CERTIFIED RISK ADJUSTMENT CODER

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.