Certificate in Certified Risk Adjustment Coder (Exam Voucher Included) Online Course

Learn principles of risk adjustment and accurate diagnosis coding

Certificate in Certified Risk Adjustment Coder (Exam Voucher Included) Online Course

NOW ONLY

AU$2449

Save AU$400 (14%)
OFF RRP AU$2849
Get Info Pack

Learn principles of risk adjustment and accurate diagnosis coding

In this course you will learn the varying risk adjustment models and the effects of predictive modeling and quality of care.  This information will help you understand the impact on risk adjustment models driven by quality of care and predictive modeling. The financial impact of risk adjustment coding can be crucial.  You will understand how risk adjustment impacts the financial welfare of a practice. You will be able to identify common errors in diagnosis coding and determine documentation barriers encountered when coding for risk adjustment.  Frequently coded conditions will also be discussed. Finally, you will utilize practical diagnosis coding skills as they complete hands-on cases throughout the course.  This course will prepare you for a career in risk adjustment coding and for success on the CRC certification exam.

This program is entirely online and is completed at your own pace. When you register, you receive six (6) months to complete this program.

Upon completion of this program you will be able to:

  • Define different models of risk adjustment (HCC, CDPS, HHS-ACA, Hybrid) 
  • Understand predictive modeling and its impact on risk adjustment 
  • Explain risk adjustment impact on financial matters 
  • Apply official coding guidelines 
  • Identify elements of the medical record 
  • Identify documentation deficiencies for diagnosis coding 
  • Understand the most common conditions in risk adjustment and how to properly code in ICD-10-CM

Course Fast Facts:

  • This course is delivered 100% on-line and is accessible 24/7 from any computer or smartphone
  • Instructors lead each course and you will be able to interact with them and ask questions
  • You can study from home or at work at your own pace in your own time
  • You can download printer friendly course material or save for viewing offline
  • You will be awarded a certificate at completion of this course

Course Delivery

Upon enrolment, an automated welcome email will be sent to you (please check your junk email inbox if not received as this is an automated email), in order for you to access your online course, which is Available 24/7 on any computer or smart mobile device. New courses start every month to ensure that we have the correct ratio of students to tutors available, please ensure you select a starting date when you go through our shopping cart, at checkout. The course is easy to follow and understand.

Recognition & Accreditation

Upon completion of this program you will be prepared for the AAPC Certified Risk Adjustment Coder (CRC™) exam. The registration fee for the exam, AAPC membership, and CRC practice exams are included with this program.

Certification exam

  • Certified Risk Adjustment Coder (CRC™) Certification Exam
  • Business of Medicine
    • Coding as a Profession
    • The Difference Between Hospital and Provider Services
    • How a Provider Office Works and How the Coder Fits into It
    • Understanding the Hierarchy of Providers
    • The Different Types of Payers
    • The Medical Record
    • Operative Report Coding Tips
    • Medical Necessity
    • The Advance Beneficiary Notice
    • The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
    • The Need for Compliance Rules and Audits
    • The OIG Work Plan
    • What AAPC Will Do for You
  • Medical Terminology and Anatomy Review
    • Introduction to Medical Terminology
    • Introduction to Anatomy
    • Integumentary System
    • Musculoskeletal System
    • Cardiovascular System
    • Lymphatic System
    • Respiratory System (Pulmonary System)
    • Digestive System
    • Urinary System
    • Reproductive Systems
    • Nervous System
    • Organs of Sense — Eye
    • Organs of Sense — Ear
    • Endocrine System
    • Hematologic (Hemic) System
    • Immune System
  • Introduction to ICD-10-CM
    • Overview of ICD-10-CM Layout
    • Steps to Look Up a Diagnosis Code
    • ICD-10-CM Official Guidelines for Coding and Reporting
  • ICD-10-CM Coding Chapters 1–11
    • Chapter 1: Certain Infectious and Parasitic Diseases (Codes A00–B99)
    • Chapter 2: Neoplasms (Codes C00–D49)
    • Chapter 3: Diseases of the Blood and Blood-Forming Organs and Certain
    • Disorders Involving the Immune Mechanism (D50-D89)
    • Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89)
    • Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
    • Chapter 6: Diseases of the Nervous System (G00-G99)
    • Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
    • Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
    • Chapter 9: Diseases of the Circulatory System (I00-I99)
    • Chapter 10: Diseases of the Respiratory System (J00-J99)
    • Chapter 11: Diseases of the Digestive System (K00-K95)
  • ICD-10-CM Coding Chapters 12–21
    • Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99)
    • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
    • Chapter 14: Diseases of Genitourinary System (N00–N99)
    • Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00–O9A)
    • Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96)
    • Chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99)
    • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)
    • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00–T88)
    • Chapter 20: External Causes of Morbidity (V00-Y99)
    • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00–Z99)
  • Risk Adjustment Models
    • Types of Risk Adjustment Models
    • Medicare Hierarchal Condition Categories (HCC)
    • The Health and Human Services (HHS) Hierarchical Condition Category Model
    • Medicaid Chronic Illness and Disability Payment System (CDPS)
    • Hybrid Model
  • Predictive Modeling & Quality of Care
    • CMS Stars Ratings
    • PQRS (Physician Quality Reporting System)
    • HEDIS® (The Healthcare Effectiveness Data and Information Set)
  • How Risk Adjustment Relates to Medical Financial Matters
    • New Beneficiary Calculations
    • Annual Risk Adjustment Audits
    • ACO’s (Accountable Care Organizations)
    • Placing Providers “At-Risk”
  • Diagnosis Documentation & Coding
    • Data Collection Sources
    • Coding for All Diagnoses Noted in a Date of Service (DOS)
    • ICD-10-CM Updates to the Conventions & Official Coding Guidelines that Affect Risk Adjustment Coding
    • Coding Diagnoses from the medical documentation
    • Signature or Credential Issues
  • Clinical Documentation Barriers
    • Signs and Symptoms
    • Uncertain Diagnosis
    • Coding Clinic Guidance
    • Risk Adjustment Diagnosis Coding Steps
    • Acute vs. Chronic
    • Differential Diagnosis
    • Risk Factors and Comorbidities
    • Late Effects
  • Frequently Coded Conditions in Risk Adjustment Models

