From Multiple Passes to One AI Pass: Risk Adjustment Coding You Can Defend

  • 26th Aug 2026
  • 11:00 AM to 11:30 AM (EST)
One AI pass.
Every code linked to evidence.
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Every vendor follows the same process: first-level coding, second-level review, QA on top. Add another vendor, and the same cycle repeats on the same chart. Every round costs time and money, adds delays, and the results still conflict. 

Here’s the problem: if every added pass keeps finding differences, that’s not rigor. It’s proof the first pass can’t be trusted. And you’re paying again and again to stay uncertain.

There’s a simpler path: one pass through AI that analyzes the chart end to end and produces a complete, evidence-linked coding result. No second vendor. No repeat processing. One AI pass, done right the first time.

This webinar brings together a former CMS RADV auditor and a risk adjustment leader who managed multi-pass, multi-vendor programs inside health plans for a candid conversation on what audit-ready coding actually requires, and what it doesn’t.

You’ll walk away with:

  • Why multi-pass, multi-vendor review became the industry standard, and why that logic no longer holds
  • What a chart’s life really looks like inside a multi-pass program: the cost, the delays, the conflicting results
  • Why one end-to-end AI pass replaces the stack of vendors and re-reviews
  • What auditors actually look for, and why more passes never impressed them
  • What one AI pass with evidence-linked adds and deletes looks like in practice

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Every vendor follows the same process: first-level coding, second-level review, QA on top. Add another vendor, and the same cycle repeats on the same chart. Every round costs time and money, adds delays, and the results still conflict. 

Here’s the problem: if every added pass keeps finding differences, that’s not rigor. It’s proof the first pass can’t be trusted. And you’re paying again and again to stay uncertain.

There’s a simpler path: one pass through AI that analyzes the chart end to end and produces a complete, evidence-linked coding result. No second vendor. No repeat processing. One AI pass, done right the first time.

This webinar brings together a former CMS RADV auditor and a risk adjustment leader who managed multi-pass, multi-vendor programs inside health plans for a candid conversation on what audit-ready coding actually requires, and what it doesn’t.

You’ll walk away with:

  • Why multi-pass, multi-vendor review became the industry standard, and why that logic no longer holds
  • What a chart’s life really looks like inside a multi-pass program: the cost, the delays, the conflicting results
  • Why one end-to-end AI pass replaces the stack of vendors and re-reviews
  • What auditors actually look for, and why more passes never impressed them
  • What one AI pass with evidence-linked adds and deletes looks like in practice

Panelists

wynda a

Wynda Clayton, MS, RHIT
- Lead Presenter

Director of Risk Adjustment Coding & Compliance

Linkedin

Wynda was a RADV auditor when the program first started and maintains close contact with current CMS auditors. She brings a unique perspective on how CMS reviews documentation and what defensible, evidence-linked coding means for audit defense in 2026 and beyond.

dott

Dortha (Dott) Campo, BSHIM, RHIA, CRC, COC
- Speaker

Director of Customer Success

Linkedin

Dortha brings over 12 years of experience in health information management, risk adjustment, coding quality, and RADV audit operations. Before joining RAAPID, she led coding quality programs and RADV audits at UST HealthProof and served in risk adjustment leadership roles at CareOregon, Medical Record Associates, and Reimbursement Management Consultants. She has managed multi-pass programs from the inside and knows exactly where they break down.

Who Should Attend

At organizations including Medicare Advantage plans, ACA health plans, ACOs, value-based provider groups, and third-party administrators

  • Chief Executive Officer (CEO)
  • Chief Financial Officer (CFO)
  • Chief Compliance Officer (CCO)
  • VP of Risk Adjustment
  • Director of Compliance
  • Risk Adjustment Manager
  • Coding Manager/Director
  • Revenue Cycle Director
  • Quality Assurance Manager
  • Audit Manager
  • Operations Director