Certified Risk Adjustment Coder
About This Course
Advance your career in medical coding with the Certified Risk Adjustment Coder (CRC) Training offered by Xpert HealthCare Group. This program focuses on preparing you to accurately code and document chronic conditions and comorbidities, ensuring precise risk adjustment for healthcare reimbursement models.
Through this training, you will gain expertise in risk adjustment methodologies, including Hierarchical Condition Categories (HCCs) used by Medicare, Medicaid, and commercial payers. You will also learn to apply ICD-10-CM coding guidelines effectively, ensuring compliance and accuracy in data reporting. Whether you are a new coder or looking to specialize in risk adjustment, this course equips you to pass the CRC certification exam and excel in this growing field.
Learning Objectives
Mastery of risk adjustment methodologies, including HCCs.
Proficiency in ICD-10-CM coding for chronic conditions and risk scoring.
Skills to ensure documentation compliance and prepare for audits.
Confidence to pass the CRC certification exam and excel in a professional role.
Material Includes
- Comprehensive course modules on risk adjustment coding.
- Downloadable study guides and coding reference materials.
- Practice exams designed to simulate the CRC certification exam.
- Certificate of Completion upon successful course completion.
Requirements
- Comprehensive course modules on risk adjustment coding.
- Downloadable study guides and coding reference materials.
- Practice exams designed to simulate the CRC certification exam.
- Certificate of Completion upon successful course completion.
Target Audience
- Medical coders seeking to specialize in risk adjustment.
- Healthcare professionals aiming to understand risk adjustment models.
- Students pursuing careers in healthcare reimbursement and analytics.
- Organizations looking to upskill staff in risk adjustment coding.
Curriculum
60h
Module 1: Introduction to Risk Adjustment
Overview of Risk Adjustment Models in Healthcare
The Role of Risk Adjustment Coders
Importance of Risk Adjustment in Revenue and Compliance
Module 2: ICD-10-CM Coding for Risk Adjustment
ICD-10-CM Code Structure and Conventions
Identifying Chronic Conditions Relevant to Risk Adjustment
Coding Guidelines for Risk Adjustment Scenarios
Module 3: Hierarchical Condition Categories (HCCs)
Understanding HCCs in Risk Adjustment Models
Mapping Diagnoses to HCCs for Accurate Risk Scoring
Differences Between CMS-HCC and HHS-HCC Models
Module 4: Documentation for Risk Adjustment
Importance of Accurate and Complete Documentation
Best Practices for Capturing Chronic Conditions
Avoiding Common Documentation and Coding Errors
Module 5: Compliance and Regulatory Guidelines
Ensuring Compliance with Medicare, Medicaid, and Commercial Payer Standards
Legal and Ethical Responsibilities in Risk Adjustment Coding
Fraud and Abuse Prevention in Risk Adjustment Reporting
Module 6: Risk Adjustment Audits and Quality Assurance
Preparing for Risk Adjustment Audits
Conducting Internal Quality Reviews
Strategies for Resolving Documentation Discrepancies
Module 7: Practical Applications in Risk Adjustment Coding
Real-World Case Studies for Chronic Conditions
Abstracting Key Information from Patient Records
Coding Exercises for Risk Adjustment Scenarios
Module 8: CRC Exam Preparation
Breakdown of the CRC Exam Content and Format
Practice Exams and Mock Test Scenarios
Tips for Managing Time and Maximizing Exam Performance
Module 9: Professional Development
Career Opportunities in Risk Adjustment Coding
Building a Professional Resume and Portfolio
Continuing Education and Specialty Certifications
Your Instructors
Xpert Healthcare Group
See more
₹25,000.00
Material Includes
- Comprehensive course modules on risk adjustment coding.
- Downloadable study guides and coding reference materials.
- Practice exams designed to simulate the CRC certification exam.
- Certificate of Completion upon successful course completion.
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