Risk Adjustment Course Overview

Instructor-Led "Online" Training Program

Course  Overview

A 4-week instructor led online course will teach you to capture a patient’s risk in medical documentation. 

INCLUDED IN PRICE:
  • Live Instructor Led
  • 3 Practice Exams
  • 5 Week Access to Training Portal
  • 15 hour Virtual Class
  • 7 Coding Practice Quizzes
  • 24/7 Access to Training Portal
  • 3 hour CRC® Exam Review Class
  • HCC/CDPS Risk Adjustment Coding Certificate (obtain after completion of the training program and passing the exam)
  • Must pass AIMRRA exam with a 70% within a 6 month period from completion of learners course date.
Free Bonus:

  • Medical Terminology E-book
  • Official 2024 ICD-10-CM AAPC Expert Code Book, (Allow 14-21 days to receive your ICD-10-Code book(s) in the mail).

Preparation to receive the AAPC’s CRC® Credential 

Our training is designed to provide the skills in a practical approach. Qualify for a career as a professional risk adjustment coder.

Requirements

&

Pre-Requisites


  • 2024 ICD-10-CM Code Book, (include with purchase) 
  • Knowledge of medical terminology and anatomy strongly recommended.
  • High-speed Internet connection & Web browser; Adobe Acrobat Reader.
  • For best experience, use of a mobile device or ipad is not recommended.
This course doesn't include the fees for the CRC® Certification Exam given by AAPC. Student must purchase the exam(s) by their own self.  

Access to a CRC® Certified Staff & Instructors

Access to a CRC® certified staff and coaches.

Course Objectives

  • 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.
  • 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.

24/7/5 Week Access
Training Portal

  • Video Lectures: so it’s as if you are sitting there in class right with your teaching instructor.
  • Reading assignments: from the most widely used Risk Adjustment textbook in the industry.
  • Online Risk Adjustment based exams: with grading and feedback to determine your readiness for the exam.
  • Student Support Forum: dedicated to supporting learners as they progress through the Risk Adjustment lessons, quizzes and exams.

Risk Adjustment Coder Certificate Course

The American International Medical Record Review Association (AIMRRA) offers the Risk Adjustment Coder Certificate to individuals whose training and work responsibilities involves disease complexities associated with chronic conditions in ICD-10-CM guidelines and risk adjustment models, conducting medical records reviews, and coding warranty professional recognition.

Advantages of the Risk Adjustment Course
• Students taking the certificate course will gain industry knowledge and process.
• Understanding the impact of diagnosis coding on risk adjustment payments.
• How to review and assign accurate medical codes for diagnoses.
• How to apply medical coding guidelines and meet compliance requirements.
• Gain insight of the audit process for risk adjustment models.
• Capability to detect documentation deficiencies and communicate them to providers to increase precision of risk adjustment scores.
• An understanding of anatomy, pathophysiology, and medical terminology, as they pertain to diagnosis coding.
• Identify word parts and write medical terms accurately.
• Utilize suffixes to build medical terminologies related to surgical procedures, medical conditions, specialists, and specialties.
• Recognize and use prefixes in writing medical terms.

Risk Adjustment Coder Training Syllabus
(Course Content subject to change)

• ICD-10-CM Coding Guidelines
• Diagnosis Coding and Documentation
• Risk Adjustment Models
• Risk Adjustment and Fiscal Matters
• Hierarchical Condition Categories (HCC)
• Predictive Modeling
• Medical Terminology
• Coding Conditions – TBD
• Do’s and Don’ts of RA
• RADV Process
• Practical Expertise
• Chart/Medical Review


Intended Audience
People interested in the following careers working with healthcare records such as doctors, physicians, nurses, physical therapists, physician assistants, dentists, chiropractors, medical writers and editors, copyeditors, medical receptionists, medical transcription or transcriptionist, medical assistant, medical coding and billing, medical secretary, and health information or medical directors or unit clerks. Anyone with an interest in dipping their toes into the coding industry.