ABOUT:

The Certified Professional Coder (CPC^®) certification stands as a beacon of excellence within the field of medical coding. It signifies not only a profound understanding but also a dedication to the highest standards of proficiency in this specialized field. Rigorous and prestigious, the CPC^® credential serves as a formal recognition of one’s professional-level knowledge, demonstrating expertise that is distinct and invaluable. Moreover, it serves as a testament to one’s commitment to excellence and achievement, showcasing a level of dedication that is highly esteemed by employers and peers alike. In essence, the CPC^® certification is not just a test of medical coding proficiency but a symbol of unwavering competence and mastery in the practice.

CERTIFICATION BODY: AAPC^® – American Association for Professional Coders

LEARNING OBJECTIVES:

1. Accurate Coding Expertise: CPC® certification signifies proficiency in precisely assigning medical codes for diagnoses, procedures, and services across various healthcare settings.
2. Comprehensive Service Proficiency: CPCs demonstrate mastery in a wide range of medical services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine.
3. Regulatory Compliance Knowledge: With a deep understanding of coding guidelines and regulations, CPCs adeptly handle issues like medical necessity, claims denials, and reimbursement compliance.
4. Adaptability to Policy Changes: CPCs integrate coding and payment policy updates seamlessly into practice reimbursement processes, ensuring ongoing compliance and optimal financial outcomes.
5. Foundational Medical Knowledge: CPCs possess essential knowledge of anatomy, physiology, and medical terminology, crucial for accurately coding provider diagnoses and services.

EXAM INFORMATION:

• Exam Content: The exam covers HCPCS Level 1 Supply codes and ICD-10-CM diagnosis codes.
• Format: It consists of 100 multiple-choice questions, with a passing score of 70 percent.
• Duration: Candidates have 4 hours and 40 minutes to complete the exam.

RE CERTIFICATION:

• Credential Renewal: Renew the CPC® credential every three years by earning 60 CEUs.
• Re-Examination Option: Alternatively, candidates can opt for re-examination to maintain their credential.