Certified
Risk Adjustment Coder |

Certified Risk Adjustment Coder

 

Risk adjustment coding is crucial for capturing a complete picture of a patient’s health on medical claims. Without it, health plans would struggle to secure the proper funding and resources to treat high-risk patients. Certified Risk Adjustment Coders (CRCs) are key in ensuring accurate risk scores, which support quality patient care and fair reimbursement for providers and health plans.

Professionals with the CRC credential have proven expertise in managing the complexities of chronic conditions and comorbidities, along with a deep understanding of ICD-10-CM and risk adjustment guidelines. CRCs ensure that clinical documentation fully reflects a patient’s health status and that all documented diagnoses are accurately reported.