The AI-powered HCC coding platform for in-house risk adjustment teams

Charta gives in-house coders at health plans and risk-bearing provider organizations the same evidence-first workflow behind its retrospective and RADV programs. AI reads every chart at intake, including scans, faxes, and handwritten notes, then presents coders with the strongest evidence for each potential HCC first. Coders validate incremental HCCs and flag unsupported codes for deletion in one review, against your organization's coding policies, with one-click access to every cited source.

Request a demo

Your coders spend more time searching than validating.

Most in-house coding workflows send coders page by page through every chart, including charts with no HCC value and redundant documentation for conditions already captured. Most are also built to find adds, so unsupported codes stay in the submission. That model no longer fits the regulatory environment: CMS now audits every Medicare Advantage contract each year, treats each unsupported HCC in a RADV sample as a full overpayment, and has reduced the number of risk-adjustable diagnoses under V28.

Put every coder hour toward a coding decision.

Charta ranks clinical evidence by strength and directs coders to the date of service, page range, and MEAT criteria behind each recommendation. Once a coder validates an HCC, lower-priority documentation supporting the same condition no longer needs review. A separate queue presents HCCs flagged for deletion alongside the strongest available evidence to retain them, so every add and delete carries a citation and decision trail. Managers track charts per hour, review time, and validation rate by coder in real time.

99%

HCC recall rate of Charta's Smart Scan engine, which surfaces the evidence your coders review.

20%

About 20% of MA member charts contain no relevant HCC evidence. Charta removes them from the coding queue before a coder opens them.

Talk to an expert

See how your coders can validate adds and deletes against cited evidence in a single workflow, across retrospective review, RADV, and second-pass QA.

Get a demo

A shared system of record for every chart review function.

Charta uses LLMs trained on clinical documentation and HCC coding to surface clinical intelligence to the teams that need it, across risk adjustment, quality, compliance, and actuary.

Retrospective risk adjustment

Retrospective risk adjustment and HCC coding for health plans: 98% RAF accuracy, targeted chart review, and audit-ready evidence on every HCC.

Explore Product

Automated second-pass & QA

Use AI to second-pass 100% of coded charts.

Explore Product

Smart coding platform

An AI-powered HCC coding platform for in-house coding teams: strongest evidence first, one-click citations, and adds and deletes validated in a single review.

Explore Product

RADV & audit management

Manage concurrent RADV audits in one place.

Explore Product

Prospective risk adjustment

Turn retrospective intelligence into actionable prospective opportunities.

Explore Product

HEDIS & quality analytics

Automate HEDIS evidence identification and surface quality gaps with AI-powered clinical intelligence.

Explore Product

Clinical chart intelligence

Turn every retro chart into clinical intelligence.

Explore Product
No items found.

AI-powered clinical intelligence for value-based care teams

Charta’s clinical intelligence platform transforms medical records into actionable data, empowering teams to move beyond manual, reactive chart reviews.

Risk adjustment

Achieve 98% RAF accuracy on retrospective coding projects with AI that surfaces supported HCCs and filters out charts with no HCC value.

Learn more

Compliance

Make your risk adjustment program audit-ready with traceable HCC validation, audit trails, and deletion workflows across concurrent RADV audits.

Learn more

Provider engagement

Give every provider in your network encounter-level HCC documentation feedback and suspect intelligence, with citations back to the clinical evidence.

Learn more
Charta Health uses cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. View our Privacy Policy for more information.
Close