The healthcare industry is booming, and with it, the demand for skilled medical billing and coding professionals is higher than ever. Earning your Certified Professional Coder (CPC) credential, offered through the American Academy of Professional Coders (AAPC), is a gold standard that can significantly enhance your career prospects in this field. It demonstrates to employers that you possess the expertise and dedication needed to excel in medical billing and coding jobs.
But how do you achieve this prestigious certification? What does the CPC exam entail? And how can Career Step help you on this journey, potentially incorporating Applied PCS certification knowledge to further boost your skills? Let’s explore everything you need to know about taking this crucial career step.
Understanding the AAPC and CPC Certification
The AAPC, or American Academy of Professional Coders, is the leading organization for medical coding professionals. It was established to elevate the standards of medical coding through professional development and recognized certifications. AAPC certification serves as documented proof of a coder’s proficiency in areas like medical billing, auditing, compliance, and more.
Earning an AAPC certification, particularly the CPC, signifies to prospective employers that you are not just trained, but certified in the intricacies of medical coding. This “badge of competence” underscores your commitment and expertise in the field.
Exploring Different AAPC Certifications
While the CPC is the most popular and foundational certification, AAPC offers several specialized credentials:
- CPC (Certified Professional Coder): This is the core certification for medical office coding, covering essential aspects like coding guidelines, medical terminology, diagnostic and procedural coding (CPT, HCPCS, ICD-10-CM). It’s the ideal starting point for a broad career in medical coding.
- CPC-H (Certified Professional Coder-Hospital Outpatient): Specialized for coders working in hospital outpatient departments. This certification focuses on the unique coding challenges within hospital settings.
- CPC-P (Certified Professional Coder-Payer): Designed for professionals working for insurance companies, Medicare, or Medicaid. This certification emphasizes payer-specific coding and billing processes.
- CIRCC (Certified Interventional Radiology Cardiovascular Coder): A more specialized certification for coding cardiac and interventional radiology procedures.
Beyond these, AAPC also offers certifications in Medical Auditing, Medical Compliance (CPCO), and Practice Management (CPM), allowing for career specialization and advancement. Specialty certifications in areas like surgery, cardiology, and family practice further enhance your expertise and marketability.
AAPC vs. AHIMA: Choosing the Right Path
It’s common to encounter another prominent organization in health information: the American Health Information Management Association (AHIMA). AHIMA certifications, like the Certified Coding Specialist (CCS), often focus on in-patient and out-patient coding mastery, particularly within hospital settings.
AAPC, on the other hand, with its CPC certification, is geared towards certified professional coders across various healthcare settings, with a strong emphasis on physician-based coding and outpatient services.
The “best” certification depends on your career goals and the preferences of potential employers. Some clinics or physician practices may favor CPC, while hospitals might lean towards CCS. Always research employer preferences when job searching to align your certification with their needs.
Delving into the CPC Exam: What to Expect
The CPC exam is widely recognized as the gold-standard for medical billing and coding certification. Passing this exam validates your expertise in coding medical services and procedures using CPT, HCPCS Level II, and ICD-10-CM code sets.
The exam is comprehensive, featuring 100 multiple-choice questions that assess knowledge across 17 key areas. These areas range from coding specific body systems (integumentary, musculoskeletal, digestive, etc.) to evaluation and management, anesthesia, radiology, medicine, anatomy, medical terminology, and crucially, coding guidelines and compliance.
Further Reading: Explore the differences between CPC and CCA certifications to make an informed decision about your career path: CPC or CCA: Which Medical Billing Certification is Right for You?
Is the CPC Exam Difficult?
Yes, the CPC exam is challenging, designed to rigorously test your coding knowledge and application. A passing score of 70% is required, signifying a substantial level of competency. However, “challenging” doesn’t mean “impossible.” With focused preparation, including dedicated study time, practice exams, and thorough review of coding materials, you can significantly increase your chances of success.
Don’t be discouraged if you don’t pass on your first attempt. The exam fee often includes a second attempt, giving you another opportunity to demonstrate your skills.
CPC Exam Format: Online and Open Book
The CPC exam offers flexibility: you can take it online with a remote proctor, or in person at a testing center. Online exams require a stable internet connection, a suitable computer, and an external webcam to ensure exam integrity.
Importantly, the CPC exam is “open book,” allowing you to reference specific coding manuals: CPT, HCPCS Level II, and ICD-10-CM. You are permitted to bring one copy of each of these code books (current or previous year editions). While notes and tabs are allowed within the books, loose papers or additional materials are prohibited.
