Fundamentals

Introduction to Risk Adjustment

$300 Tuition (supplies sold separately)

Instructor-Led or Self-Paced Course
8 weeks / 48 clock hours

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Instructor

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Monica Walker

Instructor

Monica has been coding since 2017, retiring from more than 30 years in education policy.  She is the OS2 Training Manager and a Rick Adjustment Instructor.  She has been coding with OS2 since 2018.  Monica enjoys training and mentoring others.  Monica and her husband live in Texas and have three adult daughters and two grandsons.

Course Description

This program covers the principles of risk adjustment, predictive modeling, financial impact of risk adjustment coding, documentation challenges, official diagnosis coding guidelines, and accurate diagnosis coding in ICD-10-CM. Students enrolled in the program will be provided with the skills needed to earn a coding certification from the largest coding organization in healthcare, AAPC. Previously known as the Risk Adjustment Mentee Program.

Course Objectives

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 ICD-10-CM 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.

Continuing Education Units (CEUs)

40 CEUs upon completion

Certificate of Completion

Yes, a certificate of completion is issued upon completion of course.

Prerequisites

Knowledge of medical terminology and anatomy is strongly recommended.

Supplies / Equipment Requirements

  • Current Year ICD-10-CM Code Book:
    Ensure access to the latest ICD-10-CM code book from any recognized publisher.
  • Medical Coding Training:
    Enroll in the current year's medical coding training, specifically the Certified Risk Adjustment Coder (CRC) course offered by AAPC.
  • Computer Setup:
    Provide a computer equipped with dual monitors, a high-speed internet connection, and a compatible web browser for optimal efficiency.
  • Adobe Acrobat Reader:
    Install and ensure the proper functionality of Adobe Acrobat Reader for viewing and annotating PDF documents, including training materials and coding references.

Course Clock Hours

48 Hours

The clock hours recorded for an online course only represent the time spent within the course itself, excluding any additional time spent studying outside of the course.  It's important to note that the amount of study time necessary for an individual to succeed in the course will vary based on the student's learning style and pace.