To earn a coding credential, obtaining a certification like CPC, COC, CIC, CIRCC, or CCS in Medical coding is a basic requirement and hence it proves that candidate has required expertise to analyze and interpret the medical reports; he has knowledge of all the required federal rules and regulation, payment policies and has extensive knowledge of human anatomy and medical terminology.
A robust and rigorous training is essential for passing the certification examination. There are different certifications available in the market for different hospital setting and medical specialties. However, there are two main American institutions whose certifications are considered extremely valuable in the industry:
1. AAPC-American Academy of Professional Coders. It provides certification like CPC, COC, CIC, CIRCC, etc.
2. AHIMA-American Health Information Management Association provides Certified Coding Specialist (CCS)
CPC-A is awarded to the candidates who do not have any coding experience and training completion certificate. This apprentice status gets converted to normal CPC as soon as the candidate obtains one year of coding experience and the coding training completion certificate.
The CPC® examination consists of questions regarding the correct application of CPT, ICD-9-CM, and HCPCS Level II procedure codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modifier use, coding guidelines and regulatory rules.
CPC exam curriculum covers the following topics:
1. Integumentary System (10,000)
2. Muskuloskeletal System(20,000)
3. Cardiovascular System (30,000)
4. Digestive System (40,000)
5. Urinary and Genital System (50,000)
6. Nervous System, Ear, Eye (60,000)
7. Evaluation and Management (90,000)
8. Anesthesia (00100-01999)
9. Radiology (70,000)
10. Pathology (80,000)
11. Medicine (90,000)
12. Medical Terminology
14. ICD-9-CM, volume I and II
15. HCPCS Level II
16. Coding Guidelines
17. Compliance and Regulatory