What is CPC certification? To answer this question, you must know what “CPC” means. “CPC” stands for Certified Professional Coder. Upon successfully passing the certification exams, the professional coders become CPC certified and compliant. This establishes their ability to handle various duties in a physician’s office, including the application of the correct CPT, generating supply codes, carrying out HCPCS level II procedures, working with diagnosis codes that are used for coding, and the billing of any medical claims. It is important to attain certification because doing so doubles a coder’s chances of getting and retaining a job in this highly competitive field. Certified individuals earn more than their non-certified counterparts. Through rigorous coursework and an equally tough exam, the Certified Professional Coder certification proves that a coder has the proper knowledge to read medical charts and implies that the coder will be able to handle required clinical cases and services. Here we’ll try to answer what is cpc certification.

Behind just what is CPC certification, you are probably wondering what are the requirements for completing the CPC certification?

It is recommended that anyone who wishes to acquire their CPC certification has an associate’s degree. The examination fee is paid with the application, along with the submission of required documents. Coders are also required to keep a current membership with the AAPC. New members must pay for their membership fee when they are booking for their exam, while old members must ensure that their membership is renewed when evidence of the completion of the continuing education course is submitted. Renewal of the membership takes place annually and the 36 Continuing Education Units are to be submitted every two years for the authentication and verification of expertise.

The Certified Professional Coder exam structure is shown below.

a) The exam consists of 150 true or false questions.

b) The exam taker has 5 hours and 40 minutes to complete the exam.

c) There is a free retake if the potential coder fails.

d) The exam is open book.

Another question necessary to learn what is CPC certification, What is required of a Certified Professional Coder?

1) The coder must have the necessary expertise and experience to assign and review medical codes for procedures, diagnoses, and services that are given by healthcare providers and physicians. The assigned medical codes must be accurate.

2) The coder is required to be proficient and able to handle services that will include evaluating and managing surgical services, anesthesia, pathology, radiology, and medicine.

3) A thorough knowledge of the medical regulations and coding rules is required. This allows the CPC to handle issues such as claims denials and monetary payment for medical procedures.

4) A sound knowledge of anatomy, medical terminology, and physiology allows the CPC to provide a proper diagnosis of the services rendered.

So what is CPC certification? If you want to become a CPC, you will be required to purchase a copy of the exam application packet from the American Academy of Professional Coders. In this packet, you will get a thorough guide detailing the requirements and expectations. Additionally, the packet details the information that will be covered on the exam as well as the application process. We hope this answers what is cpc certification and gives you knowledge you need to know.