Full Course

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£400
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Course Includes:
  • ci Online Study Mode
  • ci 450 Hours
  • ci Study at your own Pace
  • ci Completion Certificate

Key Aspects of Course

  • icon Level 5 Diploma
  • icon Full Online Course
  • icon CPD Approved
  • icon Employer Approved
  • icon Fully Endorsed Course
  • icon 450 Hours Training
  • icon No Entry Requirements
  • icon Boost Your Resume
  • icon Own Pace Study
  • icon Premium Course Material
  • icon Completion Certificate
Special offer

£160

£400
paygroup

Online Medical Billing Coding Training

 

The "Medical Billing Risk Adjustment (HCC) Advanced Diploma" is a practical programme for coders and clinical documentation teams who want to master risk adjustment workflows, RAF math, and audit-proof documentation. Delivered as flexible online medical billing coding training, this course builds confidence with real-world payer scenarios, documentation standards, and ICD-10-CM selection for high-value condition families—so you can reduce denials and improve accuracy from day one.

 

Aligned to payer rules and quality programmes, the diploma also fits neatly alongside your existing online medical billing and coding online courses and focuses on the intersection of coding, compliance, and healthcare risk management. You’ll learn to translate provider notes into precise HCC codes, prevent RADV findings, and use analytics to surface care gaps—skills that improve revenue integrity and patient outcomes.

 

This programme is part of our wider professional healthcare development courses, offering learners a structured pathway into advanced risk adjustment coding, compliance, and healthcare analytics. You can explore more career-focused healthcare training programmes designed to build specialist expertise in medical billing systems, coding accuracy, and healthcare financial integrity.

 

For those continuing their learning journey, there are also free introductory healthcare learning courses, ideal for strengthening foundational knowledge before progressing into more advanced HCC coding and risk adjustment topics. These are available in our Free Online Courses with Certificates hub, providing flexible and accessible learning opportunities for all learners.

 

To further support your development, you can also access a wide range of online certificate-based learning programmes designed to enhance career opportunities in healthcare administration, medical coding, and revenue cycle management.

Learning Outcomes
  • Advanced HCC coding and risk adjustment methods
  • Risk score calculation and documentation improvement
  • Data validation and audit preparation
  • Integration of coding with healthcare risk management
  • ICD-10-CM coding for chronic conditions
  • Medical billing and healthcare compliance
  • Understanding healthcare reimbursement models
Who should learn
this course
  • Experienced medical coders
  • Healthcare risk adjustment specialists
  • Medical billing professionals
  • Compliance and auditing officers
  • Insurance claim analysts
  • Healthcare data management experts
  • Students pursuing advanced coding certifications

SYLLABUS

Module 1

Module 1

Risk Adjustment Essentials & RAF Math

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Module 2

Module 2

ICD-10-CM for HCC High-Value Condition Families

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Module 3

Module 3

Documentation Standards: MEAT, Problem Lists & Queries

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Module 4

Module 4

Visit Strategy: Annual Wellness, Chronic Care & Telehealth

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Module 5

Module 5

Social Determinants & Non-HCC Codes That Change Care

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Module 6

Module 6

Payer Nuances, Edits & RA Data Integrity

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Module 7

Module 7

RADV, Compliance & Audit-Proof Coding

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Module 8

Module 8

Denials, Appeals & Provider Education

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Module 9

Module 9

Analytics, Suspecting & Performance Dashboards

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Future market Growth
250 Billion

Expected Artificial Intelligence market growth by the end of 2027

90% Growth

Increased in growth in different learning organizations

Career opportunities

Average Salary

£50k - £110k per Annum

Hiring Companies

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Certifications

Certification — 100% Included
CPD Accredited PDF Certificate (Digital Certificate Included)
Endorsed QLS Certificate – PDF

No Hidden Fees — ever