Aspect | Medical Coding | CPC Certification |
Definition | Medical coding involves assigning standardized alphanumeric codes to diagnoses, procedures, and services in healthcare for documentation and billing purposes. | CPC (Certified Professional Coder) is a specific certification for medical coders awarded by the American Academy of Professional Coders (AAPC). It signifies expertise in coding for outpatient and physician office settings. |
Scope | Medical coding is a broader term that encompasses various coding systems, including ICD-10, CPT, and HCPCS, used across different healthcare settings. | CPC certification focuses specifically on coding for outpatient and physician office services, including surgeries, radiology, laboratory, and other procedures. |
Purpose | The primary purpose of medical coding is to standardize and categorize healthcare information for billing, research, and data analysis. | CPC certification is designed to validate the coder’s proficiency in accurately assigning codes for outpatient services, ensuring compliance with coding guidelines and regulations. |
Eligibility Criteria | No specific eligibility criteria are associated with the general term “medical coding,” as it refers to the broader practice. | To obtain CPC certification, candidates typically need relevant coding experience and must pass the CPC exam, demonstrating proficiency in outpatient coding. |
Certification Authority | Medical coding does not refer to a specific certification but involves the application of various coding systems in healthcare. | CPC certification is awarded by the American Academy of Professional Coders (AAPC), a widely recognized organization in the field of medical coding. |
Areas of Expertise | Medical coding can cover a wide range of healthcare settings, including inpatient, outpatient, and speciality areas. | CPC certification focuses specifically on outpatient coding, including evaluation and management (E/M) services, surgery, radiology, pathology, and medicine codes. |
Knowledge Requirements | Medical coders need a comprehensive understanding of various coding systems, medical terminology, anatomy, and healthcare procedures. | CPC-certified professionals must demonstrate in-depth knowledge of outpatient coding guidelines, rules, and regulations, as well as coding for specific specialities and services. |
Career Opportunities | Medical coders can work in various healthcare settings, including hospitals, clinics, insurance companies, and research institutions. | CPC certification enhances career opportunities in outpatient coding roles, and CPC-certified coders are often sought after for positions in physician offices, outpatient facilities, and ambulatory care settings. |
Continuing Education | Continuous learning is essential in medical coding due to updates and changes in coding systems. | CPC-certified individuals are required to maintain their certification through ongoing education and demonstrate proficiency in outpatient coding through regular assessments. |
Examination | There is no specific examination associated with the general term “medical coding.” | To earn CPC certification, candidates must pass the CPC exam, which tests their knowledge and skills in outpatient coding. |