How to Become a Certified Medical Coder (CPC) in 6 Easy Steps

Introduction

Becoming a Certified Professional Coder (CPC) is an excellent career move for those interested in medical coding. The CPC credential, offered by the American Academy of Professional Coders (AAPC), is one of the most recognized and respected certifications in the field. This certification validates your knowledge of medical coding, including CPT, ICD-10-CM, and HCPCS Level II coding systems. Follow these six easy steps to earn your CPC certification and start your career as a medical coder.

Step 1: Understand the Role of a Certified Professional Coder (CPC)

Before diving into the certification process, it’s essential to understand what a Certified Professional Coder does and why certification is crucial.

What Does a CPC Do?

A CPC is responsible for translating healthcare services, diagnoses, procedures, and equipment into standardized codes used for billing and record-keeping. These codes are essential for processing insurance claims, maintaining patient records, and ensuring compliance with healthcare regulations.

Key Responsibilities:

• Reviewing clinical statements and assigning standard codes using CPT, ICD-10-CM, and HCPCS Level II coding systems.
• Ensuring accurate billing and reimbursement for healthcare services.
• Maintaining confidentiality and security of patient records.
• Collaborating with healthcare providers to clarify diagnoses and services.

Why Certification Matters:

• Professional Credibility: Certification demonstrates your proficiency in medical coding and commitment to the profession.
• Increased Job Opportunities: Most employers prefer or require certification for coding positions.
• Higher Earning Potential: Certified coders typically earn more than their non-certified counterparts.

Step 2: Complete a Medical Coding Education Program

While not mandatory, completing a medical coding education program significantly increases your chances of passing the CPC exam and succeeding in your career.

Choosing the Right Program

When selecting a medical coding education program, consider the following factors:

• Accreditation: Ensure the program is accredited by a recognized organization such as AAPC or AHIMA.
• Comprehensive Curriculum: The program should cover all relevant coding systems, including CPT, ICD-10-CM, and HCPCS Level II, as well as medical terminology, anatomy, and healthcare compliance.
• Instructor Qualifications: Look for programs taught by certified and experienced instructors.
• Flexibility: Online programs offer the flexibility to study at your own pace, making it easier to balance education with work or family responsibilities.

Recommended Programs

• AAPC Online Medical Coding Course: Offers comprehensive training specifically designed to prepare students for the CPC exam.
• Penn Foster Medical Billing and Coding Program: A flexible, self-paced program covering essential medical coding skills.
• CareerStep Medical Coding and Billing Program: Provides in-depth training in medical coding and billing, preparing students for CPC certification.

Step 3: Gain Practical Experience

Practical experience is invaluable when pursuing CPC certification. Employers often seek candidates with hands-on coding experience, and it also helps reinforce your learning.

How to Gain Experience

• Internships: Many educational programs offer internship opportunities with healthcare providers or coding companies.
• Volunteer Work: Volunteering at hospitals, clinics, or medical billing offices can provide practical experience and networking opportunities.
• Part-Time Jobs: Consider taking a part-time coding or billing job while completing your education to gain real-world experience.

Pro Tip: Document your coding experience carefully, as it may be required when applying for the CPC exam.

Step 4: Prepare for the CPC Exam

The CPC exam is challenging, so thorough preparation is essential. The exam consists of 150 multiple-choice questions covering various topics, including coding guidelines, medical terminology, and coding scenarios.

Study Resources

• Official CPC Study Guide: AAPC offers an official CPC study guide that covers all exam content, including practice questions and test-taking strategies.
• Practice Exams: Taking practice exams is one of the best ways to prepare. AAPC offers official practice exams that simulate the format and difficulty of the actual test.
• Online Forums and Study Groups: Join online forums or study groups to connect with other aspiring coders, share resources, and ask questions.

Creating a Study Plan

Develop a study plan that breaks down the material into manageable sections. Dedicate specific times each day or week to study, and regularly review key concepts.

Suggested Study Timeline:

• Months 1-2: Focus on understanding medical terminology, anatomy, and the basics of CPT, ICD-10-CM, and HCPCS Level II coding.
• Months 3-4: Dive deeper into coding guidelines, practice coding scenarios, and take practice exams.
• Month 5: Review all material, focus on weak areas, and take additional practice exams.

Step 5: Register and Take the CPC Exam

Once you feel confident in your preparation, it’s time to register for the CPC exam.

How to Register

• AAPC Membership: You must be a member of AAPC to take the CPC exam. Membership offers additional resources and networking opportunities.
• Exam Registration: Register for the CPC exam through the AAPC website. You can choose between taking the exam online or at an AAPC-approved testing center.

Exam Day Tips

• Arrive Early: If taking the exam in person, arrive at least 30 minutes early to allow time for check-in and to settle in.
• Bring Required Materials: Bring two forms of identification, an approved coding manual (CPT, ICD-10-CM, and HCPCS Level II), and basic supplies like pencils and a calculator.
• Time Management: The exam lasts 5 hours and 40 minutes. Manage your time carefully, spending no more than 2 minutes on each question initially. Mark difficult questions and return to them later if time allows.

Step 6: Maintain Your CPC Certification

Congratulations! After passing the CPC exam, you’ll receive your certification. However, certification maintenance is critical to staying current in the field.

Continuing Education Requirements

AAPC requires CPCs to earn 36 Continuing Education Units (CEUs) every two years to maintain their certification. CEUs can be earned through:

• Webinars and Workshops: Attend AAPC-approved webinars, workshops, or conferences.
• Online Courses: Take online courses related to medical coding, billing, or healthcare compliance.
• Professional Activities: Participate in professional activities like mentoring, speaking at events, or publishing articles.

Stay Updated

Medical coding guidelines and practices change regularly, so staying informed is essential. Subscribe to industry newsletters, join coding forums, and attend regular training sessions to stay current with the latest updates.

Conclusion

Becoming a Certified Professional Coder (CPC) is a rewarding career path that offers numerous opportunities for growth and advancement in the healthcare industry. By following these six easy steps—understanding the role of a CPC, completing a medical coding education program, gaining practical experience, preparing for the exam, registering and taking the CPC exam, and maintaining your certification—you’ll be well on your way to a successful career as a medical coder.

For more information, resources, and to start your journey toward CPC certification, visit the AAPC website.