Media

Name *
Email *
Phone Number *
Courses *
Qualification *

Certified in Healthcare Privacy and Security

ndividuals who earn the CHPS designation will achieve recognition of their expertise in designing, implementing, and administering privacy and security protection programs in all types of healthcare organizations. Holders demonstrate advanced knowledge of the privacy and security dimensions of HIM to include best management practices.

Certified Health Data Analyst

Individuals who earn the CHDA designation will achieve recognition of their expertise in health data analysis and validation of their mastery of this domain. This certification provides practitioners with the knowledge to acquire, manage, analyze, interpret, and transform data into accurate, consistent, and timely information, while balancing the \”big picture\” strategic vision with day-to-day details.

CHDA-credentialed professionals exhibit broad organizational knowledge and the ability to communicate with individuals and groups at multiple levels, both internal and external.

Certified Documentation Improvement Practitioner

Organizations value clinical documentation integrity (CDI) competencies in health information professionals, nurses, and physicians. Individuals earning the CDIP credential demonstrate expertise in clinical documentation within patient health records. Both employers and colleagues view CDIP holders as role models within the broader health information community.

Registered Health Information Administrator

RHIAs are a critical link between care providers, payers, and patients. The RHIA has a comprehensive knowledge of medical, administrative, ethical, and legal requirements and standards related to healthcare delivery and privacy of protected patient information.

RHIAs work in multiple settings in the healthcare industry, including hospitals, multispecialty clinics and physician practices, long-term care, mental health, and other ambulatory care settings. They can also work in non-patient care settings such as managed care and insurance companies, software vendors, consulting services, government agencies, education, and pharmaceutical companies.

RHIAs:

Manage people and operational units, participate in administrative committees, and prepare budgets.
Interact with all levels of an organization—clinical, financial, administrative, and information systems—that employ patient data in decision-making and everyday operations.
Manage patient health information and medical records, administer computer information systems, collect and analyze patient data, and use classification systems and medical terminologies.

Registered Health Information Technician

While most RHITs work in hospitals, they are also found in other healthcare settings including office-based physician practices, nursing homes, home health agencies, mental health facilities, and public health agencies. RHITs may also be employed in any organization that uses patient data or health information, such as pharmaceutical companies, law and insurance firms, and health product vendors.

RHITs:

Ensure the quality of medical/health records by verifying their completeness, accuracy, and proper entry into computer systems.
Use computer applications to assemble and analyze patient data for the purpose of improving patient care or controlling costs.
Often specialize in coding diagnoses and procedures in patient records for reimbursement and research. An additional role for RHITs is a cancer registrar — compiling and maintaining data on cancer patients.

Certified Coding Associate

Coding professionals who hold the CCA credential have demonstrated coding competency across all settings, including hospitals and physician practices.

Since 2002, the CCA designation has been a nationally recognized standard of achievement in the health information management (HIM) field.

CCAs:

Exhibit a level of commitment, competency, and professional capability that is valued by employers.
Demonstrate a commitment to the coding profession.
Distinguish themselves from others as having passed AHIMA’s rigorous CCA exam.

Certified Cardiovascular and Thoracic Surgery Coder Credential

Experienced cardiovascular and thoracic surgery coders are encouraged to sit for the CCVTC^™ exam. CCVTC certification represents excellence in reporting surgical procedures performed by cardiovascular and thoracic surgeons, such as cardiopulmonary bypass, PTCA, lung tumor ablation, etc.

The CCVTC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by cardiovascular and thoracic surgeons such as cardiopulmonary bypass, PTCA, lung tumor ablation, etc.
Medical terminology
Anatomy and physiology

Certified Surgical Foot & Ankle Coder

The Certified Surgical Foot & Ankle Coder (CSFACâ„¢) credential was developed by AAPC in cooperation with the American Podiatric Medical Association (APMA) to provide a means for professional coders, podiatrists, orthopedists, and billing staff to demonstrate their expertise in coding medical services and surgical procedures performed on the foot and ankle.

The CSFAC is proficient in the following competencies:

The ability to read and abstract physician office notes and procedure notes then apply correct ICD-10-CM, CPT®, HCPCS Level II codes, as well as apply correct modifiers
Correct evaluation and management code usage using both 1995 and 1997 guidelines
Medicare billing rules and regulations, including, but not limited to incident to, consultations, NCCI edits, and global surgery
Coding of surgical procedures performed by foot and ankle specialists
Medical terminology
Anatomy and physiology of the lower extremity

Certified ASC Coder

Experienced ambulatory surgery center (ASC) coders are encouraged to sit for the CASCC^™ exam. CASCC certification endorses superior competency in coding for services and procedures performed in an ASC. This competency includes the ability to navigate operative reports and to apply ASC rules for reimbursement, such as multiple, device-intensive and discontinued procedures.

