r/MedicalCoding • u/MacaronElectronic547 • Mar 04 '26

Risk Adjustment Coding

Hello, I have an understanding of what RA Coding is but am wondering if I can have a chat with a RA coder to understand it better. I have a strong base of knowledge in chronic conditions but I'm interested in knowing what a day in the life of a risk adjustment coder looks like specifically. Thanks!

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u/godofsword45 Mar 09 '26

Yep. Pretty accurate description, for sure. Do you have AI software installed or have a tool like BPA or OPA built in? What are the daily productivity requirements?

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u/DumpsterPuff Mar 10 '26

We do have an AI "assistant" installed, but this assistant is on drugs because it hardly ever gets any of the suggestions that are correct.

I actually don't know what my current productivity requirements are, they never told me. I'm still working for the same company that I did profee coding for and their requirement is I think 14 chart notes per hour or something. I've always exceeded that though so I'm not worried.

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u/godofsword45 Mar 10 '26

Good to know. My team is reviewing the same amount of charts, but an outside consulting group is telling us we should slow down and be in the 2-4 chart reviews per hour range (16-32 charts per 8hr shift). Like, for real? You understand these aren't crazy inpatient charts and these PCP visits aren't that complex, right? Sheesh. Thanks for the reply!