Surya Prasad Feb 14, 2024
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Overview of Certified Risk Adjustment Coder (CRC) Certification

Are you thinking about pursuing a Certified Risk Adjustment Coder certification course? You have certainly landed on the right page. We are here to help you understand all the aspects related to the respective field so that you can pursue the same with complete clarity. Today we all know how the demand for medical coders is getting up with every passing day. Medical coding ensures that healthcare services are properly documented, billed, and reimbursed. One specialized area of medical coding is risk adjustment coding, which plays a vital role in determining accurate reimbursement for health plans. To excel in risk adjustment coding, professionals can pursue the Certified Risk Adjustment Coder (CRC) certification. This post provides an overview of the CRC certification, its benefits, and the process of obtaining it.

Learn more: Why Medical Coding a Smart Career Choice?

What is Certified Risk Adjustment Coder (CRC) Certification?

Certified Risk Adjustment Coder (CRC) certification is a professional credential offered by the American Academy of Professional Coders (AAPC). It is specifically designed for medical coders who specialize in risk adjustment coding. Risk adjustment coding involves assigning diagnostic codes to accurately represent the health conditions of patients. These codes are used to calculate risk scores, which determine the reimbursement rates for health plans such as Medicare Advantage and Affordable Care Act (ACA) plans. Below are the aspects shows all the aspects related to it:

Check out: How to Become a CRC  Professional?

CRC Exam Delivery Mode 

The Certified Risk Adjustment Coder (CRC) certification exam can be taken either online or in-person. This provides flexibility for candidates to choose the format that best suits their needs and preferences. Online exams can be taken from the comfort of your own home or office, while in-person exams are typically held at designated testing centers.

CRC Exam Duration

The CRC certification exam allows candidates a total of 4 hours to complete the test. This gives individuals ample time to carefully review and answer the questions without feeling rushed. It is important to manage your time effectively during the exam to ensure that you are able to complete all sections within the allotted time.

Tech Requirements for CRC Online Exam

If you choose to take the CRC certification exam online, you will need a computer or laptop with a stable internet connection. It is recommended to use a modern web browser such as Google Chrome or Mozilla Firefox for optimal performance. Additionally, you may need a webcam and microphone for online proctoring purposes, as some exams may require remote monitoring.

Prerequisites for CRC certification Exam

To be eligible to take the CRC certification exam, candidates must have a minimum of two years of professional coding experience. This experience should be in a healthcare setting, specifically in risk adjustment coding. It is important to note that the experience requirement must be met before applying for the exam, as proof of experience may be requested during the application process.

Approved Code Books for CRC Exam

During the CRC certification exam, candidates are allowed to use approved code books. The specific code books that are permitted may vary depending on the exam version and year. Generally, the ICD-10-CM code book and the CMS-HCC Risk Adjustment Model Software are commonly used resources during the exam. It is crucial to ensure that you have the most up-to-date versions of these code books to accurately answer the exam questions.

Read on: CRC Exam Preparation Tips

The CRC Certification Process

Below are the important requirements that can help you complete your CRC certification process with ease.

  • Eligibility: Candidates must ensure they meet the education and experience requirements set by the AAPC before applying for the CRC certification.
  • Exam Preparation: To enhance their chances of passing the CRC exam, candidates should engage in comprehensive exam preparation. This can include self-study using recommended reference materials, attending preparatory courses, or participating in online forums and study groups.
  • Exam Registration: Candidates can register for the CRC exam through the AAPC website. They will receive an Authorization to Test (ATT) letter, which provides information about scheduling the exam.
  • Exam Administration: The CRC exam is a timed, computer-based exam consisting of multiple-choice questions. It assesses the candidate's knowledge and understanding of risk adjustment coding guidelines, coding concepts, and documentation requirements.
  • Exam Results: After completing the exam, candidates receive immediate preliminary results. Official results, along with the certification status, are provided by the AAPC within a few weeks.
  • Certification Maintenance: Certified CRCs must maintain their certification by earning a minimum of 36 CEUs every two years. These CEUs can be obtained through various educational activities, such as attending conferences, webinars, workshops, or completing online courses.

Find out the Benefits of Earning a CRC Certification

Wrapping It Up

The Certified Risk Adjustment Coder (CRC) certification is a valuable credential for medical coders specializing in risk adjustment coding. It offers numerous benefits, including enhanced career opportunities, increased earning potential, industry recognition, and continuous professional development. By meeting the education and experience requirements and passing the CRC exam, medical coders can demonstrate their expertise in risk adjustment coding and contribute to accurate reimbursement for health plans. The CRC certification process ensures that certified coders stay updated with the evolving industry standards, enabling them to provide accurate and compliant coding services in the dynamic healthcare landscape.

Locations Where Edoxi Offers Medical Coding Course

Here is the list of other major locations where Edoxi offers Medical Coding Course

Medical Coding Course in Qatar |  Medical Coding Course in Muscat | Medical Coding Course in Dubai  | Medical Coding Course in Bahrain | Medical Coding Course in Kuwait | Medical Coding Course in London | Medical Coding Course in Riyadh | Medical Coding Course in Jeddah | Medical Coding Course in Dammam | Medical Coding Training in Sharjah 



Medical Coding Trainer

Surya Prasad is a Certified Professional Coder with years of experience. Currently, she holds the position of Medical Coding Tutor at Edoxi Training Institute in Dubai, UAE, where she imparts her knowledge and expertise to aspiring professionals in the healthcare industry. With her extensive training and certifications, Surya Prasad is well-equipped to provide valuable insights and guidance to students and professionals pursuing careers in medical coding and healthcare management.