched Accuracy
Our AI is designed to identify every valid diagnosis in a chart by first flagging all possible conditions, then narrowing to the ones that meet risk adjustment criteria. That means you capture what counts - without overcoding or missing key conditions.
White Glove Service
You bring the data - we do everything else. We accept all formats, clean and structure your files, and return exactly what you need to submit. No IT lift, no manual prep - just easy, end-to-end support.
Engineered for RADV
We look both ways - capturing additions and deletions - with each diagnosis backed by exact chart text, clinical reasoning, and dual review by AI and certified coders. The result: audit-ready files built for RADV defense and full compliance.
How it Works
Step 1
Any chart format can be imported including PDF, XML, and EMR exports.
Step 2
The HealthMC platform rapidly processes large batches of charts using our custom AI.
Step 3
Expert certified coders review the AI identified conditions alongside the chart.
Step 4
Receive a flat file with complete condition identification and text snippets supporting each diagnosis.
Step 5
All verified conditions are provided in files ready for submission - supporting both additions and deletions.
Product Options
Retrospective
Suggestions
Best for teams with in-house coders.
Chart chase list development
AI diagnosis detection and review
All ICD-10 codes provided for every chart
Lowest cost
Fastest turnaround time
Retrospective
Submissions
Best for teams with coding fully outsourced.
Chart chase list development
AI diagnosis detection and review
All ICD-10 codes provided for every chart
Certified medical coder review of every addition and deletion
Compliant submission files provided
RADV Audit
Screening
Best for health plans preparing for RADV audits.
Identify highest risk HCCs
Collect all supporting data
AI review of charts
Optional certified medical coder review
Delivery of recommended deletions
Not sure which option is right for you? Get in touch
we’ll help you choose the best solution for your team.
Our Partners
See LLM-powered coding in action with our team.
HealthMC delivers superior recall and scalability with
LLM-based automation, surpassing traditional NLP systems.
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