Certified Risk Adjustment Coder (CRC®) Certification Course

Increase Your Success of Passing the CRC Exam

Enroll Now Save up to 56% through Oct 31st

Essential to capturing accurate risk scores for patients, the Certified Risk Adjustment Coder (CRC®) helps to ensure that health plans and providers receive necessary funding to cover healthcare for high-risk patients.

Become a Certified Risk Adjustment Coder (CRC)

CRCs are in demand and find employment opportunities in a range of healthcare settings — from physician practices and hospitals to health plans and third-party vendors of risk adjustment auditing services. Because CRCs conduct specialized work and have direct impact on healthcare revenue, they’re well compensated. The average annual salary for a CRC is $64,995, according to AAPC's 2022 Medical Coding Salary Survey Report.

Benefits of CRC Certification Course Training

Students taking the CRC Certification Course will gain expertise in disease complexities — particularly those associated with chronic conditions and comorbidities — as well as expertise in ICD-10-CM guidelines and risk adjustment models. Additional knowledge and proficiencies include:

  • Comprehending 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
  • An understanding of the audit process for risk adjustment models
  • Ability to identify documentation deficiencies and convey them to providers to improve accuracy of risk adjustment scores
  • An understanding of anatomy, pathophysiology, and medical terminology, as they pertain to diagnosis coding

    Download the CRC Preparation Course Syllabus

CRC Certification Course Options

To prepare for your CRC exam, you can choose classroom training or our online CRC certification training. When choosing the online course, you can further customize your training.

Lifestyles and learning preferences are not one-size-fits-all, which is why AAPC offers training options for students preparing for a career in risk adjustment coding.

  • 1.
    Select the self-paced option if you prefer working at your convenience with no set schedule.
  • 2.
    If you learn best in a structured and interactive setting, choose our instructor-led online CRC training course. This option is live, meets on specified days, and provides one-on-one time with your instructor.

What are you waiting for?

AAPC online training courses are the best way to get certified & advance your career.

Packages & Pricing

Save up to 56% through Oct 31st

Required Code Books

Prerequisite Courses for CPC Training

Because risk adjustment coders must have expert knowledge of diagnoses and diagnosis coding, courses in anatomy, pathophysiology, and medical terminology are essential to CRC certification training. These three courses — or the 3-in-1 course, Foundations in Medicine — are prerequisites for CRC students.

Exemption: If your educational or employment background have provided you with working knowledge of medical terminology, anatomy, and pathophysiology, you are exempt from these prerequisites. 

Computer With:

  • High-speed Internet access
  • Adobe Acrobat Reader (free download available)
  • For best experience, use of a mobile device is not recommended

CRC Certification Course Description

This online course, designed to be completed in 3 months, teaches fundamental risk adjustment coding skills and prepares students to take AAPC's CRC exam.

If choosing the self-paced course, you should plan to complete the program in 3 months. AAPC allows for an additional month, giving you 4 months of online access to course materials. Apart from reading and study time, the CRC Certification Course involves roughly 40 clock hours of course work.

Enrollment in this class includes:

  • Coverage of ICD-10-CM coding for all risk adjustment models (HCC, HHS-ACA, CDPS)
  • Reading assignments, practice exercises, chapter reviews, module tests, and a final exam
  • Online coaching on an individual, as-needed basis

CRC Certification Course Learning Objectives

Students will be equipped both to ensure clinical documentation accurately portrays the patient’s health status and to ensure all clinically documented diagnoses and comorbidities are properly reported.

Certificate of Completion & CEUs

If you currently hold an AAPC certification, you will earn 30 CEUs you can apply to your existing certification by completing this course. CEUs are one-time use only and satisfy requirements for all certifications except CPCO, CIRCC, and CPMA, and specialty certifications.

Successful completion of the CRC Certification Training Course requires:

  • A passing score of 70% or higher on all chapter review exams
  • A passing score of 70% or higher on final exam
  • An overall final course score of 70% or higher

To receive a certificate of completion, students must meet the above requirements and complete the course within the allotted time frame.

Online CRC Certification Course Content

The Business of Medicine
  • The role of a risk adjustment coder
  • The hierarchy of providers
  • The different types of payers
  • Medical necessity
  • The need for privacy and security
  • Fraud and abuse
  • Need for compliance rules and audits
  • The OIG Work Plan
Medical Terminology and Anatomy Review
  • Root words, prefixes, and suffixes
  • Integumentary system
  • Musculoskeletal system
  • Cardiovascular system
  • Lymphatic system
  • Respiratory system
  • Digestive system
  • Urinary system  
  • Reproductive systems
  • Nervous system
  • 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
  • Diagnosis coding guidelines for outpatient reporting
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 Program
  • Healthcare Effectiveness Data and Information Set (HEDIS®)
  • National Quality Forum
  • The Quality Payment Program
How Risk Adjustment Relates to Medical Financial Matters
  • New beneficiary calculations
  • Annual risk adjustment audits
  • Accountable Care Organizations
  • Placing providers “at-risk”
Diagnosis Documentation & Coding
  • Data collection sources
  • Coding for all diagnoses noted in a date of service (DOS)
  • Evaluation and management coding
  • Coding Diagnoses from chief complaint (CC) or history of present illness (HPI)
  • Coding diagnoses from PMH and other historical lists
  • Coding diagnoses from review of systems (ROS)
  • Coding diagnoses from the exam portion of a record
  • Coding from assessment and plan
Clinical Documentation Barriers
  • Signature or credential issues
  • Signatures in Risk Adjustment Data Validation (RADV or HRADV)
  • Past medical history
  • Lab and test results
  • Status conditions
  • Signs and symptoms
  • Uncertain diagnosis
  • Coding clinic guidance
  • Risk adjustment diagnosis coding steps

CRC Certification Course Policy

This 40-clock hour course should be completed within 3 months, but you are given an additional month or 4-month access to the class from date of purchase. Date of purchase is considered your course start date, with additional time allotted for processing your order. You will receive email instruction on course access once your order is processed.

  • If you need more time to complete your studies, you may purchase time extensions for a monthly fee.
  • If you purchased a CRC exam voucher in your training package, your voucher is valid for 12 months from date of purchase. 
  • Membership is required to take any AAPC examination.

By purchasing any online course and other items, I certify that I have read and agree to the online course Terms and Conditions, the Course Requirements, and the Refund Policy.

Why Choose AAPC for Your CRC Training?

AAPC specializes in healthcare business education and has set the standards for medical coding and billing. Our credentialed coders have proven mastery of all code sets, E/M principles, and documenta-tion guidelines. CRCs and other AAPC-credentialed coders represent the best in the medical coding career field.

Testimonials

Highest Certification Pass Rate

When you train with AAPC, you’re ensured a comprehensive education that covers everything needed to pass your certification exam, earn your professional CRC credential, and succeed in your rewarding career. As an AAPC student, in fact, you’re 3 times more likely to pass your national certification exam than if you trained anywhere else.

Career Development

AAPC supports you as you work to pursue professional milestones throughout your career. Our career counselors will help you know your professional value and negotiate your salary, give you advice on how to elevate your earning potential, and provide you with guidance to advance your career.

Financial Support

AAPC recognizes education as essential to advancing your career, and we’re committed to making your professional development affordable. We offer feasible payment plans on our certification courses, as well as financial aid for special circumstances.

Employment Tools

  • AAPC provides resources to help you gain employment.
  • Nationwide job database
  • Professional network 215,000+ peers
  • Local chapters
  • Regional and national conferences
  • Mentorship program and Project Xtern Program

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