The CASCC certification exam will test:

Ability to read and dissect operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II and modifier coding assignment
Knowledge of types of surgery performed in the ASC healthcare setting
Coding of ancillary procedure codes, as well as drugs and biologicals
Rules for reimbursement of services provided at ASCs (multiple, device-intensive and/or discontinued procedures)
Regulatory rules established under federal and/or state standard committees
Medical terminology
Anatomy and physiology

Certified Gastroenterology Coder

Experienced gastroenterology coders are encouraged to sit for the CGIC^™ exam. CGIC certification CGIC certification shows expert aptitude for coding procedures performed by gastroenterologists, such as colonoscopies, esophageal dilations, ERCP, etc.

The CGIC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by gastroenterologists such as gastric or duodenal intubation, enteroscopy, mediastinotomy, hernia repair, etc.
Medical terminology
Anatomy and physiology

Certified Rheumatology Coder

The Certified Rheumatology Coder (CRHC^™) exam was developed by a team of leading rheumatology coding professionals in conjunction with the American College of Rheumatology (ACR). Experienced rheumatology coders are encouraged to sit for the CHRC exam. CRHC certification validates coding proficiency in the medical field of rheumatology, including surgical procedures like trigger point injections, joint injections, synovial fluid analysis, viscosupplementation, etc.

The CHRC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures commonly performed by rheumatologists such as aspirations, nailfold videocapillaroscopies, ultrasound-guided cortisone injections, etc.
Medical terminology
Anatomy and physiology

Certified ENT Coder Credential

The Certified ENT Coder exam was developed by a team of leading ENT coders in conjunction with the American Academy Otolaryngology – Head and Neck Surgery and the Association of Otolaryngology Administrators (AOA).

Coders with CENTC credential demonstrates sufficient experience & expertise in ENT coding.

A CENTC is proficient in the following competencies:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT®, HCPCS Level II and modifier coding assignments
Evaluation and management (both the 1995 and 1997 Documentation Guidelines)
Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global surgery
Coding of surgical procedures performed by otolaryngologists such as laryngoscopies, nasopharyngoscopies, sinus surgeries, etc.
Medical terminology
Anatomy and physiology

Certified Hematology and Oncology Coder Credential

Experienced hematology and oncology coders are encouraged to sit for the CHONC^™ exam. CHONC certification validates expertise in coding of surgical procedures performed by hematologists and oncologists and auxiliary staff — including chemotherapy administration, hydration services, therapeutic, prophylactic and diagnostic administration, bone marrow aspiration, bone marrow biopsies, venipuncture, vaccinations, therapeutic phlebotomy, etc.

The CHONC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by hematologists and oncologists and auxiliary staff such as chemotherapy administration, hydration services, therapeutic, prophylactic and diagnostic administration, bone marrow aspiration, bone marrow biopsies, venipuncture, vaccinations, therapeutic phlebotomy, etc.
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines
Medical terminology
Anatomy and physiology

Certified Pediatrics Coder

Experienced pediatric coders are encouraged to sit for the CPEDC^™ exam. CPEDC certification validates aptitude in coding services and procedures required in pediatric medicine, such as venipuncture, injections, vaccinations, vision testing, lesion excisions, foreign body removal, fracture care, etc.

The CPEDC certification exam will test:

Proficiency reading and abstracting physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of ancillary procedures performed in a pediatric practice such as immunizations, vision testing, venipuncture, injections, etc.
Coding of surgical procedures performed by pediatricians such as lesion excisions, foreign body removal, fracture care, etc.
Medical terminology
Anatomy and physiology

Certified Plastic and Reconstructive Surgery Coder

he Certified Plastic and Reconstructive Surgery Coder (CPRC^™) demonstrates sufficient experience and expertise in plastic and reconstructive surgery coding. A team of leading plastic and reconstructive surgery coding professionals developed the CPRC^™ credential.

The CPRC is proficient in the following competencies:

Ability to read and abstract physician office notes and procedure notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II and modifier coding assignments
Evaluation and management (both the 1995 and 1997 Documentation Guidelines)
Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global surgery
Coding of surgical procedures performed by plastic and reconstructive specialists such as scar revisions, facial repairs, cosmetic surgeries, etc.
Medical terminology
Anatomy and physiology

Certified Orthopaedic Surgery Coder

Experienced orthopedic coders are encouraged to sit for the COSC^™ exam. COSC certification endorses proficiency in coding orthopedic procedures, including ACL reconstruction, joint, fusion, joint replacements, diskectomy, laminectomy, etc.