Entry requirements

Students must have basic literacy and numeracy skills.

Minimum education

Open entry. Previous schooling and academic achievements are not required for entry into this course.

Computer requirements

Students will need access to a computer and the internet.

Minimum specifications for the computer are:

Windows:

  • Microsoft Windows XP, or later
  • Modern and up to date Browser (Internet Explorer 8 or later, Firefox, Chrome, Safari)

MAC/iOS

  • OSX/iOS 6 or later
  • Modern and up to date Browser (Firefox, Chrome, Safari)

All systems

  • Internet bandwidth of 1Mb or faster
  • Flash player or a browser with HTML5 video capabilities(Currently Internet Explorer 9, Firefox, Chrome, Safari)

Students will also need access the following applications:

Adobe Acrobat Reader

1.    Can I register for programs if I am an international student?
Yes, because Our programs are online you never have to actually travel to the school.  Most schools offer telephone or online registration.

2.    How long does it take to complete a program?
All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace.  When you register, you’ll receive six (6) months to complete the program.  

3.    What if I don't have enough time to complete my program within the time frame provided?
The time allotted to complete your program has been calculated based on the number of hours for each program, so don't worry too much about not completing in time. If, after a concerted effort, you are still unable to complete, your Student Advisor will help you work out a suitable completion date. Please note that a fee may be charged for an extension.

4.    Do I have to buy additional materials?

No 

5.    Can I get financial assistance?

Our courses are non-credit courses, so they do not qualify for federal aid.  In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses.  Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements.

6.    What happens when I complete the program? 
Upon successful completion of the program, you will be awarded a certificate of completion.  In addition, you will receive an exam voucher for the Certified Risk Adjustment (CRC™) Certification Exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the program and financial obligation.

7.    Am I guaranteed a job?

Our programs will provide you with the skills you need to obtain an entry-level position in most cases.  We don’t provide direct job placement services, but our facilitators and career counselors will help you build your resume and are available to give advice on finding your first job.  Facilitators will also be available to use as a professional reference upon completion of the program.  Potential students should always do research on the job market in their area before registering.

8.    Who will be my instructor?

Each student is paired with a facilitator for one-on-one interaction.  The facilitator will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance.  All of our facilitators are successful working professionals in the fields in which they teach.

9.    What software or hardware do I need in order to take online programs and what are the system requirements?

In order to take our online programs, you must have access to a computer and the Internet.  You can access the program contents from any Web-enabled computer.  You don’t have to use the same computer to log-in to the program every time.  We recommend that you have a word-processing program (Microsoft Word is the best) and the latest version of Internet Explorer.

10.    Can I use a Mac?

Yes

11.    When can I start the program?
Our programs are all open enrollment.  You can register and start the program as soon as you are ready.

Please note: 
 Once the program curriculum is accessed online or through submission of a material shipment confirmation, refunds cannot be issued.

12.    Does this program prepare for a certification?

Yes, you will be prepared to sit for the Certified Risk Adjustment (CRC™) Certification Exam offered by the American Academy of Professional Coders (AAPC). You will receive an exam voucher and AAPC membership after successful completion of the program and financial obligation.

