Earning the Certified Professional Coder (CPC) credential is a significant step towards a rewarding career in medical billing and coding. Recognized as the gold standard by the AAPC (American Academy of Professional Coders), the CPC certification validates your expertise and opens doors to numerous job opportunities in the healthcare industry. If you’re aiming to excel in medical coding, understanding the CPC exam is crucial. Let’s dive into what you need to know to conquer this essential certification.
Understanding the AAPC and CPC Certification
The AAPC, or American Academy of Professional Coders, is the leading organization for medical coding professionals. It provides certifications that demonstrate proficiency in various areas, including medical billing, coding, auditing, and compliance. AAPC certification is highly valued by employers, signaling that you possess the necessary knowledge and dedication to succeed in the field.
Among the various certifications offered by AAPC, the CPC stands out as the foundational certification for professional coders. While there are specialized certifications like CPC-H (hospital outpatient), CPC-P (payer), and CIRCC (cardiovascular interventional radiology), the CPC is broadly applicable and covers the core competencies required for medical coding in physician offices and clinics. It encompasses coding guidelines, medical terminology, and the use of code sets like CPT, HCPCS, and ICD-10-CM. For those starting their journey in medical coding, the CPC is an excellent and highly respected credential to pursue.
AAPC vs. AHIMA Certifications: Key Differences
It’s important to distinguish between AAPC and AHIMA (American Health Information Management Association) certifications. While both organizations offer respected credentials in health information management, they cater to slightly different areas. AHIMA certifications, such as the Certified Coding Specialist (CCS), often emphasize mastery in inpatient and outpatient coding within hospital settings.
AAPC certifications, particularly the CPC, are more focused on physician-based coding and are widely recognized in clinics and physician practices. While some employers may express a preference, both AAPC and AHIMA certifications are valuable. When job hunting, always check if employers specify a preferred certification.
Decoding the CPC Exam
The CPC exam is designed to rigorously assess your proficiency in medical coding. It’s a comprehensive exam consisting of 150 multiple-choice questions that span 17 key areas of medical coding knowledge. These areas include everything from procedural coding (CPT) and supply coding (HCPCS) to diagnostic coding (ICD-10-CM), ensuring a well-rounded evaluation of your coding skills.
Further Reading: To help you decide which path is right for you, explore resources comparing certifications like CPC or CCA: Which Medical Billing Certification is Right for You?
Is the CPC Exam Truly Difficult?
The CPC exam is known to be challenging, but with thorough preparation, passing is absolutely achievable. A passing score is 70%, meaning you need to demonstrate a strong understanding of medical coding principles and practices. Effective studying, utilizing practice exams, and consistent review of coding materials are key to boosting your confidence and increasing your chances of success. Don’t be discouraged if you don’t pass on your first attempt; the exam fee often includes a retake opportunity.
Taking the CPC Exam Online
Yes, the CPC exam can be taken online, offering flexibility and convenience. Online exams are proctored remotely to maintain exam integrity. To take the exam at home, you’ll need a reliable internet connection, a computer, a webcam, and a quiet, private space. Ensure your environment meets the AAPC’s technical requirements for online testing.
Open Book Policy for the CPC Exam
The CPC exam is indeed open book, which can be a significant advantage. You are permitted to use specific coding books during the exam. Currently, the approved resources are the CPT®, ICD-10-CM, and HCPCS Level II code books. It’s crucial to use the most recent editions or the previous year’s versions. Familiarity with your code books is essential for quickly referencing codes and guidelines during the exam.
Allowed Resources During the CPC Exam
On exam day, you are limited to bringing only your three official code books: CPT, ICD-10-CM, and HCPCS Level II. These must be unbound and can be from the current or previous year. While you cannot bring in external notes or materials, you are allowed to highlight, tab, and make handwritten notes directly within your code books to aid in quick referencing.
CPC Exam Without Formal Schooling?
While technically you can sit for the CPC exam without formal medical coding school, it is strongly discouraged. The exam covers complex material, detailed coding procedures, and a vast array of codes. Without structured medical coding education, you will likely find the exam significantly more challenging. A comprehensive training program provides the necessary foundation and skills to effectively prepare for the CPC exam.
Explore Further: Discover how structured programs can significantly enhance your exam readiness: How a Skills-focused CPC Program Can Help You Prepare for the CPC Exam and a Job as a Medical Coder
Earning Potential with a CPC Certification
While the Certified Professional Compliance Officer (CPCO®) certification is reported to have a higher average salary, the CPC certification is a vital stepping stone and provides excellent earning potential. Salaries in medical coding can vary based on experience, employer type, and geographic location. However, CPC certification consistently demonstrates a higher earning potential compared to non-certified professionals.
[Source (accessed February 20, 2024): https://www.aapc.com/resources/medical-coding-salary-survey ]
CPC Certification Validity and Renewal
Your CPC certification is valid for two years. To maintain your active credential, you need to earn 36 Continuing Education Units (CEUs) every two years. This ensures that CPC-certified professionals stay updated with the latest coding changes and industry best practices.
Recommended Study Duration for the CPC Exam
The amount of study time needed for the CPC exam varies from person to person. It’s crucial to dedicate sufficient time to thoroughly understand the material. Avoid cramming; instead, adopt a consistent study schedule that allows you to progressively learn and reinforce your coding knowledge. Consider your learning style and the complexity of the material when planning your study timeline.
