Course Overview
The Certified Risk Adjustment Coder (CRC®) certification validates expertise in risk adjustment medical coding, focusing on accurate diagnosis coding and compliance with risk adjustment models. This credential is essential for professionals working in value-based healthcare systems, as it ensures proper risk assessment, reporting, and reimbursement practices.
Course Content
• Introduction to Risk Adjustment Coding.
• Hierarchical Condition Category (HCC) Coding.
• Risk Adjustment Factor (RAF) Calculation.
• ICD-10-CM Guidelines for Risk Adjustment.
• Understanding Medicare Advantage and Affordable Care Act models.
• Compliance and Documentation Requirements.
• CPC Exam Preparation and Practice.
Benefits of the Course
• Certification recognized globally in the healthcare industry.
• Enhanced career opportunities in risk adjustment coding.
• Comprehensive understanding of value-based care models.
• Improved earning potential as a certified coder.
• Access to AAPC’s professional network and resources.
Requirements
- Basic understanding of medical terminology and anatomy
- Familiarity with ICD-10-CM diagnosis coding.
- AAPC membership (required for exam registration).
Features
- Detailed focus on risk adjustment methodologies.
- Training in compliance and documentation for accurate coding.
- Real-world case studies for hands-on learning.
- Certification widely recognized in the healthcare industry.
- Flexible learning schedule with online resources.
Target audiences
- Aspiring risk adjustment coders.
- Medical coders looking to specialize in risk adjustment.
- Professionals in Medicare Advantage or ACA-compliant organizations.
- Healthcare administrators aiming to understand risk adjustment coding.
