Certified Risk Adjustment Coder (CRC®)

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Certified Risk Adjustment Coder (CRC®)
Risk adjustment coding is very important step in helping health plans to get appropriate funding to cover the treatment for high-risk patients who are affected with Chronic illness
Certified Risk Adjustment Coders (CRCs®) plays a vital role in risk adjustment process by assigning appropriate diagnosis, assigning HCC codes and establishing accurate risk scores for patients.

CRC certified coders can understand chronic conditions and comorbidities of patients, apply their ICD-10-CM and Risk adjustment guidelines to help seamless payor reimbursement process

With changes in payment systems, regulatory updates the need for Risk adjustment coders are in huge. Invest in your future by taking up CRC certification which will help you build a lucrative career in Risk adjustment. CRC certified coders are compensated very well equivalent to Inpatient DRG coder for providers.

Benefits of CRC® Credential:

Detailed knowledge in reviewing and assigning accurate medical codes for diagnoses performed by physicians and other qualified healthcare providers in the office or facility setting (e.g., inpatient hospital)
Understanding of medical coding guidelines and regulations including compliance and reimbursement – allowing a CRC to understand the impact of diagnosis coding on risk adjustment payment models
Understand the complete audit & validation process for risk adjustment models
Ability to identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
Detailed knowledge of anatomy, pathophysiology, and medical terminology necessary to correctly code Chronic conditions & co morbidities

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