Professional Coder (CPC)
The Professional Coder (CPC) program provides comprehensive training that leads to the Certified Professional Coder (CPC) credential, which is the gold standard for medical coding in physician office settings. Our partnership with the American Academy of Professional Coders (AAPC) enables delivery of licensed curriculum that is fully aligned to the CPC certification exam. Certified Professional Coders are critical to compliant and profitable medical practices and typically earn 20% more than non-certified coders. The primary objective for this program is to give the student the tools needed to successfully pass the CPC examination, earning the credential CPC-A. When the CPC-A (apprentice) is ultimately combined with one (1) year of practical coding experience, the individual earns the full CPC designation.
Students learn principles of medical coding related to the three main code books: CPT, ICD-10-CM and HCPCS Level II. In addition, the student will learn the differences between ICD-9-CM and ICD-10-CM coding. This program is recommended for anyone who is preparing for a career in medical coding for a physician’s office, and is vital in ones’ preparation for the AAPC’s CPC certification examination. This program is also a great supplement for any current Coder who is interested in becoming a certified professional.
All students are eligible for MedCerts-sponsored membership into the AAPC, as well as a complimentary CPC Exam Voucher upon completion of her/his program. Both of these are benefits provided free of charge by MedCerts.
Upon enrollment, students receive all necessary and required materials and courseware associated with the program. Students are not required to obtain or purchase any additional components. The required courseware and equipment list is found within this document.
- 24/7 Access to curriculum, including video content, and all course/program supplements and resources for independent study
- Live one-on-one online mentoring support is available Monday-Thursday (8:30am-8:00pm ET), Friday (8:30am-6pm ET) for subject matter inquiries
- Expert-led video-based training is the primary method of learning, with secondary methods that include courseware (text/workbooks), software demos, quizzes and final exams, and more
- MedCerts programs are self-paced, with a suggested minimum number of chapters per week defined for each student
- Welcome Package that contains access to online textbooks and workbooks, course schedules, login credentials, and may include FlashCards, Quick Reference Study Sheets, and/or textbooks that have been authored and published by MedCerts
- Training delivered on a cutting edge Learning Management System (LMS)
- All students receive a personalized one-on-one New Student Orientation prior to beginning their program
- Access to all training material is provided for a full 12 months, for exam preparation, regardless of the duration of the program
- MedCerts Student Support Coordinators are highly skilled, trained and certified, supportive professionals who truly care about each student’s success
- Communication is key! Student progress is monitored on a DAILY BASIS. Personalized assistance is provided by Student Services as needed to help keep them on track
- MedCerts provides Exam Preparation Guides to students upon completion of their program
- Upon completion, students may participate in a one-on-one Exam Preparation Session with a subject matter specialist to prepare for their National Certification Exam(s)
- Our dedicated Certification Exam Coordinator can help each student locate an exam test site and assist with the registration process from start to finish
- HI-1014 Human Anatomy, Physiology and Medical Terminology:
This course is designed to familiarize the student with the language of medicine, through the study of prefixes, suffixes, root words, abbreviation, and pronunciation of words. The curriculum also includes an overview of anatomy and physiology in order to increase the understanding of medical vocabulary. Students will examine the organization of the integumentary, musculoskeletal, hematic, lymphatic and immune, and cardiovascular systems in the human body. They will become familiar with the medical terms that relate to the respiratory, digestive, nervous, endocrine, reproductive, and excretory systems. Students will also examine terms related to the sensory organs, with a concentration on the organs for hearing, sight, and smell. This course will prepare students to better understand spoken and written interactions in all medical environments.
- HI-1051 Certified Professional Coder Preparation Course:
This course provides students with expertise in reviewing and assigning medical codes for diagnosis, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (ex: outpatient hospital). Students will gain proficiency across a wide range of services, include evaluation and management, anesthesia, surgery, radiology, pathology, and medicine. Students learn about medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture. This course helps students understand how to integrate medical coding and payment policy changes into a practice’s reimbursement processes.
Core Certification Details
About the CPC Certification
A Certified Professional Coder (CPC) has proven by rigorous examination and experience that they know how to read a medical chart and assign the correct diagnosis (ICD-9 and ICD-10), procedure (CPT), and supply (HCPCS Level II) code for a wide variety of clinical cases and services. Students who complete this program will be eligible and prepared for the AAPC's CPC examination. Upon passing this exam, the student will have earned status as a CPC-A, which means they are an Apprentice. In order to remove the Apprentice designation, the student must have 1 year of experience. Experience includes time coding for a previous employer and prior to certification.
- AAPC's Certified Professional Coder (CPC)
The CPC examination consists of questions regarding the correct application of CPT, HCPCS Level II procedure and supply codes and ICD-10-CM diagnosis codes used for billing professional medical services to insurance companies. Examinees must also demonstrate knowledge on proper modified use, coding guidelines and regulatory rules.
Key knowledge areas and skill sets measured by the AAPC Certified Professional Coder (CPC) certification exam also include the ability to:
- Identify the purpose of the CPT®, ICD-10-CM Volumes 1 & 2, and HCPCS Level II code books
- Understand and apply the official ICD-10-CM coding guidelines
- Identify differences between ICD-9-CM and ICD-10-CM guidelines
- Apply coding conventions when assigning diagnoses and procedure codes
- Identify the information in appendices of the CPT® manual
- Explain the determination of the levels of E/M services
- Code a wide variety of patient services using CPT®, ICD-10-CM, and HCPCS Level II codes
- List the major features of HCPCS Level II Codes
- Provide practical application of coding operative reports and evaluation and management services
Program Components, Equipment, and Courseware
MedCerts provides all required courseware, student guides, study guides and other program supplements and resources. Tuition includes a VOUCHER for the CPC Exam, as well as paid membership to the AAPC, which is required in order to become certified as a Professional Coder.
Courseware Provided By MedCerts
- Medical Coding Training: CPC 2015 (AAPC Publisher)
- Medical Coding Training – Practical Application: CPC 2015 (AAPC Publisher)
- Current year CPT® Professional Edition (AMA publisher)
- Current year ICD-10-CM
- Current year HCPCS Level II Professional
Students must have (or have access to) a computer with high-speed internet (minimum 1.5Mbs). Adobe Flash Player and Adobe Acrobat Reader is required. For OPTIMAL LEARNING EXPERIENCE, the use of a mobile device is NOT recommended for this program. Students are not required to purchase any additional courseware, memberships, materials or resources.
Classification of Instructional Programs (CIP) Information
CIP Code: 51.0713
Title: Medical Insurance Coding Specialist/Coder
Definition: A program that prepares individuals to perform specialized data entry, classification, and record-keeping procedures related to medical diagnostic, treatment, billing, and insurance documentation. Includes instruction in medical records and insurance software applications, basic anatomy and physiology, medical terminology, fundamentals of medical science and treatment procedures, data classification and coding, data entry skills, and regulations relating to Medicare and insurance documentation.
Attainable Healthcare Positions
- Professional Medical Coder
- Professional Fee Coder
- Surgical Coder
- Clinical Documentation Specialist
- Coding Specialist
- Medical Management Specialist
- Outpatient Medical Coder
- Charge Poster
- Coding Liaison
- Reimbursement Coordinator/Specialist
- Compliance Auditor - Coding
- Medical Records Technician
- Check or Charge
- Education Loans available for everyone
- WIOA/TAA/Vocational Rehabilitation
- MyCAA funding for Military Spouses