The COSC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by orthopedists such as arthroscopic surgeries, fracture repairs, spine surgeries, etc.
Medical terminology
Anatomy and physiology

Certified Professional Coder in Dermatology Credential

The Certified Professional Coder in Dermatology exam was developed by a team of leading dermatology coding professionals in conjunction with the Association of Dermatology Administrators/Managers (ADA/M). Experienced dermatology coders are encouraged to sit for the CPCD.

The CPCD certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by dermatologists such as debridement, lesion excisions, flaps, Mohs micrographic surgery, etc.
Medical terminology
Anatomy and physiology

Certified Obstetrics Gynecology Coder

Experienced ob-gyn coders are encouraged to sit for the COBGC^™ exam. COBGC certification validates coding proficiency for the spectrum of obstetric services — from antepartum care and delivery to postpartum care and surgical procedures that include hysterectomies, biopsies, colpopexies, etc.

The COBGC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of obstetric services including antepartum care, deliveries and postpartum care
Coding of surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc.
Medical terminology
Anatomy and physiology

Certified Urology Coder

Experienced urology coders are encouraged to sit for the CUC^™ exam. CUC certification endorses proficiency applying correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier assignment when reporting urology services and procedures, such as urinalysis, cystoscopies, biopsies, prostatectomies, etc.

The CUC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of ancillary procedures performed in a urology practice such as urinalysis, injections, etc.
Coding of surgical procedures performed by urologists such as cystoscopies, biopsies, prostatectomies, etc.
Time-based coding
Medical terminology
Anatomy and physiology

Certified Internal Medicine Coder

The Certified Internal Medicine Credential was developed by a team of leading internal medicine coding professionals. Coders with the CIMC credential have demonstrated sufficient experience and expertise in internal medicine coding.

A CIMC is proficient in the following competencies:

Ability to read and abstract physician office notes and procedure notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II and modifier coding assignments
Evaluation and management (both the 1995 and 1997 Documentation Guidelines)
Rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations and global surgery
Coding of ancillary procedures performed in an internal medicine practice such as venipuncture, injections, vaccinations, etc.
Coding of minor surgical procedures performed in an internal medicine practice such as trigger point injections, joint injections, skin tag removals, etc.
Medical terminology
Anatomy and physiology

Certified Family Practice Coder Credential

Experienced family practice coders are encouraged to sit for the CFPC^™ exam. CFPC certification recognizes expertise in coding general medicine/family practice services and procedures, such as venipunctures, injections, EKGs, lesion excisions, foreign body removals, fracture care, etc. This competency includes proper sequencing using RVUs when multiple procedures are performed.

The CFPC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of ancillary procedures performed in a family medicine practice such as venipuncture, injections, EKG, etc.
Coding of minor surgical procedures performed in a family medicine practice such as lesion excision, foreign body removal, fracture care, etc. The examinee must know proper sequencing using RVU (Relative Value Unit) when multiple procedures are performed.
Time-based coding
Medical terminology
Anatomy and physiology

Certified Emergency Department Coder

Experienced emergency department coders are encouraged to sit for the CEDC^® exam. CEDC certification CEDC certification endorses excellence in coding the myriad procedures performed by emergency department physicians, such as thoracentesis, laceration repair, moderate sedation, fracture care, foreign body removal, etc.

The CEDC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by ED physicians such as thoracentesis, laceration repair, fracture care, foreign body removal, etc.
Coding of moderate sedation
Time-based coding
Medical terminology
Anatomy and physiology

Certified Evaluation and Management Coder

Experienced E/M coders are encouraged to sit for the CEMC^® exam. CEMC certification validates command of evaluation and management (E/M) medical decision-making guidelines, which pertain to multiple specialties.

The CEMC certification exam will test:

The three key components with emphasis on MDM and other subjective aspects of the Documentation Guidelines
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding per NCCI, ICD-10-CM, CPT^®, and Modifiers
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Time-based coding
Risk assessment, including (but not limited to) the ability to benchmark, identity problematic situations and missed billing opportunities
Medical terminology
Anatomy and physiology

Certified Professional Medical Auditor

Advance your career with the Certified Professional Medical Auditor (CPMA^®) credential. Medical auditing is a critical piece to compliant and profitable physician practices. Whether it\’s Recovery Audit Contractor (RAC) audits, private payer denials, or just peace of mind, more physicians plan to have audits conducted regularly. The risks of being non-compliant with documentation and coding are too great. As a CPMA, you will be able to use your proven knowledge of coding and documentation guidelines to improve the revenue cycle of nearly all healthcare practices.

