|
Medical Coding Credentials
Coding credentials
Don't fall prey to medical coding education and certification
schemes that pop up overnight. You should obtain your coding
credentials from the two trusted organizations American Health
Information Management Association (AHIMA) and/or American Academy
of Professional Coders (AAPC).
AHIMA credentials are highly respected in hospital settings, and
AAPC coding credentials are better known in physician practices.
For AHIMA approved health information management (HIM) and coding schools, visit
my HIM Links page. You can search HIM schools by
state, program level, school name,
and whether distance learning is available. 2005 Update -
Starting in 2005, AHIMA's coding certification exams are computerized. However,
the cases for part II of the CCS and CCS-P exams will still be
provided in printed format. Answers are typed on the answer sheet on
the computer screen. For more information about the computerization
of these exams, see the FAQs at AHIMA site.
A list of AHIMA approved test locations can be found at the
Prometric's site.
Jun
2007 Update - AHIMA has updated the CCS exam. Read the
new CCS exam content outline (a .pdf file, you need Adobe Reader
to open it). It will be effective June 2007.
Jul 2007 Update - AAPC now offers new specialty credentials (must
also hold a core credential). Scroll down to AAPC section.
Aug
2007 Update - ACMCS is a new organization for outpatient coders. Scroll to the
bottom of the page for more info.
Sep 2008 Update - AAPC announced a new a credential for radiology coders, the Certified Interventional Radiology Cardiovascular Coder (CIRCC) credential.
Certificate vs certified?
The "certificate (of completion)" you get from your school after
finishing a medical coding training class or program is not the same as
being a "certified coder." A "certified coder" has taken a separate
certification coding exam and passed it. After successfully passing
the coding exam, you will be awarded a coding credential (e.g. CCS,
CCS-P, CPC) that shows you are a "certified (credentialed) coder."
CCS, CCS-P, and RHIT are examples of credentials in coding and health
information management.
For example, to become a "CCS certified (credentialed) coder," you must take AHIMA's CCS coding exam and pass it successfully. Also, to earn the
"RHIT credential," you must first complete a CAHIIM accredited two-year study program
and earn an A.S. (associate of science) degree in HIT, and then sit
for the separate RHIT credentialing exam administered by AHIMA. Your
school cannot give you credentials (certified status), a separate
agency does.
AHIMA
Coding Credentials
American
Health Information Management Association (AHIMA) was founded in
1928 to improve the quality of medical records. It is the premier,
not-for-profit
association for health information management professionals.
If you desire to work as a coder in the
hospital setting, strive for an AHIMA credential!
Certified Coding Specialist (CCS)
- prerequisites: HS diploma, three years of hospital coding (inpatients, outpatient surgeries, ED cases) experience
recommended but not required before taking the exam
- mastery level coding
credential
-
professionals skilled
in classifying medical data from patient records, generally in
the hospital setting
-
possess expertise in
the ICD-9-CM coding system (diagnosis and procedure codes, volumes 1-3) and the surgery section within the
CPT coding system
-
knowledgeable of
medical terminology, disease processes, and pharmacology
- coding inpatient
records, or coding the hospital portion of ambulatory surgery and
emergency room care
- Note: inpatients are patients who have been admitted to the hospital, they are not same-day-surgery or outpatient surgery patients, inpatient procedures are coded from volume 3 of ICD-9-CM, not with CPT
- computer-based exams in approved testing centers
-
CCS info at AHIMA site
-
CCS exam
content will be updated in June 2007 (a .pdf file)
- see the study guides page for info on how I prepared for my CCS exam
Certified Coding
Specialist—Physician-based (CCS-P)
- prerequisites: HS diploma, three years of physician-based (Dr's office or clinic) coding experience
recommended but not required before taking the exam
- mastery level coding
credential
-
expertise in
physician-based settings such as physician offices, group
practices, multi-specialty clinics, or specialty centers
-
in-depth knowledge of
the CPT coding system and familiarity with the ICD-9-CM and
HCPCS Level II coding systems
- computer-based exams in approved testing centers
-
CCS-P info at AHIMA site
Certified Coding
Associate (CCA)
- prerequisites: HS diploma, six months of coding experience
or completion of an AHIMA approved coding course highly recommended but not required
- an entry-level coding
credential
-
the starting point for
an individual entering a new career as a coder
- computer-based exams in approved testing centers
-
see
links page for AHIMA approved schools
-
CCA info at AHIMA site
Other AHIMA Credentials
Registered Health
Information Technician (RHIT)
