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Certified Professional Coder Course

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Certified Professional Coder Course

About The Course

CRC certification focuses on risk adjustment coding, which plays a crucial role in healthcare reimbursement and quality reporting. Risk adjustment coding involves accurately capturing and documenting the severity of patients’ conditions to reflect the true healthcare needs of a population.

In the ever-evolving landscape of healthcare, accurate documentation and coding are paramount not only for proper reimbursement but also for quality reporting and population health management. Certified Risk Adjustment Coders (CRCs) are instrumental in this process, specializing in a niche area known as risk adjustment coding.

CRC certification is designed to equip individuals with the expertise needed to excel in risk adjustment coding, a critical component of healthcare reimbursement and quality reporting. Unlike traditional fee-for-service models, risk adjustment coding focuses on accurately capturing and documenting the severity of patients’ conditions to reflect the true healthcare needs of a population.

The CRC certification program delves into the intricacies of risk adjustment coding, providing participants with comprehensive training on how to navigate coding guidelines, accurately assign diagnosis codes, and ensure compliance with regulatory requirements. By mastering risk adjustment coding principles, CRCs play a vital role in helping healthcare organizations accurately assess patient risk, allocate resources effectively, and improve patient outcomes.

For local Students

  • 15000/- Month for local

For International Students

  • $200/m For International students

The objective of this CRC (Certified Risk Adjustment Coder) course is to equip participants with the specialized knowledge and skills necessary to excel in risk adjustment coding within the healthcare industry. By focusing on topics such as diagnosis coding, risk adjustment methodologies, documentation improvement strategies, compliance considerations, and coding auditing.

This course aims to prepare individuals to accurately capture and document the severity of patients’ conditions. Through comprehensive training and exam preparation, participants will be empowered to pursue CRC certification and contribute effectively to healthcare organizations’ efforts in optimizing reimbursement, improving patient outcomes, and ensuring compliance with regulatory requirements.

The Course Curriculam

Welcome! Course Introduction

  • What Does the Course Cover?
    02:30

Fundamentals of Diagnosis Coding
Review of ICD-10-CM Coding Guidelines Documentation Requirements for Accurate Diagnosis Coding Coding for Hierarchical Condition Categories (HCCs)

Risk Adjustment Methodologies
Hierarchical Condition Categories (HCCs) Chronic Illness and Disability Payment System (CDPS) Alternative Payment Models (APMs) and Risk Adjustment

Documentation Improvement Strategies
Importance of Complete and Accurate Documentation Clinical Documentation Integrity (CDI) Principles Physician Education and Engagement for Documentation Improvement

Coding Specific Conditions for Risk Adjustment
Chronic Conditions and Comorbidities Severity of Illness and Risk of Mortality Coding Social Determinants of Health (SDOH) and Their Impact on Risk Adjustment

Compliance and Regulatory Considerations
Understanding CMS Hierarchical Condition Category (HCC) Coding Guidelines Risk Adjustment Data Validation (RADV) Audits Compliance with Healthcare Regulations and Reporting Requirements

Coding Auditing and Quality Assurance
Importance of Coding Audits in Risk Adjustment Techniques for Conducting Risk Adjustment Coding Audits Implementing Quality Assurance Processes for Coding Accuracy

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10 Courses 24 Students
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  • A

    Anonymous

    5 years ago
    This is a really great course for all levels in financial analysis. Wither you\'re beginner or expert, you\'ll find new things to learn here. Starting from Excel to Accounting to financial statements analysis and concluding with PowerPoint to present your work. Above all that, I\'m really getting real world experience and not just text book materials.
  • A

    Anonymous

    5 years ago
    This course is highly recommended. I was able to improve my excel skills, financial analysis and accounting reporting skills after reviewing a few times and practising some of the tasks and examples provided.