Certified coders apply appropriate national diagnostic and procedural codes to individual patient health data for analysis, reporting, research, claims processing and reimbursement. There are three types of certified coders: certified coding specialist (CCS), certified coding specialist, physician-based (CCS-P), and certified coding assistant (CCA). CCSs and CCS-Ps have successfully passed a national medical coding certification exam designed to measure their understanding of medical terminology, disease processes, pharmacology, and application of International Classification of Diseases, 9th Revision (ICD-9-CM) and current procedural terminology (CPT) surgery coding systems. CCS-Ps must also be proficient in the Healthcare Common Procedure Coding System (HCPCS Level II). Certified coding assistants are entry-level coders who are able to distinguish themselves from non-credentialed coders.
Where to Get Education
High School Diploma and OJT; billing/coding classes at local institutions recommended
Health info mgmt degree program