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Risk adjustment coding or HCC coding (Hierarchical Condition Categories) were designed to assign scores to Medicare Advantage members’ based on their chronic conditions. The HCC coder’s job involves identifying and capturing the chronic conditions which carry an HCC and are actively being treated by a physician.There are 79 HCC categories of chronic illnesses with thousands of diagnosis codes.  This entails the ability to read multiple styles of documentation as well as draw a line between a condition and the current treatment in a face to face visit.

How Can You Benefit from Risk Adjusment Coding Training?

With specialization in HCC coding comes a higher salary. Normal medical coders can expect to earn $32,000 per year. HCC Coders, however, can expect to earn a higher salary of $53,000 per year according to SimplyHired.com.

hcc coder vs medical coder salary

Who's this Risk Adjustment Coding Online Training for:

  • Medical coders who enjoy Diagnosis Coding
  • Those with an existing understanding of ICD-9-CM and or ICD-10-CM
  • Those who want to learn improve their understanding of Risk Adjustment methodologies
  • Those who deal with Medicare Advantage plans
  • Medical coders who are looking to enter and exciting new trend in coding

This risk adjustment coding training will:

  • Discuss the Guiding Principles of Risk Adjustment
  • Discuss Risk Adjustment Terminology
  • Review HCC Coding Hierarchy Methodology and Guidelines
  • Evaluate the HCC Disease Co-morbidity and Interactions:
    Bulletproof Documentation with Linking Statements
    Understanding The Risk Adjustment Submission
    Prospective, Retrospective Reviews
    Risk Adjustment Factor Scores (RAF)
    Benefits of the Annual Wellness Visit (AWV)
    Suspect Generation and Predictive Modeling
    Medical Loss Ratio Reports (MLR)
    Healthcare Effectiveness Data and Information Set (HEDIS)
    Five-Star Quality Rating System (STAR)
    Model Output Report (MOR file)
    Risk Adjustment Data Validation (RADV)
  • Identify the ICD-10-CM Impact on HCC Coding and Risk Adjustment
  • Review HCC Job Search Tips

This risk adjustment coding online training includes:

Training and handouts for 17 Jam-Packed Modules to walk you through risk adjustment coding, including HCC, step-by-step. The HCC Coding Course includes:

  • The Guiding Principles of Risk Adjustment
  • Risk Adjustment Terminology
  • HCC Coding Hierarchy Methodology and Guidelines
  • HCC Disease Co-morbidity and Interactions
  • Bulletproof Documentation with Linking Statements
  • Understanding The Risk Adjustment Submission
  • Prospective, Retrospective Reviews
  • Risk Adjustment Factor Scores (RAF)
  • Benefits of the Annual Wellness Visit (AWV)
  • Suspect Generation and Predictive Modeling
  • Medical Loss Ratio Reports (MLR)
  • Healthcare Effectiveness Data and Information Set (HEDIS)
  • Five-Star Quality Rating System (STAR)
  • Model Output Report (MOR file)
  • Risk Adjustment Data Validation (RADV)
  • ICD-10-CM Impact on HCC Coding and Risk Adjustment
  • HCC Job Search Tips

Each HCC Coding Course Module Contains:

  • Textbook Chapters by Holly Cassano, CPC
  • Lectures by Alicia Scott, CPC, CPC-I and other subject matter experts
  • Handouts 
  • Fun and Educational Activities
  • Online Exams to Test What You've Learned
  • Access to CCO Instructor Coach

What's Included with the HCC Coding Course:

  • Exclusive CCO eBook for Risk Adjustment Training
  • Coding HCC PEARLS
  • HCC Job Aides
  • One on One Coaching
  • Private Forum Access
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2016-11-20T23:37:05+00:00

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