Top 10 Best Hcc Coding Software of 2026

3M 360 HCC Proficiency is a comprehensive HCC coding software solution from 3M that utilizes advanced AI, natural language processing (NLP), and machine learning to automate chart reviews, identify Hierarchical Condition Category (HCC) coding opportunities, and ensure regulatory compliance in risk adjustment for Medicare Advantage and similar programs. It provides real-time coding guidance, automated audits, proficiency assessments, and educational modules to improve coder accuracy and productivity. Integrated with major EHR systems, it streamlines workflows for healthcare organizations focused on maximizing RAF scores while minimizing denials.

Optum360 EncoderPro is a robust web-based coding platform from optumcoding.com that delivers comprehensive access to CPT, HCPCS, ICD-10-CM/PCS, and ASA codes, with specialized tools for accurate medical coding. For HCC coding, it excels in ICD-10-CM lookups, crosswalks, guidelines, and validation features essential for risk adjustment in Medicare Advantage and similar programs. It includes NCCI edits, RVU calculators, and compliance checks to support precise HCC capture and documentation.

TruCode HCC is a specialized software solution for Hierarchical Condition Category (HCC) coding, primarily used in risk adjustment for Medicare Advantage and other value-based care models. It employs a proprietary NLP engine called HCC Genie to scan unstructured clinical documentation, identify HCC diagnoses, and suggest accurate ICD-10 codes while ensuring compliance with coding guidelines. The platform also includes auditing tools for prospective and retrospective reviews to optimize RAF scores and reduce denials.

Sorocco (sorocco.io) is an AI-driven platform specialized in HCC coding and risk adjustment for healthcare providers, payers, and coders. It automates medical record reviews, suggests precise HCC codes based on clinical documentation, and conducts prospective and retrospective audits to optimize RAF scores and ensure compliance. The software integrates with major EHR systems to streamline workflows, reduce coding errors, and minimize claim denials.

Cotiviti HCC Auditor is an advanced auditing platform specialized in Hierarchical Condition Category (HCC) coding validation for risk adjustment in Medicare Advantage and other payer programs. It employs AI, machine learning, and natural language processing (NLP) to perform prospective and retrospective chart reviews, identifying unsupported HCCs, coding gaps, and compliance issues. The tool generates detailed audit reports and supports corrective actions to optimize RAF scores and minimize financial clawbacks.

RAAPID is an AI-driven platform specializing in HCC risk adjustment coding for healthcare payers and providers. It leverages natural language processing (NLP) to analyze medical records, identify Hierarchical Condition Categories (HCCs), and generate accurate coding suggestions to optimize RAF scores. The software also supports automated audits, compliance checks, and reporting to streamline risk adjustment workflows.

Enli HCCengage is a comprehensive risk adjustment platform from Enli Health that streamlines HCC coding, abstraction, auditing, and provider education for healthcare payers and providers. It uses AI and machine learning to validate diagnoses against official guidelines, automate chart reviews, and generate RAF scores with high accuracy. The software also includes analytics dashboards for performance tracking and compliance reporting to support Medicare Advantage and other value-based care models.

vHive HCC Coder is a cloud-based platform specializing in Hierarchical Condition Category (HCC) coding for risk adjustment in Medicare Advantage and similar programs. It uses AI-driven natural language processing to scan clinical documentation, suggest accurate HCC codes, and generate compliance reports. The software supports auditing workflows, coder training modules, and integration with major EHR systems to enhance coding efficiency and reimbursement accuracy.

MediServe MPC is a specialized HCC coding software platform from MediServe that streamlines risk adjustment coding for Medicare Advantage plans by automating HCC identification and validation. It integrates with EHR systems to capture accurate diagnoses, generate RAF scores, and ensure compliance with coding guidelines. The tool also offers audit capabilities and educational resources to support coders in maintaining high accuracy rates.

AAPC SuperCoder HCC is an online coding platform from supercoder.com tailored for Hierarchical Condition Category (HCC) coding, providing tools for accurate diagnosis code selection and risk adjustment. It offers HCC code lookups, specificity checkers, crosswalks between ICD-10 and HCC, and access to official guidelines and annual updates. Primarily used by coders for validating HCC documentation in Medicare Advantage and similar programs, it emphasizes compliance and reimbursement optimization.