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Certified Professional Coder (CPC)
What is Medical Coding?
Medical Coding is the translation of written or dictated healthcare service(s) and diagnoses; into a code or series of codes. The information is abstracted from the medical record or EHR. For one to be a succesful Medical Coder, they need to be detail oriented, follow coding and healthcare guidelines, as well as remain educated on any and all current changes and updates. Medical terminology and Anatomy is essential for coding. We provide our students the guidance and the tools they need to be successful HEALTHCARE PROFESSIONALS
Is there a demand for CPC's?
The Role of a Coder has varied greatly since the adaptation of Electronic Health Records (EHR); however the need for Certified Coders has increased substantially. Coders take on more of an auditor role and are required by the majority of healthcare plans & healthcare providers.
UNIQUE CAREER ACADEMY
Certified Professional Medical Auditor (CPMA)
WHAT IS A CPMA?
CPMA - Certified Professional Medical Auditor. A CPMA is vital to healthcare providers as they review claims & medical documentation to verify accuracy; thus contributing to the reduction of errors, and reduction of loss revenue - vital for all pratices, big or small.
Who does a CPMA work for?
Most CPMA's work for an Insurance Carrier or a healthcare practice. Many are self employed or work for a heathcare facility or provider group. CPMAs' have a vital role in the healthcare field, for both insurance carriers and healthcare professionals.
Certified Risk Adjustment Coder (CRC)
What is a CRC?
CRC -Certified Risk Adjustment Coder. CRC's perform medical coding or auditing services based on the diagnosis(es) provided and documented in the medical record(s) of Medicare Part C enrolled Members. Medicare Part C is known as Medicare Advantage.
What are the demands of a CRC and why are they important?
Certified Risk Adjustment Coders (CRC) review Medial Records or EHRs of patients to translate the diagnosis(es) provided by the Provider of service into a universal alphanumeric code or category. CRC Coders are also known as MRA or HCC Coders. Medicare Risk Adjustment - MRA Coders are Coders that review medical records to report the codes validated in the medical records. The Centers for Medicare and Medicaid Services (CMS) uses risk adjustment diagnosis codes and demographic data reported for one year to determine payment for the next year.
Providers of Healthcare services need CRC's to review medical documentation and report the appropriate ICD10-CM Code (Diagnosis codes) based on the documentation and support provided in the medical records of every patient enrolled in a Medicare Advantage Plan.