Certified Professional Coder (CPC) certification Course Summary
The Certified Professional Coder (CPC) certification is recognised globally as the gold standard for physician-based medical coding. In the GCC region, the healthcare sector is experiencing rapid growth, with significant investments in infrastructure and services. This expansion underscores the increasing demand for skilled medical coders to ensure accurate and compliant coding practices.
Through structured modules, participants will gain proficiency in coding for various medical specialties, understanding medical terminology, anatomy, and compliance regulations. The curriculum is designed to prepare candidates for the CPC examination, equipping them with the knowledge and skills necessary to excel in the field of medical coding.
Why WingsWay?
WingsWay, a globally recognised and trusted Authorised Training Centre, ensures you receive top-quality training and recognition for your efforts. Our commitment to delivering exceptional private education in Dubai has earned us the approval from the Knowledge and Human Development Authority (KHDA), an accreditation from CPD (UK) Standard’s Office, and an ISO 9001:2015 certification from the International Accreditation Forum (IAF).
Furthermore, WingsWay Training Institute proudly received the title of ‘Best Training Institute’ twice and the ‘Outstanding Organisation Award’. Our services and training quality have not only been recognised by students in 85+ nationalities but also by top international organisations.
CPC Exam Format
The CPC exam is:
- Administered by: AAPC (American Academy of Professional Coders)
- Duration: 4 hours
- Format: 100 multiple-choice questions
- Delivery: Online or in-person
- Passing score: 70% Core Domains (as per AAPC)
- Medical Terminology
- Anatomy
- ICD-10-CM Coding Guidelines
- HCPCS Level II Coding
- CPT Coding (In-depth):
- Evaluation and Management (E/M)
- Anesthesia
- Surgery (by body system)
- Radiology
- Pathology and Laboratory
- Medicine
- Coding Guidelines and Conventions
- Compliance and Regulatory Guidelines
- Medical Documentation and Coding Accuracy
- Anaesthesia and Modifiers
- Practice Management
Course Duration
24 hours
Entry Qualifications
Anyone with a high school diploma can register for a medical coder exam.
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Learner’s Profile
This Certified Professional Coder (CPC) certification is ideal for:
AAPC trained medical coder
Professionals having substantial medical experience
Professionals keen to have a career in medical coding
Professional coders keen to shift industries
Learning Outcomes
After completing this Certified Professional Coder (CPC) certification course, you will be able to:
- Gain competency in assigning accurate codes for diagnoses, procedures, and services performed by physicians.
- Acquire knowledge of CPC coding guidelines and regulations required in meeting establishing medical necessity, using modifiers appropriately, and observing bundling rules must for a certified professional coder.
- Attain expertise of certified coding specialist in coding E/M, anesthesia, surgery, radiology, pathology, and medicine as per AAPC CPC.
- In-depth knowledge of anatomy, physiology, and medical terminology necessary for clinical documentation and certification.
- Ability to integrate medical course and payment policy changes into healthcare reimbursement process.
Career Opportunities
This Certified Professional Coder (CPC) certification opens the door to a range of office-based careers, including:
- Executive Secretary / Executive Assistant
- Office Administrator / Office Manager
- Administrative Coordinator
- Personal Assistant (PA)
- Receptionist / Front Desk Executive
- Project or Department Coordinator
Course Content
Module 1 – Introduction to Medical Coding
- What is medical coding?
- Overview of CPT, ICD-10-CM, HCPCS Level II
- Settings for professional coding (Outpatient vs. Inpatient)
- Importance of compliance and accuracy
- CPC exam overview (format, timing, passing score, code books allowed)
- How to tab and highlight code books efficiently
Module 2 -Medical Terminology
- Word Parts (Prefixes, Suffixes, Root Words, Combining Forms)
- Directional Terms (Anterior, Posterior, etc.)
- Anatomical Planes and Positions
- Common Medical Conditions by Specialty (e.g., Cardiovascular, Respiratory)
- Abbreviations and Acronyms used in Documentation
Module 3 – Human Anatomy and Physiology
- Body systems overview (Integumentary, Musculoskeletal, Cardiovascular, Respiratory, Digestive, Urinary, Nervous, Endocrine, and Reproductive)
- Major organs and their functions
- Anatomical Position and Terminology in Documentation
- Relation to CPT Surgery sections
Module 4 – ICD-10-CM Coding
- Code Format (Characters, Categories, Subcategories)
- Official ICD-10-CM Guidelines (Coding for Signs/Symptoms vs. Confirmed Diagnoses, Laterality, Manifestation Codes, and Combination Codes)
- Chapter-Specific Coding Rules (e.g., Neoplasms, Pregnancy, Diabetes)
- Sequencing Diagnoses
- Z-Codes for Screening, Aftercare, Status
- ICD-10-CM Index and Tabular Navigation
- Case study practice
Module 5 – CPT Coding – Evaluation & Management (E/M)
- Office or Other Outpatient E/M Codes
- Hospital, ER, Nursing Facility, Home Visits
- New vs. Established Patients
- Time-Based vs. MDM (Medical Decision-Making)
- Components of E/M (History, Exam, MDM)
- 2021 E/M Guidelines Updates
- Prolonged Services and Consultation Codes
- Case-based scenarios
Module 6 – CPT Coding – Surgery Section (by Body System)
- Integumentary (Excision, Biopsy, Lesion Removal, Repairs, Grafts and Flaps)
- Musculoskeletal (Fracture Care, Arthroscopy, Joint Replacement, Soft Tissue Procedures)
- Respiratory (Endoscopy, Tracheostomy, Thoracentesis)
- Cardiovascular (Pacemaker, Cardiac Catheterisation, Vascular Procedures)
- Digestive (Colonoscopy, EGD, Hernia Repair, Colectomy)
- Urinary (Cystoscopy, Nephrectomy, Vasectomy, Hysterectomy, Obstetrics Codes)
- Nervous System (Craniotomy, Spinal Procedures, Neurology Procedures)
Module 7 – CPT Coding – Radiology
- Diagnostic Imaging (X-Ray, CT, MRI, Ultrasound)
- Nuclear Medicine
- Interventional Radiology Basics
- Supervision and Interpretation
- Contrast Usage and Technical vs. Professional Components
Module 8 – CPT Coding – Pathology and Laboratory
- Panels (Basic Metabolic, Lipid, Thyroid)
- Individual Tests and Cultures
- Cytology and Histopathology
- Drug Testing and Molecular Diagnostics
- Clinical vs. Anatomical Pathology
Module 9 – CPT Coding – Medicine Section
- Injections and Infusions
- Immunisations
- Physical Therapy, Chiropractic, Osteopathic
- Cardiovascular Services (e.g., ECG, Echocardiography)
- Ophthalmology and Audiology Procedures
- Psychiatry and Behavioural Health
Module 10 – HCPCS Level II Coding
- Structure and Format of HCPCS Level II
- Commonly used Codes (A-Codes to J-Codes)
- Medicare Coverage and Coding
- G-Codes (CMS-Specific Procedures)
- Modifiers Specific to HCPCS
- DME Documentation Requirements
Module 11 – Coding Guidelines, Modifiers, and Compliance
- CPT Modifiers: Usage and Impact (Modifier 25, 59, 24, 51, etc.)
- NCCI Edits and Bundling
- Global Periods and Surgical Packages
- Coding Compliance and Documentation
- HIPAA and Fraud Prevention
- Medicare and Medicaid Guidelines
- Audit Risks and How to Code Defensibly
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