FIMC®-HCC

FIMC®-HCC Fellowship in Risk Adjustment Coding

Advanced HCC Coding Training and Fellowship Credential by PMBAUSA LLC

The demand for skilled HCC Risk Adjustment Coders is growing rapidly due to expansion of Medicare Advantage plans, value based reimbursement models, and RAF score optimization strategies. Healthcare organizations worldwide are actively seeking coders who understand documentation accuracy, hierarchical condition category logic, and compliance driven coding.

FIMC®-HCC Fellowship by PMBAUSA LLC is a practical oriented, skill based advanced training program designed exclusively for certified medical coders who want to specialize in high income Risk Adjustment careers.

Why HCC Coding Skills Are Critical Today

Risk Adjustment coding directly impacts:

• Medicare Advantage reimbursement
• RAF score calculation
• Audit exposure
• RADV risk
• Revenue integrity

Certification alone does not guarantee performance in HCC coding. Risk Adjustment requires:

• Deep documentation interpretation
• Chronic condition validation
• MEAT criteria application
• Suspect condition analysis
• Audit defense explanation
• Compliance awareness

Inaccurate HCC coding can result in payment loss or audit penalties. Skilled coders are highly valued and highly paid.

Risk Adjustment Market Growth

The global Risk Adjustment and Medicare Advantage market is expanding significantly due to:

• Increasing MA enrollment
• CMS value based payment reforms
• Expansion of accountable care models
• Data driven reimbursement models

Medicare Advantage enrollment continues to rise year after year, increasing the demand for trained HCC coders. Skilled Risk Adjustment professionals enjoy:

• High salary opportunities
• Remote and work from home roles
• Consulting engagements
• Leadership positions in RCM companies

Why Choose FIMC®-HCC Fellowship

FIMC-HCC is not theory based.
It is performance based.

This fellowship emphasizes:

• Practical chart review
• Real world HCC case analysis
• 1000 medical record practice exposure
• RAF score impact interpretation
• Audit readiness training
• Compliance aligned documentation review

PMBAUSA focuses on building production ready Risk Adjustment specialists, not just certificate holders.

FIMC-HCC Training Syllabus

The structured curriculum includes:

• Fundamentals of Risk Adjustment
• HCC Model Overview
• CMS HCC Mapping Logic
• RAF Score Calculation
• Chronic Condition Coding
• MEAT Criteria Validation
• Documentation Gap Analysis
• Suspect Condition Identification
• Medicare Advantage Compliance
• RADV Audit Preparation
• ICD-10-CM Specificity in HCC
• AI Assisted Risk Adjustment Concepts

Program Details

• 100 percent Self Paced E Learning
• Structured Fellowship Credential
• Final Exam with 2 Attempts
• Practical Case Based Evaluation
• Credential Validity 3 Years

Eligibility Criteria

FIMC-HCC Fellowship is available only for Certified Medical Coders such as CPC, CCS or equivalent recognized certification holders.

This ensures participants already possess foundational coding knowledge before entering specialization training.

Career Outcomes After FIMC-HCC

After completion, candidates can pursue:

• HCC Risk Adjustment Coder
• Medicare Advantage Documentation Reviewer
• RAF Analyst
• Risk Adjustment Auditor
• Value Based Care Coding Specialist
• Remote Risk Adjustment Consultant

Healthcare reimbursement is shifting toward value based and risk adjusted payment models. The future belongs to coders who understand Risk Adjustment deeply and can apply HCC logic confidently.

FIMC®-HCC Fellowship by PMBAUSA LLC bridges the gap between certification and real world Risk Adjustment expertise.

Certification opens doors.
HCC Skill builds high income careers.