About this Course

Learn principles of risk adjustment and accurate diagnosis coding

In this course you will learn the varying risk adjustment models and the effects of predictive modeling and quality of care.  This information will help you understand the impact on risk adjustment models driven by quality of care and predictive modeling. The financial impact of risk adjustment coding can be crucial.  You will understand how risk adjustment impacts the financial welfare of a practice. You will be able to identify common errors in diagnosis coding and determine documentation barriers encountered when coding for risk adjustment.  Frequently coded conditions will also be discussed. Finally, you will utilize practical diagnosis coding skills as they complete hands-on cases throughout the course.  This course will prepare you for a career in risk adjustment coding and for success on the CRC certification exam.

This program is entirely online and is completed at your own pace. When you register, you receive six (6) months to complete this program.

Upon completion of this program you will be able to:

  • Define different models of risk adjustment (HCC, CDPS, HHS-ACA, Hybrid) 
  • Understand predictive modeling and its impact on risk adjustment 
  • Explain risk adjustment impact on financial matters 
  • Apply official coding guidelines 
  • Identify elements of the medical record 
  • Identify documentation deficiencies for diagnosis coding 
  • Understand the most common conditions in risk adjustment and how to properly code in ICD-10-CM

Course Fast Facts:

  • This course is delivered 100% on-line and is accessible 24/7 from any computer or smartphone
  • Instructors lead each course and you will be able to interact with them and ask questions
  • You can study from home or at work at your own pace in your own time
  • You can download printer friendly course material or save for viewing offline
  • You will be awarded a certificate at completion of this course

Course Delivery

Upon enrolment, an automated welcome email will be sent to you (please check your junk email inbox if not received as this is an automated email), in order for you to access your online course, which is Available 24/7 on any computer or smart mobile device. New courses start every month to ensure that we have the correct ratio of students to tutors available, please ensure you select a starting date when you go through our shopping cart, at checkout. The course is easy to follow and understand.

Recognition & Accreditation

Upon completion of this program you will be prepared for the AAPC Certified Risk Adjustment Coder (CRC™) exam. The registration fee for the exam, AAPC membership, and CRC practice exams are included with this program.

Certification exam

  • Certified Risk Adjustment Coder (CRC™) Certification Exam
  • Business of Medicine
    • Coding as a Profession
    • The Difference Between Hospital and Provider Services
    • How a Provider Office Works and How the Coder Fits into It
    • Understanding the Hierarchy of Providers
    • The Different Types of Payers
    • The Medical Record
    • Operative Report Coding Tips
    • Medical Necessity
    • The Advance Beneficiary Notice
    • The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
    • The Need for Compliance Rules and Audits
    • The OIG Work Plan
    • What AAPC Will Do for You
  • Medical Terminology and Anatomy Review
    • Introduction to Medical Terminology
    • Introduction to Anatomy
    • Integumentary System
    • Musculoskeletal System
    • Cardiovascular System
    • Lymphatic System
    • Respiratory System (Pulmonary System)
    • Digestive System
    • Urinary System
    • Reproductive Systems
    • Nervous System
    • Organs of Sense — Eye
    • Organs of Sense — Ear
    • Endocrine System
    • Hematologic (Hemic) System
    • Immune System
  • Introduction to ICD-10-CM
    • Overview of ICD-10-CM Layout
    • Steps to Look Up a Diagnosis Code
    • ICD-10-CM Official Guidelines for Coding and Reporting
  • ICD-10-CM Coding Chapters 1–11
    • Chapter 1: Certain Infectious and Parasitic Diseases (Codes A00–B99)
    • Chapter 2: Neoplasms (Codes C00–D49)
    • Chapter 3: Diseases of the Blood and Blood-Forming Organs and Certain
    • Disorders Involving the Immune Mechanism (D50-D89)
    • Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89)
    • Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
    • Chapter 6: Diseases of the Nervous System (G00-G99)
    • Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
    • Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
    • Chapter 9: Diseases of the Circulatory System (I00-I99)
    • Chapter 10: Diseases of the Respiratory System (J00-J99)
    • Chapter 11: Diseases of the Digestive System (K00-K95)
  • ICD-10-CM Coding Chapters 12–21
    • Chapter 12: Diseases of the Skin and Subcutaneous Tissue (L00-L99)
    • Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00–M99)
    • Chapter 14: Diseases of Genitourinary System (N00–N99)
    • Chapter 15: Pregnancy, Childbirth, and the Puerperium (O00–O9A)
    • Chapter 16: Certain Conditions Originating in the Perinatal Period (P00-P96)
    • Chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00–Q99)
    • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00–R99)
    • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00–T88)
    • Chapter 20: External Causes of Morbidity (V00-Y99)
    • Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00–Z99)
  • Risk Adjustment Models
    • Types of Risk Adjustment Models
    • Medicare Hierarchal Condition Categories (HCC)
    • The Health and Human Services (HHS) Hierarchical Condition Category Model
    • Medicaid Chronic Illness and Disability Payment System (CDPS)
    • Hybrid Model
  • Predictive Modeling & Quality of Care
    • CMS Stars Ratings
    • PQRS (Physician Quality Reporting System)
    • HEDIS® (The Healthcare Effectiveness Data and Information Set)
  • How Risk Adjustment Relates to Medical Financial Matters
    • New Beneficiary Calculations
    • Annual Risk Adjustment Audits
    • ACO’s (Accountable Care Organizations)
    • Placing Providers “At-Risk”
  • Diagnosis Documentation & Coding
    • Data Collection Sources
    • Coding for All Diagnoses Noted in a Date of Service (DOS)
    • ICD-10-CM Updates to the Conventions & Official Coding Guidelines that Affect Risk Adjustment Coding
    • Coding Diagnoses from the medical documentation
    • Signature or Credential Issues
  • Clinical Documentation Barriers
    • Signs and Symptoms
    • Uncertain Diagnosis
    • Coding Clinic Guidance
    • Risk Adjustment Diagnosis Coding Steps
    • Acute vs. Chronic
    • Differential Diagnosis
    • Risk Factors and Comorbidities
    • Late Effects
  • Frequently Coded Conditions in Risk Adjustment Models