Certified CPMAs demonstrate expertise in:

Medical documentation, fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines
Coding Concepts
Scope and Statistical Sampling Methodologies
Medical Record Auditing Skills and Abstraction Ability
Quality Assurance and Coding Risk Analysis
Communication of Results and Findings
The Medical Record

Certified Anesthesia and Pain Management Coder

Experienced anesthesia and pain management coders are encouraged to sit for the CANPC exam. CANPC certification validates a medical coder\’s proficiency in surgical reporting and pain management. This proficiency includes knowledge of anesthesia coding, as well as elements of anesthesia claims, such as units of time and anesthesia modifiers.

The CANPC certification exam will test:

Selecting the appropriate CPT^®codes for surgical cases and cross walking to the appropriate ASA code
Proper use of modifiers common for anesthesia cases
Determining time units and total units for anesthesia cases
Rules and regulations governing Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding per NCCI, ICD-10-CM, CPT^®, and modifiers
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Medical terminology
Anatomy and physiology

Certified Cardiology Coder

Experienced cardiology coders are encouraged to sit for the CCC^® exam. CCC certification recognizes demonstrated skill reporting surgical procedures performed by cardiologists, such as heart catheterization, coronary interventions, pacemakers, peripheral vascular procedures, etc.

The CCC certification exam will test:

Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT^®, HCPCS Level II, and modifier coding assignments
2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines.
Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
Coding of surgical procedures performed by cardiologists such as heart catheterization, coronary interventions, pacemakers, peripheral vascular procedures, etc.
Medical terminology
Anatomy and physiology.

Certified Professional Compliance Officer

The AAPC\’s Certified Professional Compliance Officer (CPCO) credential addresses the ever-growing compliance requirements of government laws, regulations, rules, and guidelines. Medical practices need staff who can develop, organize, manage, and direct the functions of a compliance department.

By passing the CPCO exam, employers recognize you possess an understanding of the key requirements necessary to effectively develop, implement, and monitor a healthcare compliance program for your practice based on governmental regulatory guidelines — including internal compliance reviews, audits, risk assessments, and staff education and training.

CPCOs will have demonstrated knowledge of:

The Office of Inspector General’s (OIG) compliance guidance for individual and small group physician practices, clinical laboratories, and third-party billing companies
Compliance program effectiveness
Key healthcare fraud and abuse laws — including the False Claims Act, Stark Laws, and Anti-kickback Statute, including the associated penalties
How ACA will affect medical practices
Other laws and regulations — including HIPAA, Emergency Medical Treatment and Labor Act (EMTALA), Occupational Safety and Health Administration (OSHA), and Clinical Laboratory Improvement Amendment (CLIA)
Handling investigations, including self-disclosure protocols
Requirements under Corporate Integrity Agreements (CIAs) and Certificate of Compliance Agreements (CCAs)
Current investigative activities, such as Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), Medicaid fraud control units (MFCUs)
Various risk areas — including items such as gifts/gratuities, conflicts of interest, use of advance beneficiary notices, teaching physicians’ guidelines, and incident-to services

Certified Professional Biller

The Certified Professional Biller (CPB^™) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and the nuances of payer requirements, healthcare provider reimbursement may be compromised.

CPBs have demonstrated:

An understanding of various types of insurance plans
Expertise in applying payer policy, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs) for successful claim submissions
Knowledge of CPT^®, ICD-10-CM, and HCPCS Level II coding guidelines
Successful navigation of healthcare industry rules and regulations, including HIPAA, False Claims Act, Fair Debt Collections Act, and Stark Law.
An understanding of the life cycle of a medical billing claim and how to improve the revenue cycle
Expertise in effective claim follow-up, patient follow-up, and denial resolution.

Certified Risk Adjustment Coder

Without risk adjustment coding to ensure that a complete picture of each patient’s health is captured and reported on medical claims, health plans would lack appropriate funding and planning to cover treatment for high-risk patients. Certified Risk Adjustment Coders (CRCs) play a critical role in establishing accurate risk scores for patients, which promotes optimal patient care and ethical payer reimbursement for providers and health plans.

Students earning their CRC credential possess demonstrated expertise in the complexity of diseases associated with chronic conditions and comorbidities, as well as mastery of ICD-10-CM guidelines and risk adjustment guidelines. As CRCs, they are equipped both to ensure clinical documentation accurately portrays the patient’s health status and to ensure all clinically documented diagnoses are properly reported.

