A Certified Risk Adjustment Coder (CRC™) has proven by rigorous examination and experience that they know how to read a medical chart and assign the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment).
The greater the disease burden of the patient, the higher the patient’s risk adjustment score; if the patient is healthy, the risk adjustment score is lower. A patient’s health status reflects the costs of their healthcare needs. CRCs must ensure provider documentation is up-to-par for HCC coding and that disease processes are coded accurately to follow risk adjustment models.
Invest in your future with the CRC credential — certified coders earn 40 percent more than non-credentialed coders.