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AAPC: Certified Professional Coder (CPC)

DETAILS ABOUT CPC CERTIFICATION:

AAPC: Certified Professional Coder (CPC)

The Certified Professional Coder (CPC) certification, offered by the AAPC (American Academy of Professional Coders), is one of the most recognized medical coding certifications. It demonstrates proficiency in medical coding, including CPT®, ICD-10-CM, and HCPCS Level II coding.

 

CPC Certification Overview

  • Purpose: Validates your knowledge in medical coding for physician services.
  • Issued By: AAPC (American Academy of Professional Coders).
  • Exam Format:
    • 100 multiple-choice questions.
    • Covers CPT®, ICD-10-CM, HCPCS Level II, and coding guidelines.
    • Open book (AAPC-approved coding manuals allowed).
    • Duration: 4 hours.
    • Passing Score: 70% or higher.
  •  

Exam Content Breakdown

  • 10,000-60,000 CPT® Codes (Surgery & Procedures) – 50%
  • Evaluation & Management (E/M) Services – 10%
  • Anesthesia & Radiology – 10%
  • Pathology & Laboratory – 10%
  • Medicine (Including Injections & Immunizations) – 10%
  • HCPCS Level II & ICD-10-CM Guidelines – 10%

Eligibility & Requirements

  • No prerequisites, but medical coding experience is recommended.
  • Without experience, passing the exam grants a CPC-A (Apprentice) certification.
  • To remove the apprentice status, submit two years of coding experience or one year of experience plus completion of an AAPC-approved program.

Exam Costs

  • AAPC Membership: Required (~$205/year).
  • Exam Fee: ~$399 (one attempt) or ~$499 (two attempts).

How to Prepare?

  • Study CPT®, ICD-10-CM, and HCPCS Level II manuals.
  • Take an AAPC-approved training course.
  • Practice with mock exams & past papers.
  • Learn medical terminology & anatomy.

AHIMA: Certified Coding Specialist (CCS)

DETAILS ABOUT CCS CERTIFICATION

AHIMA- Certified Coding Specialist (CCS)

Certified Coding Specialist (CCS) Certification

 

The Certified Coding Specialist (CCS) credential is a prestigious certification offered by the American Health Information Management Association (AHIMA). It is designed for professionals specializing in hospital inpatient and outpatient coding. CCS-certified coders are highly valued for their expertise in ICD-10-CM, ICD-10-PCS, and CPT coding systems.

 

1️⃣ Who Should Get CCS Certification?

This certification is ideal for:
✔ Medical coders looking to advance their careers.
✔ Hospital inpatient & outpatient coders.
✔ Health Information Management (HIM) professionals.
✔ Coding auditors and compliance officers.
✔ Experienced CPC-certified coders who want to specialize in hospital coding.

 

2️⃣ CCS Certification Eligibility

AHIMA recommends candidates meet one of the following criteria before taking the CCS exam:
🔹 Completed a coding training program (hospital-based, college, or online).
🔹 Hold an RHIA, RHIT, or CCA certification (AHIMA credentials).
🔹 Minimum of 2 years of medical coding experience.
🔹 Experience with ICD-10-CM, ICD-10-PCS, and CPT coding systems.

3️⃣ CCS Exam Details

Exam Component

Details

Exam Provider

AHIMA (American Health Information Management Association)

Exam Format

Multiple-choice & coding scenarios

Exam Duration

4 hours

Number of Questions

Around 115-140

Passing Score

Scaled score of 300 or more

Exam Cost

$399 (AHIMA members), $469 (non-members)

Exam Mode

Online proctored or in-person testing

4️⃣ Exam Syllabus & Topics Covered

The CCS exam tests knowledge in:

 📌 Diagnosis & Procedure Coding

  • ICD-10-CM (Diagnosis coding)
  • ICD-10-PCS (Inpatient procedure coding)
  • CPT/HCPCS Level II coding (Outpatient services)

 

📌 Coding Guidelines & Compliance

  • Official ICD-10-CM/PCS coding guidelines
  • CPT coding conventions and rules
  • HIPAA regulations and coding ethics

📌 Reimbursement Methodologies

  • DRG (Diagnosis-Related Group) assignments
  • APC (Ambulatory Payment Classification) system
  • Insurance claim processing and medical billing

 

📌 Case Studies & Coding Scenarios

  • Inpatient and outpatient medical coding scenarios
  • Abstracting data from medical records