In-depth knowledge of medical coding policies and regulations, including compliance and reimbursement, and the impact of coding diagnostics on risk adjustment payment models.Review and assign specific medical codes for diagnoses made by physicians and other qualified health care providers in the office or facility (eg, inpatient hospital).Invest in your future with CRC credentials – certified coders earn 40% more than coders without credentials.

CRCs should ensure that vendor documentation for HCC coding is up to date and disease processes are accurately coded to follow risk adjustment patterns. A patient’s state of health reflects the cost of their health needs. If the patient is healthy, the risk adjustment value is lower.

Hierarchical Condition Categories ( HCC), Chronic Disease and Disability Payment System ( CDPS), and United States Department of Health Risk Adjustment ( HHS)ĬRC The greater the disease burden of the patient, the higher the patient’s risk adjustment value.

A Certified Risk Adjustment Coder (CRC) has proven, through rigorous testing and experience, that he can read a medical record and assign the correct diagnostic codes ( ICD-10-CM) for a wide variety of clinical cases and risk adjustment service models (e.g.

Certified risk adjustment coder