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Certified Risk Adjustment Coder (CRC) certification 

  • Offered byAAPC

Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 
Overview

Duration

40 hours

Total fee

32,865

Mode of learning

Online

Credential

Certificate

Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 
Highlights

  • Earn a certificate of completion
  • 30 CEUs upon completion
Details Icon

Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 
Course details

Who should do this course?
  • for anyone who is currently working in risk adjustment or wants to learn risk adjustment coding
What are the course deliverables?
  • Define different models of risk adjustment (HCC, CDPS, HHS-ACA, Hybrid)
  • Understand predictive modeling and its impact on risk adjustment
  • Explain risk adjustment impact on financial matters
  • Apply official ICD-10-CM coding guidelines
  • Identify elements of the medical record
  • Identify documentation deficiencies for diagnosis coding
  • Understand the most common conditions in risk adjustment and how to properly code in ICD-10-CM
More about this course
  • The student will learn principles of risk adjustment and accurate diagnosis coding
  • In addition, there will be discussion of predictive modeling, financial impact of risk adjustment coding, documentation challenges, official diagnosis coding guidelines, and diagnosis coding in ICD-10-CM
  • This course is recommended for anyone who is currently working in risk adjustment or wants to learn risk adjustment coding

Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 
Curriculum

Pharmacology

Risk Adjustment Models

Hierarchal Condition Categories (HCC)

Medicaid Chronic Illness and Disability Payment System (CDPS)

Hybrid models

Predictive Modeling & Quality of Care

Predictive modeling impact

Suspect logic

Quality of care

Star ratings

Risk Adjustment and Financial Matters

HCC RAF score

Financial impact based on coding

ICD-10-CM Coding Guidelines

Diagnosis Documentation and Coding

Common errors in diagnosis coding

Elements of the medical record

Documentation Barriers

Signatures

Insufficient documentation

Risk Adjustment Data Validation (RADV) process

Official diagnosis coding guidelines

Frequently coded conditions

Acute vs. Chronic conditions

Differential Diagnosis

Risk Factors and Comorbidities

Angina

Artificial Openings

BMI and Obesity

Cardiac Conduction Disorders

Cardiomyopathy

CVA

CKD, Dialysis, and AV Fistula

COPD

Complications of Care

Congestive Heart Failure

Cor Pulmonale

DVT

Dementia

Depression

Diabetes and Secondary Diabetes

Epilepsy & Convulsions

GERD

Hepatitis & Cirrhosis

HIV

Hypercholesterolemia

Hypertension

Hypothyroidism

Klebsiella Pneumoniae

Malnutrition & Cachexia

Myocardial Infraction

Neoplasms

Neuropathy

Pneumonia

Pulmonary Embolism

Pulmonary Hypertension

Respirator/Ventilator Status

Septicemia & Sepsis

Ulcers & Wounds

Varicose Veins

Vertebral Fractures

Practical Expertise

Practical diagnosis coding skills utilizing cases for practical application

Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 
Entry Requirements

Eligibility criteriaUp Arrow Icon
Conditional OfferUp Arrow Icon
  • Not mentioned

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Certified Risk Adjustment Coder (CRC) certification
 at 
AAPC 

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