- AS degree in Health Information Management (HIT or HIM) from a CAHIIM accredited college & credentialing exam required
-
many work as coders,
lead coders, coding supervisors, and coding managers
-
associate level programs in HIM prepare
students for a variety of HIM careers, and provide an excellent
foundation for being a successful hospital coder
- computer-based exams in approved testing centers
-
RHIT info
at AHIMA site
- See the study guides page for info on how I prepared for my RHIT exam
Registered Health
Information Administrator (RHIA)
- BS degree in Health
Information Management (HIM) from a CAHIIM accredited college & credentialing exam required
-
many work as coders or
coding managers
-
bachelors level programs in HIM prepare
students for management positions
- computer-based exams in approved testing centers
-
RHIA
info at AHIMA site
Certified in
Healthcare Privacy (CHP)
- will be integrated into CHPS in 2007 (see below)
- BS degree or higher &
healthcare management experience & credentialing exam required
-
designing,
implementing, and administering comprehensive privacy protection
programs in all types of healthcare organizations
Certified in
Healthcare Security (CHS)
- will be integrated into CHPS in 2007 (see below)
- BS degree or higher &
healthcare management experience & credentialing exam required
-
designing,
implementing, and administering comprehensive security
protection programs in all types of healthcare organizations
Certified in Healthcare
Privacy and Security (CHPS)
-
new combination credential created
in 2007
- BS degree or higher &
healthcare management experience & credentialing exam required
-
AHIMA integrated
the two above credentials, CHP and CHS, into one credential
in April 2007
- this new credential
demonstrates mastery of both healthcare privacy and security
- computer-based exams in approved testing centers
-
CHPS info at AHIMA site
AAPC Coding Credentials
American Academy of Professional Coders (AAPC) provides credentials
for physician and outpatient coders. AAPC was
founded in 1988. It is a for-profit organization.
Prerequisites: AAPC membership, letters of recommendation, and two years of coding experience is required to obtain the CPC, CPC-H, and CPC-P credentials. If the applicant has less than two years of experience and passes the exam, he/she will be awarded the designation CPC Apprentice (CPC, CPC-H, or CPC-P) until the work experience requirement is met.
Certified Professional Coder (CPC)
-
coding services,
procedures, and diagnoses for physician practices
- proctored exam
Certified Professional Coder-Hospital (CPC-H)
-
coding services,
procedures, and diagnoses for outpatient facilities
- proctored exam
Certified Professional
Coder-Payer (CPC-P)
-
new coding credential
created in September 2005
-
for coders in the
payer community, claims review and adjudication
- proctored exam
AAPC specialty coding credentials
AAPC now offers many specialty-specific credentials in
addition to their core credentials. These proctored exams have 75 multiple choice
questions and cost $245. Eight additional CEUs per year in the specialty are
required for credential maintenance and recertification. First specialty coding exams were released
on July 1, 2007.
AAPC members with old Ingenix specialty credentials
will be grandfathered into the new AAPC specialty credentials.
Prerequisites for all AAPC specialty coding exams: Applicants must hold a CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, or MD
credential, and be current AAPC members.
Specialty coding exams available in 2008:
- Ambulatory Surgical Center – ASC
- Anesthesia – ANEST
- Cardiology – CARDIO
- Cardiovascular and Thoracic Surgery – CTS
-
E/M Auditor – E/M
- Family Practice Medicine – FP
- Gastroenterology – GI
- General Surgery – GENSG
- Internal Medicine – INTMED
- Obstetrics/Gynecology – OBGYN
- Orthopaedics – ORTHO
- Pediatrics – PEDS
- Plastics and Reconstructive Surgery – PLRS
- Urology – URO
Certified Interventional Radiology Cardiovascular Coder (CIRCC)
New 2008 specialty credential from AAPC for interventional radiology coders. No other coding credential required, but the test applicant must be an AAPC member. The exam consists of 150 multiple-choice questions, and it will cover diagnostic angiography, non-vascular interventions, percutaneous vascular interventions, diagnostic cardiac catheterization, and basic coronary arterial interventions. The first CIRCC exam will be offered in Sep 2008.
ACMCS Coding Credentials
American College of Medical Coding Specialists (ACMCS)
is a new, not-for-profit organization for outpatient coders. It was
launched in August 2007.
ACMCS currently offers a grandfathered coding credential for those who hold an AHIMA coding credential (CCS, CCS-P) or an AAPC coding credential (CPC, CPC-H, CPC-P). Applicants must be associate members of the ACMCS.
Coding credentials offered,
starting in 2008:
-
Physician Coding Specialist (PCS)
-
Facility Coding Specialist (FCS)
-
Coding Specialist for Payors (CSP)
References:
AAPC http://www.aapc.com/
ACMCS https://www.acmcs.org/
AHIMA http://www.ahima.org/
|