Cpc Certification

By Author: Celena Rose
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CPC Certification: An individual of high professional integrity in medical coding, who has passed coding certification examination sponsored by the American Academy of Professional Coders (AAPC) termed as Certified Professional Coder (CPC).


Medical Coding exams consists of questions regarding correct application of CPT, HCPCS procedures and supply codes and ICD-9-CM diagnosis codes that are used for billing professional medical services to insurance companies. For getting certification a CPC must have at least two years of coding experience but struggle not ends here as they need to maintain 36 Continuing Education Units (CEUs) every two years for verification and authentication of expertise.


In addition to hike in salary a certified medical coder gets a lot of benefits such as maximum level of knowledge and expertise in reviewing and adjudicating coding of services, procedures and diagnoses on medical claims.

Basic requirements for CPC Certification: ...
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A coder must have a sound knowledge of coding rules and regulations with current updates on issues regarding medical compliance and reimbursement. Only a well trained coding professional can best handle issues such as medical necessity, claims denials.


Demonstration of proficiency in adjudication of claims by accurate coding for diagnosis, procedures and services performed by physicians and other recognized licensed non-physicians.


CPC must be expertise across a wide range of services in which few of them are as below:


1) Evaluation and management

2) Anesthesia

3) Surgical services

4) Radiology

5) Pathology

6) Medicine


A CPC must be able to integrate coding and reimbursement rule changes into practice because in this field there are a lot of changes taking place every year. Therefore a coder must be habitual of updating themselves.


American Academy of Professional Coders (AAPC) certification


Different types of Certification that AAPC is providing are as below:


Certified Professional Coder (CPC) exam leads to qualification for medical coding and billing for a physician's office or group, including hospital, health system and university associated groups and many more.


Certified Professional Coder - Hospital (CPC-H) exam is appropriate for a medical coding and billing professional employed by a hospital.


Certified Professional Coder - Payer (CPC-P) exam is designed for an employee or a self-employed contractor working as a claims manager for a payer (insurance or Medicare) or as an auditor for a payer.

codingcert.com provides selected trainers that gives you hands-on training for medical billing certification exam at our CPC training camps to assist YOU to pass the American Academy of Professional Coders (AAPC) certification exam to become a Certified Professional Coder (CPC).