Online Medical Billing Coding Training

Module 1 – Risk Adjustment Essentials & RAF Math

Build a clear foundation in HCC models, how risk scores are calculated, and where RAF affects payment. Practice simple math for additive factors and interaction terms to avoid common scoring errors.

Module 2 – ICD-10-CM for HCC High-Value Condition Families

Learn precise code selection for diabetes, CHF, COPD, cancer, CKD, depression, and more. See frequent coding pitfalls and how specificity and laterality impact HCC capture.

Module 3 – Documentation Standards: MEAT, Problem Lists & Queries

Apply the MEAT framework to prove conditions are monitored and treated during the year. Write compliant queries and fix problem lists that cause upcoding or missed HCCs.

Module 4 – Visit Strategy: Annual Wellness, Chronic Care & Telehealth

Structure visits to support accurate assessment, planning, and follow-up. Align AWV and chronic care touchpoints—including telehealth—to document persistence and treatment.

Module 5 – Social Determinants & Non-HCC Codes That Change Care

Capture SDOH (Z codes) and other non-HCC factors that shape risk and care plans. Link documentation to referrals, care management, and quality measures.

Module 6 – Payer Nuances, Edits & RA Data Integrity

Navigate payer policies, edits, and risk adjustment submission rules. Improve data integrity across EHR, clearinghouse, and payer feedback loops.

Module 7 – RADV, Compliance & Audit-Proof Coding

Prepare for RADV by building internal controls, sample audits, and defensible notes. Learn what auditors look for and how to close evidence gaps proactively.

Module 8 – Denials, Appeals & Provider Education

Prevent denials with front-end checks, then craft concise appeals with clinical backing. Coach providers using quick reference guides, tip sheets, and feedback dashboards.

Module 9 – Analytics, Suspecting & Performance Dashboards

Use simple analytics to surface suspected conditions and care gaps. Track coder and provider performance with actionable dashboards and clear KPIs.

OHSC Certificate of Completion - Digital certificate

Digital certificate - Included.

Quality Licence Scheme Certificate of Completion - Hard copy certificate

Hard copy certificate - £85

Note:A nominal fee of £9.99 covers the delivery charge within the United Kingdom and a nominal fee of £19.99 covers the delivery charge outside the United Kingdom.