Preparing for the CPC Exam Without Formal Schooling
While technically you can take the CPC exam without formal medical coding school, it is strongly discouraged. The exam covers complex material, intricate coding procedures, and a vast array of codes. Without structured education in medical coding, passing the exam becomes significantly more difficult.
A skills-focused program, like those offered by Career Step, can provide the necessary comprehensive training to prepare you for both the CPC exam and a successful career as a medical coder. Such programs are designed to equip you with the practical knowledge and skills employers seek.
Explore Career Step’s CPC Program: How a Skills-focused CPC Program Can Help You Prepare for the CPC Exam and a Job as a Medical Coder
Career Advancement and Salary Expectations
While the Certified Professional Compliance Officer (CPCO®) certification is reported to have a higher average salary, the CPC remains a highly valuable credential for career advancement and earning potential in medical coding. Salaries vary based on experience, location, employer type, and specialization, but CPC certification consistently opens doors to better-paying positions.
CPC certification is valid for two years and requires 36 Continuing Education Units (CEUs) every two years for renewal, ensuring your knowledge remains current and relevant in the evolving healthcare landscape.
CPC Exam Study Time, Scoring, and Costs
There’s no one-size-fits-all answer to “how long to study” for the CPC exam. It depends on your learning style, prior knowledge, and study habits. However, adequate preparation is crucial. Avoid cramming and allocate sufficient time for thorough study and practice.
A good score on the CPC exam is anything at or above the passing threshold of 70%.
The CPC exam fee is $499, and AAPC membership, required to take the exam, is an additional cost. Student memberships are often available at a reduced price. Check the AAPC website for the most up-to-date pricing and membership details.
Registering and Taking the CPC Exam
To register for the CPC exam, visit the AAPC website and navigate to the “certifications” section. From there, you can “Schedule Your Exam” and follow the steps to purchase the exam or redeem a voucher, and select your preferred testing method (online or in-person). In-person testing centers are available in many locations; you can find centers through the AAPC website.
The CPC exam consists of 100 multiple-choice questions and allows 4 hours for completion, regardless of whether you test online or in person. To pass, you can miss a maximum of 30 questions.
You can retake the CPC exam as many times as needed, but be mindful of the exam fees. Each exam purchase typically includes a free retake. Investing in thorough preparation upfront can save you significant costs in the long run.
CPC Exam Question Types and Content Areas
Approximately 70% of the CPC exam questions are coding scenarios, requiring you to apply your coding knowledge to real-world situations. The remaining questions cover essential related topics like medical terminology, anatomy, and coding guidelines.
The exam content is divided into 17 subject areas. Key areas to focus on during your preparation include surgical procedures across all body systems, evaluation and management coding, anesthesia, radiology, medicine, medical terminology, anatomy, and comprehensive knowledge of coding guidelines for ICD-10-CM, CPT, and HCPCS Level II code sets.
Understanding the Apprentice (CPC-A) Status
If you pass the CPC exam but lack two years of medical coding work experience, you will initially receive a CPC-A credential. The “A” signifies “apprentice” status. Once you accumulate and submit proof of two years of coding experience, the “apprentice” designation is removed, and you become a fully certified CPC.
CPC certification is nationally recognized and valid across all states. As long as you maintain your certification by earning the required CEUs every two years, you do not need to retake the exam.
Effective CPC Exam Preparation Strategies
Effective study strategies vary, but here are some proven methods to prepare for the CPC exam:
- Review Career Step Materials: Utilize your Career Step final exam results to identify areas for improvement. Retake practice exams offered by Career Step for additional practice.
- Engage with Learning Resources: Revisit practicum reports and program materials. Utilize Career Step forums and support teams for exam tips and guidance.
- AAPC Practice Exams and Study Guides: Consider purchasing practice exams and prep books offered by AAPC for supplementary preparation.
Take the First Step with Career Step
Are you ready to embark on a rewarding career in medical coding? Career Step’s comprehensive online Medical Coding and Billing Professional Program provides the in-depth healthcare and coding skills necessary to confidently pursue your CPC certification and launch your new career. Contact Career Step at 1-800-411-7073 to learn more about how their program can help you take the first step towards a successful future in medical billing and coding. By choosing Career Step, you’re not just preparing for a certification; you’re investing in a pathway to a fulfilling and in-demand career. And while “applied PCS certification” might be a future aspiration, mastering the CPC is your foundational step towards a versatile and thriving career in the medical coding field.
