Certified Risk Adjustment Coder (CRC®)

Online learning

Certified Risk Adjustment Coder (CRC®)

The student will learn principles of risk adjustment and accurate diagnosis coding. In addition, there will be discussion of predictive modeling, financial impact of risk adjustment coding, documentation challenges, official diagnosis coding guidelines, and diagnosis coding in ICD-10-CM. This course is recommended for anyone who is currently working in risk adjustment or wants to learn risk adjustment coding.


Knowledge of medical terminology and anatomy (or ACS courses) strongly recommended.

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

Course Content

  • Hierarchal Condition Categories (HCC)
  • Medicaid Chronic Illness and Disability Payment System (CDPS)
  • Hybrid models
  • Predictive modeling impact
  • Suspect logic
  • Quality of care
  • Star ratings
  • HCC RAF score
  • Financial impact based on coding
  • Common errors in diagnosis coding
  • Elements of the medical record
  • Signatures
  • Insufficient documentation
  • Risk Adjustment Data Validation (RADV) process
  • Official diagnosis coding guidelines
  • Acute vs. Chronic conditions
  • Differential Diagnosis
  • Risk Factors and Comorbidities
  • Angina
  • Artificial Openings
  • BMI and Obesity
  • Cardiac Conduction Disorders
  • Cardiomyopathy
  • CVA
  • CKD, Dialysis, and AV Fistula
  • COPD
  • Complications of Care
  • Congestive Heart Failure
  • Cor Pulmonale
  • DVT
  • Dementia
  • Depression
  • Diabetes and Secondary Diabetes
  • Epilepsy & Convulsions
  • GERD
  • Hepatitis & Cirrhosis
  • HIV
  • Hypercholesterolemia
  • Hypertension
  • Hypothyroidism
  • Klebsiella Pneumoniae
  • Malnutrition & Cachexia
  • Myocardial Infraction
  • Neoplasms
  • Neuropathy
  • Pneumonia
  • Pulmonary Embolism
  • Pulmonary Hypertension
  • Respirator/Ventilator Status
  • Septicemia & Sepsis
  • Ulcers & Wounds
  • Varicose Veins
  • Vertebral Fractures
  • Practical diagnosis coding skills utilizing cases for practical application

Class Size

The maximum number of students will be 20 per class. Class size is limited and is on a first come, first served basis. Should there be a high demand for additional classes, Advanced Coding Services will try to accommodate students by adding a class to the schedule.

Online Availability

This course is offered online.


$2,395 per team member Tuition includes course materials and practice questions. (Certificate of Completion will be issued.)

Additional Required Code Books (Not Included):

ICD-10-CM code book (2023 year), any publisher

Required code book may be purchased through AAPC or any major bookseller.

Refund Disclosure - Applies to Online/Virtual Classes Only
Online courses may be canceled for a full refund within three days after the date of purchase, provided that the student has not accessed the online course, and course materials and books are returned unopened and in good condition to ACS. After three business days, course cancellations are subject to a $50 cancellation fee per course, in addition to any fees for course materials/books that are not returned to ACS, or are returned opened or used. Refunds will not be issued for any course that has been accessed, viewed, or partially completed, and no refund is available for any course after 30 days from the purchase date. Course refund requests must be submitted in writing to ACS for review and consideration. Online courses are for individual use only and are non transferable.

AAPC Accredited Vocational School in Phoenix Arizona

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