Certified Risk Adjustment Coder (CRC®)

A Certified Risk Adjustment Coder (CRC®) is a specialized medical coding professional skilled in risk adjustment coding and hierarchical condition category (HCC) coding. This certification, provided by the AAPC (American Academy of Professional Coders), validates expertise in accurately capturing a patient’s health status to predict healthcare costs and ensure proper reimbursement. Risk adjustment coding is essential in Medicare Advantage (Part C), Medicaid, Affordable Care Act (ACA) plans, and commercial health plans. CRC®-certified professionals help healthcare organizations document chronic conditions correctly, improving patient care and compliance with risk adjustment models such as CMS-HCC, HHS-HCC, and RxHCC. With the increasing demand for risk adjustment coding, CRC® certification opens doors to high-paying roles in hospitals, insurance companies, physician groups, and health plans. Solutions3X provides a comprehensive CRC® training program designed to develop expertise in risk adjustment coding and prepare students for the CRC® certification exam.