Entry requirements

Students must have basic literacy and numeracy skills.

Minimum education

Open entry. Previous schooling and academic achievements are not required for entry into this course.

Computer requirements

Students will need access to a computer and the internet.

Minimum specifications for the computer are:

Windows:

  • Microsoft Windows XP, or later
  • Modern and up to date Browser (Internet Explorer 8 or later, Firefox, Chrome, Safari)

MAC/iOS

  • OSX/iOS 6 or later
  • Modern and up to date Browser (Firefox, Chrome, Safari)

All systems

  • Internet bandwidth of 1Mb or faster
  • Flash player or a browser with HTML5 video capabilities(Currently Internet Explorer 9, Firefox, Chrome, Safari)

Students will also need access the following applications:

Adobe Acrobat Reader

1.    Can I register for programs if I am an international student?
Yes, because Our programs are online you never have to actually travel to the school.  Most schools offer telephone or online registration.

2.    How long does it take to complete a program?
All of our programs are self-paced and open enrollment, so you can start them when you want and finish them at your own pace.  When you register, you’ll receive six (6) months to complete the program.  

3.    What if I don't have enough time to complete my program within the time frame provided?
The time allotted to complete your program has been calculated based on the number of hours for each program, so don't worry too much about not completing in time. If, after a concerted effort, you are still unable to complete, your Student Advisor will help you work out a suitable completion date. Please note that a fee may be charged for an extension.

4.    Do I have to buy additional materials?

No 

5.    Can I get financial assistance?

Our courses are non-credit courses, so they do not qualify for federal aid.  In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses.  Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements.

6.    What happens when I complete the program? 
Upon successful completion of the program, you will be awarded a certificate of completion.  In addition, you will receive an exam voucher for the Certified Risk Adjustment (CRC™) Certification Exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the program and financial obligation.

7.    Am I guaranteed a job?

Our programs will provide you with the skills you need to obtain an entry-level position in most cases.  We don’t provide direct job placement services, but our facilitators and career counselors will help you build your resume and are available to give advice on finding your first job.  Facilitators will also be available to use as a professional reference upon completion of the program.  Potential students should always do research on the job market in their area before registering.

8.    Who will be my instructor?

Each student is paired with a facilitator for one-on-one interaction.  The facilitator will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance.  All of our facilitators are successful working professionals in the fields in which they teach.

9.    What software or hardware do I need in order to take online programs and what are the system requirements?

In order to take our online programs, you must have access to a computer and the Internet.  You can access the program contents from any Web-enabled computer.  You don’t have to use the same computer to log-in to the program every time.  We recommend that you have a word-processing program (Microsoft Word is the best) and the latest version of Internet Explorer.

10.    Can I use a Mac?

Yes

11.    When can I start the program?
Our programs are all open enrollment.  You can register and start the program as soon as you are ready.

Please note: 
 Once the program curriculum is accessed online or through submission of a material shipment confirmation, refunds cannot be issued.

12.    Does this program prepare for a certification?

Yes, you will be prepared to sit for the Certified Risk Adjustment (CRC™) Certification Exam offered by the American Academy of Professional Coders (AAPC). You will receive an exam voucher and AAPC membership after successful completion of the program and financial obligation.

We provide a 7 Day Money Back Refund on all Courses

Now Only AU$2449 Save AU$400 (14%)
OFF RRP AU$2849
Delivery Method Online
Get Info Pack

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Course Summary

Course ID No.: 007GES167
Delivery Mode: Online
Course Access: 11 Months
Tutor Support: Yes
Time required: 160 Hours
Qualification: Certificate

Course Outcomes

Career

  • Risk adjustment coder

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