What Constitutes a Good CPC Exam Score?
A score of 70% or higher is considered a passing score on the CPC exam. Aiming for this benchmark during your studies will set you on the path to certification. While a 70% is passing, striving for an even higher score can demonstrate exceptional proficiency and potentially enhance your job prospects.
CPC Exam Costs: Membership and Exam Fees
To take the CPC exam, AAPC membership is required. The CPC exam fee is $499, and AAPC membership is an additional cost. Student memberships are often available at a reduced rate. Factor in both membership and exam fees when budgeting for your CPC certification.
CPC Exam Registration Process
Registering for the CPC exam is straightforward through the AAPC website. Navigate to the “certifications” section and select “Schedule Your Exam.” The online portal will guide you through the steps, including exam purchase or voucher redemption and choosing a testing location if you opt for in-person testing.
CPC Exam Locations
You have the option to take the CPC exam online from home or in person at a designated testing center. The AAPC website provides a tool to locate nearby testing centers if you prefer an in-person exam setting.
Number of Questions on the CPC Exam
The CPC exam includes 150 multiple-choice questions, designed to comprehensively assess your coding knowledge across various domains.
Multiple-Choice Format of the CPC Exam
Yes, all 150 questions on the CPC exam are in a multiple-choice format. While this format can seem straightforward, the nuances of coding scenarios and similar-looking answer choices require careful attention and a deep understanding of coding principles.
CPC Exam Time Limit
You are allotted four hours to complete the CPC exam, whether you take it online or in person. Effective time management during the exam is crucial. Practice pacing yourself during your study sessions and practice exams.
Allowable Missed Questions on the CPC Exam
To pass the CPC exam, you need to answer at least 70% of the questions correctly. This means you can miss a maximum of 45 questions out of the 150 total.
Retaking the CPC Exam
You can retake the CPC exam if you don’t pass on your first attempt. The exam fee often includes one free retake. However, failing multiple times can become costly as you’ll need to repay the exam fees for subsequent attempts. Thorough preparation is the most cost-effective approach to earning your CPC certification.
Types of Questions on the CPC Exam
Approximately 70% of the CPC exam questions are scenario-based coding questions, requiring you to apply your coding knowledge to real-world situations. The remaining questions cover essential areas such as medical terminology, anatomy, and coding guidelines.
The exam content is divided into 17 subject areas, with each area potentially having up to ten questions. Key content areas include:
- Surgical procedures across all body systems (Integumentary, Musculoskeletal, Digestive, Respiratory, Cardiovascular, Hemic and Lymphatic, Mediastinum and Diaphragm, Urinary, Reproductive, Maternity and Delivery, Endocrine, Nervous)
- Evaluation and Management (E/M) coding across different settings (Inpatient, Outpatient, Nursing Facilities, etc.)
- Anesthesia coding
- Radiology and Laboratory Pathology coding
- Medicine section coding and medical terminology
- Anatomy relevant to coding
- Coding guidelines and compliance for ICD-10-CM, HCPCS, and CPT
It’s important to note that within inpatient coding, understanding DRG (Diagnosis Related Group) assignment and inpatient coding guidelines, often covered in advanced practicum modules like inpatient practicum 9, is beneficial even though the CPC exam primarily focuses on outpatient coding. While “Career Step Medical Billing And Coding Practicum Answers Inpatient 9” might relate to very specific study materials, the broader concepts of inpatient coding and accurate code application are valuable for any coding professional.
Understanding the Apprentice (CPC-A) Status
If you pass the CPC exam but lack two years of professional coding experience, you will initially receive a CPC-A credential, with the “A” designating apprentice status. Once you accumulate and document two years of coding work experience, you can have the apprentice designation removed, upgrading to full CPC certification.
CPC Certification Portability and Recertification
The CPC certification is nationally recognized across all 50 states. Once certified, you do not need to retake the exam itself for recertification. Maintaining your certification requires earning 36 CEUs every two years, ensuring ongoing professional development and knowledge updates.
Effective CPC Exam Preparation Strategies
Effective study strategies are crucial for CPC exam success. Consider these approaches:
- Review your practicum materials thoroughly. If you’ve completed a comprehensive program like CareerStep, revisit your final exam areas for improvement and utilize available retakes for extra practice.
- Focus on practicum reports and program content. The hands-on experience from practicums is invaluable. Pay special attention to areas like inpatient coding if your practicum included those modules, as understanding different coding settings enhances your overall knowledge base.
- Utilize support resources. Engage with online forums and support teams related to your training program for exam tips and peer insights.
- Consider AAPC practice exams and study guides. AAPC offers official practice exams and preparation materials that many students find beneficial for targeted study.
Prepare for Your Medical Coding Career with Comprehensive Training
If you’re serious about a medical coding career, consider enrolling in a comprehensive training program like the CareerStep Medical Coding and Billing Professional Program. Such programs provide in-depth healthcare and coding skills, equipping you with the foundational knowledge needed to confidently take the CPC exam and launch your career as a medical coding professional. For more information, reach out to program advisors and take the first step towards your new career!
