In the world of medical coding, the Certified Professional Coder (CPC) credential is the undisputed gold standard for physician's office and outpatient settings. Awarded by the American Academy of Professional Coders (AAPC), the CPC is the most recognized and respected certification in the industry, instantly signaling to employers that a candidate possesses a high level of proficiency in the complexities of medical coding. This guide provides a comprehensive overview of the CPC certification, the exam, and the steps required to earn it.
The CPC certification demonstrates mastery of the complete medical coding process, from accurately interpreting medical documentation to applying the correct codes for diagnoses, procedures, and supplies. It is specifically designed to validate a coder's skills in professional-fee (physician) coding, which is the bedrock of reimbursement for most healthcare services in the United States.
| Credential Name | Certified Professional Coder (CPC) |
| Awarding Body | AAPC (American Academy of Professional Coders) |
| Medical Setting | Outpatient / Professional-Fee. This includes physician's offices, clinics, and hospital outpatient departments. |
| Employer Recognition | The most sought-after credential by employers for outpatient coding positions. |
Holding a CPC certification offers a significant competitive advantage in the job market. It is a direct reflection of a coder's ability to maintain compliance and ensure the financial health of a medical practice. Employers prioritize CPCs for several key reasons:
The CPC exam is a comprehensive, 4-hour, 100-question multiple-choice test. It is an open-book exam, allowing you to use approved coding manuals. The exam is not a test of memorization, but of your ability to navigate the manuals and apply coding guidelines correctly under pressure.
Earning your CPC is a straightforward process that requires dedication and the right training. For a complete overview, see our How to Become a Specialist guide.
The primary difference is the setting. The CPC is the gold standard for outpatient (physician's office) coding, using the CPT code set for procedures. The CCS is the gold standard for inpatient hospital coding, requiring mastery of the complex ICD-10-PCS procedure code set.
The CPC-A is a temporary designation given to coders who have passed the CPC exam but have not yet documented two years of professional experience. Many coders start their careers with this credential. The "-A" is removed upon submission of proof of experience, making it a full CPC.
The cost of the CPC exam is set by the AAPC and can vary. It typically costs several hundred dollars. Often, the price of the exam (or a voucher for it) is included in the tuition for a training program. It is essential to check the official AAPC website for the most current pricing.
A passing score on the CPC exam is 70%. This means you must answer at least 70 of the 100 questions correctly. The exam is challenging, which is why proper training and preparation are so critical to success.
Your new career in a stable, growing industry is within reach. The first step is finding the right educational program to prepare you for the CPC exam and a successful career.
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