We do the coding so you can be a doctor

Respira Medical Coding partners with primary care providers to remove the burden of complex medical coding, documentation, and compliance. We help practices breathe again by ensuring accurate risk adjustment coding, optimized documentation, and regulatory confidence—without disrupting your existing billing workflow.


Respira Medical Coding provides comprehensive risk adjustment and documentation support for primary care practices operating in value-based and risk-based care models. Our services are designed to improve coding accuracy, enhance compliance, close care gaps, and support sustainable practice growth. By combining clinical insight with deep regulatory knowledge, we help providers navigate HCC coding, RAF optimization, and quality reporting with confidence and efficiency.


Risk Adjustment & HCC Coding

We ensure accurate capture of chronic conditions through compliant HCC coding that reflects true patient complexity and supports appropriate RAF scores.

Documentation Improvement

We partner with providers to strengthen clinical documentation in real time, improving clarity, compliance, and defensibility across all encounters.

Audit & Compliance Support

We proactively prepare practices for audits by identifying risks early and correcting documentation gaps before they become costly issues.

Accurate coding and documentation require more than one-time reviews—they demand ongoing oversight, education, and data-driven insight. Respira Medical Coding offers a full suite of services designed to support providers across every stage of risk adjustment and quality reporting.

Medical Record Review
Comprehensive chart reviews to identify missed diagnoses, documentation gaps, and compliance risks.

Coding Optimization
Evaluation of current coding practices to ensure accuracy, efficiency, and alignment with CMS and payer guidelines.

Risk Adjustment Data Validation (RADV) Audits
Preparation and support for RADV audits, including documentation validation and corrective recommendations.

Documentation Improvement
Provider-focused guidance to improve specificity, accuracy, and consistency within clinical notes.

Compliance Monitoring
Ongoing oversight to ensure coding and documentation remain compliant with evolving regulations.

Data Analysis and Reporting
Actionable insights through detailed reporting on RAF scores, trends, and performance metrics.

Provider Education
Targeted training to help providers understand HCC coding, documentation requirements, and audit readiness.

Billing Staff Training
Education and support for internal staff to ensure seamless coordination between coding and billing processes.

HEDIS Data Abstraction
Accurate extraction and validation of HEDIS measures to support quality performance.

Quality Reporting & Analytics
Comprehensive analysis and reporting to support value-based care initiatives and payer requirements.

Care Gap Closure
Identification and support for closing preventive care and chronic condition gaps.

Pre-Visit Audit
Proactive chart reviews before patient visits to ensure accurate condition capture and efficient encounters.


Respira means “to breathe.” We chose this name because it reflects the reality of modern primary care. Providers are overwhelmed by coding edits, chart reviews, audits, and endless requests to add, remove, accept, or reject diagnoses. This noise takes attention away from patients and places it squarely on screens and spreadsheets. Respira exists to give providers their breath back—by creating space, confidence, and control within their documentation process.

Respira Medical Coding stands apart because we understand primary care from every angle—clinical, operational, and financial. Our experience across insurance, ACOs, and provider offices allows us to bridge the gap between regulatory requirements and real-world practice workflows. We do not overwhelm providers with more tasks or tools; instead, we integrate seamlessly into existing processes, delivering clarity and confidence without disruption. Our approach is proactive, compliant, and deeply provider-centric, ensuring that documentation supports patient care rather than competing with it. At Respira, we don’t just improve codes—we restore balance to your practice.