As a CRC, you will be able to:

Review and assign accurate medical codes for diagnoses performed by physicians and other qualified healthcare providers in the office or facility setting (e.g., inpatient hospital)
Thoroughly comprehend medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models
Understand the audit process for risk adjustment models
Identify and communicate documentation deficiencies to providers to improve documentation for accurate risk adjustment coding
Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses

Certified Professional Coder-Payer

The CPC-P demonstrates a coder’s aptitude, proficiency and knowledge of coding guidelines and reimbursement methodologies for all types of services from the payer\’s perspective. Contributing developers include Dr. Marc Lieb, M.D., J.D., Susan Goldsmith, CPC, as well as a number of other well-known CPC-Ps in the payer community. Claims reviewers, utilization management, auditors, benefits administrators, billing service, provider relations, contracting and customer service staff can each benefit their practice with the CPC-P® credential.

The CPC-P certification validates the knowledge and skills to adjudicate provider claims effectively. This credential demonstrates the basic knowledge of coding-related payer functions with emphasis on how those functions differ from provider coding.

Certified Inpatient Coder

The inpatient medical coding credential, Certified Inpatient Coder (CIC), is the only certification exclusively specialized in hospital and facility inpatient coding. The CIC validates mastery in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding. It also represents expert knowledge of Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS).

Passing the CIC exam qualifies you to work in the rapidly changing medical coding and billing environment of hospital inpatient facilities. Students who earn their CIC credential go on to report services provided to patients requiring inpatient admission in settings that include general hospitals (acute care facilities), skilled nursing facilities (SNFs), critical access hospitals (CAHs), teaching hospitals, inpatient rehab facilities (IRF), and long-term care hospitals (LTCHs).

CICs have demonstrated:

Expertise in medical record review to abstract information required to support accurate inpatient coding
Expertise in assigning accurate ICD-10 medical codes for diagnoses and procedures performed in the inpatient setting
Superior knowledge of current rules, regulations, and issues regarding medical coding, compliance, and reimbursement under MS-DRG system and IPPS
Strong ability to integrate coding and reimbursement rule changes in a timely manner to include updating the charge description master (CDM), fee updates, and the Field Locators (FL) on the UB04
Solid understanding of anatomy, physiology, and medical terminology required to correctly code facility services and diagnoses
Understanding of Inpatient Prospective Payment System (IPPS) reimbursement methodologies

Certified Outpatient Coder

With physicians choosing to join hospital groups over private practices, the need for certified outpatient coders continues to escalate, making COC certification an even smarter career move.

By passing the COC exam, employers recognize your mastery of outpatient hospital coding, including working knowledge of Ambulatory Payment Classifications (APCs), payment status indicators, and MS-DRGs. Students who earn their COC credential go on to report outpatient services in a variety of settings, such as:

Hospital Emergency Departments
Outpatient Hospital Clinics
Outpatient Therapy Departments
Outpatient Cancer Centers

Dialysis Services
Outpatient Radiology Departments
Ambulatory Surgery Centers

Certified Professional Coder

AAPC’s CPC certification is the gold standard in medical coding and represents world-class expertise that is highly sought and well compensated by medical organizations across the country.

The Certified Professional Coder (CPC) exam is the conclusive step to attaining CPC certification—renowned throughout the world of healthcare as the gold standard for physician-based medical coding. By passing the CPC exam and earning the right to append the CPC acronym to your name, you become a healthcare business professional recognized for reliable mastery of professional-fee medical coding.

Certified Coding Specialist

Coding specialists are skilled in classifying medical data from patient records, often in a hospital setting but also in a variety of other healthcare settings. The CCS credential demonstrates a practitioner\’s tested skills in data quality and accuracy as well as mastery of coding proficiency.

The CCS certification is a natural progression for professionals experienced in coding inpatient and outpatient records. Coding specialists create coded data used by hospitals and medical providers to obtain reimbursement from insurance companies or government programs such as Medicare and Medicaid. Researchers and public health officials also use this data to monitor patterns and explore new interventions.

CCSs:

Review patients’ records and assign numeric codes for each diagnosis and procedure.
Possess expertise in the ICD-10-CM, ICD-10-PCS, and CPT® coding systems.
Are versed in medical terminology, disease processes, and pharmacology concepts.

Certified Coding Specialist-Physician based

Coding specialist – physician-based professionals perform coding in physician offices, group practices, multi-specialty clinics, or specialty centers. The CCS-P certification exam assesses mastery-level proficiency in coding of health services delivery beyond the hospital setting.

CCS-Ps:

Review patient records and assign numeric codes for each diagnosis and procedure
Possess in-depth knowledge of the CPT® coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems
Are experts in health information documentation, data integrity, and quality
Play a critical role in a health provider\’s business operations, often as liaison to insurance companies or the government for expense reimbursement.

Gallery

Videos