The Certified Risk Adjustment Coder (CRC) credential is offered by the American Academy of Professional Coders (AAPC). It’s aimed at professionals who work in risk adjustment coding, which involves coding diagnoses and conditions to ensure accurate reimbursement from insurance providers, particularly in Medicare Advantage and other risk-based payment models.

To earn the CRC credential, candidates typically need a solid understanding of medical coding principles, particularly in relation to risk adjustment models such as Hierarchical Condition Categories (HCCs). They must pass the CRC exam, which assesses their knowledge of coding guidelines, documentation requirements, and risk adjustment methodologies.

CRC-certified professionals are essential in healthcare organizations participating in risk-based payment models, as they help ensure that diagnoses are accurately captured and reported, ultimately affecting reimbursement rates and the overall financial health of the organization. Holding this credential demonstrates proficiency and expertise in risk adjustment coding.