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CERTIFIED RISK ADJUSTMENT CODER

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The CRC certification validates proficiency in the correct application of ICD-10-CM diagnosis codes used in risk adjustment payment models as per AAPC.

COURSE INFORMATION AND FEATURES

A Certified Risk Adjustment Coder (CRC™) know how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for several clinical cases and services for risk adjustment models.

A patient’s health status reflects the costs of healthcare needs. CRCs must ensure documentation is up-to-par for HCC coding and disease processes are coded accurately as per risk adjustment models.

As a CRC, you:

Review and assign accurate medical codes for diagnoses performed by doctors and physicians.

Comprehend medical coding guidelines and regulations.

Understand the audit process for risk adjustment models.

Communicate documentation deficiencies to providers.

Improve documentation for accurate risk adjustment coding

Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses.

The CRC Exam
  • 150 multiple choice questions

  • 5 hours 40 minutes Exam duration.

  • Open codebook

Exam Specifications
  • The CRC examination consists of questions regarding the correct application of ICD-10-CM diagnosis codes used for risk adjustment coding

CURRICULUM 

The CPC exam thoroughly covers: 

  • Medical Terminology

  • Compliance

  • Diagnosis Coding

  • ​Documentation Improvement

  • Pathophysiology/Medical Terminology/Anatomy

  • Purpose and Use of Risk Adjustment Models

  • Quality Care

  • Risk Adjustment Models

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