CRC (Other exams)

CRC (Certified Risk Adjustment Coder)

More study resources

About this exam

The Certified Risk Adjustment Coder (CRC) credential, offered by AAPC, validates a professional's expertise in risk adjustment coding: the discipline of applying ICD-10-CM diagnosis codes to capture a patient's complete health status in value-based care. AAPC describes the credential as demonstrating proficiency in coding chronic and complex conditions accurately, complying with risk adjustment guidelines, and supporting proper reimbursement under Medicare Advantage, ACA marketplace plans, and other risk-adjusted payment systems.

AAPC positions the CRC for new entrants to medical coding who want to start in risk adjustment and value-based care, experienced but uncertified coders seeking to validate their skills, certified coders expanding into risk adjustment and HCC coding, and healthcare professionals working with payers, provider groups, or organizations in value-based care models. The stated experience expectation is a high-level knowledge of medical terminology, anatomy, and pathophysiology, along with an understanding of the proper application of ICD-10-CM diagnosis codes used for risk adjustment coding.

Content areas named by AAPC include core risk adjustment knowledge; ICD-10-CM application for chronic and complex conditions such as diabetes, COPD, cancer, cardiovascular and renal disease; Hierarchical Condition Categories (HCCs) and other risk adjustment models; payment systems including Medicare Advantage and ACA; documentation and compliance review; sequencing and linking comorbidities; and auditing and data accuracy. Preparation options include AAPC's self-paced or virtual instructor-led CRC exam prep training, starting at $1,495. The exam itself starts at $425 and can be scheduled online with a live remote proctor or at a testing center. Maintenance requires an active AAPC membership plus 36 CEUs every two years.

What you'll study

Common questions

About CRC preparation

How do I take the CRC exam, and what does it cost?

AAPC states you can schedule the exam to take it online at home with a live remote proctor or at a testing center, and that you purchase an exam voucher to view available dates and times. Pricing starts at $425. Exam prep training is a separate product, starting at $1,495, so budget for both if you need a course.

How many questions are on the exam, and how long is it?

The AAPC pages available here do not publish a question count, time limit, or passing score for the CRC exam. Those logistics are set out in the official candidate handbook. Confirm current figures there (or with AAPC customer service) before you plan your sitting, rather than relying on secondhand numbers.

What background do I need before sitting for the CRC?

AAPC lists the expectation as a high-level knowledge of medical terminology, anatomy, and pathophysiology, plus an understanding of the proper application of ICD-10-CM diagnosis codes used in risk adjustment coding. If your ICD-10-CM foundation is weak, build that first; nearly every content area on the exam depends on it.

What happens if I fail - can I retake it?

The source material available here does not state a retake policy, retake fee, or waiting period. AAPC's certification pages direct candidates to the official candidate handbook for exam administration details. Check that handbook or contact AAPC directly so you know the rules before your first attempt.

How long does the CRC last, and how do I keep it?

To maintain the credential you must keep your AAPC annual membership active and earn 36 continuing education units (CEUs) every two years. Plan your CEUs across the full cycle rather than scrambling at the deadline, and favor risk adjustment, ICD-10-CM, auditing, and compliance topics that reinforce what you practice daily.

Should I take the CRC or the CPC first?

They serve different jobs. The CPC is AAPC's core physician-office coding credential; the CRC is a specialty credential focused on risk adjustment and HCC coding in value-based care. AAPC lists certified coders expanding into risk adjustment as a CRC audience, so many coders add CRC after CPC rather than choosing between them.

In what order should I study the CRC content areas?

Start with risk adjustment fundamentals and payment methodology, then HCC hierarchy and model logic, then ICD-10-CM code assignment for chronic conditions. Add documentation review and MEAT-style capture next, and finish with compliance/RADV concepts and auditing. Doing hierarchy logic before coding drills prevents the common mistake of coding conditions that cannot affect the score.

What do candidates most often get wrong?

Recurring weak spots are hierarchy (assuming every documented condition raises the risk score), documentation that lacks specificity or linkage, and confusing querying rules with coding rules. Another is memorizing code lists instead of learning to read the record. Practice abstracting real notes and justifying each captured condition from documentation, not from memory.

Can I use code books or references during the exam?

The source material available here does not specify which references are permitted at the CRC exam. AAPC's candidate handbook is the authoritative place for exam-day rules on code books, notes, and prohibited materials. Verify the current policy before your sitting so nothing you bring is disallowed at check-in.