Certified Coding Specialist (CCS) Exam Prep: CCS for CDI

Mary Beth York, CCS, CCS-P, CIC


Designed specifically for CDI professionals, this highly-acclaimed program prepares candidates to sit for the Certified Coding Specialist (CCS) credential exam. Online lectures, presentations, and practice exams with weekly live instructor-led virtual class sessions to provide a thorough review of the materials. Our nationally renowned CCS exam instructor, Mary Beth York, provides individual mentoring and coaching with proven test-taking strategies that have helped hundreds to achieve CCS success.

Next session: January – May 2022


CEUs:  39    0 AHIMA    0 AAPC
Price per person. Group rates available.

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Next Session: January – May 2022. Interested? Click here.

The CCS Exam Prep includes the following:

  • Seventeen weeks of intensive preparation and personalized attention ensure participants stay on track for the CCS Exam.
  • Additional preparation focused on CPT coding, a key component of the CCS exam.
  • Live one-hour classes are held weekly via web-based conferencing, and are available to participants anywhere with internet access
  • Two hours of recorded lectures each week on critical topics. Recorded lectures may be listened to repeatedly until the material is mastered.
  • Additional coursework to include reading assignments, coding exercises, and quizzes. Depending on experience and skill-level, students should expect to spend an additional 15-30 hours completing additional coursework each week.
  • Extensive proprietary study materials supplemented by carefully selected textbooks and additional resources
  • Includes quizzes with direct feedback and review with the instructor
  • Strictly limited class size ensures one-on-one mentoring and personalized live instruction
  • Bonus content! Students enrolled in the CCS Exam Prep will receive a one year subscription to the Virtual Lab (VLab) Encoder Only, an $85 value, at no additional charge. This web-based, practical, participatory, coding environment has been selected by Libman Education to provide CCS Exam Prep students online access to critical resources including the Nuance Clintegrity, 3M and Find-A-Code encoders as well as the Patient Cases.
  • More Bonus content! Participants enrolled in the CCS Exam Prep will receive the CCS Mock Exam, a $189 value, at no additional charge.   The Mock Exam will test your coding skills and provide a realistic assessment of your readiness to sit for the CCS credential exam.

Libman Education is not associated, affiliated, or otherwise connected with AHIMA.

CCS Exam Preparation for CDI Professionals
Course Syllabus (For reference only)

1. CCS exam specifics
2. CCS Prep Program specifics

Week 1 and 2
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 2 – Introduction to the ICD-10-CM Classification
Ch 3 – ICD-10-CM Conventions
Ch 4 – Uniform Hospital Discharge Data Set
Ch 5 – The Medical Record as a Source Document
Ch 6 – Basic ICD-10-CM Coding Steps
Ch 7 – Basic ICD-10-CM Coding Guidelines

Week 3
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 8 – Introduction to the ICD-10-PCS Classification
Ch 9 – Basic ICD-10-PCS Coding Steps
Ch 10 – ICD-10-PCS Root Operations in the Medical and Surgical Section
Ch 11 – ICD-10-PCS Procedures in the Medical Surgical and Ancillary Sections

Week 4
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 12 – Z Codes and External Cause of Morbidity Codes
Ch 13 – Symptoms, Signs, and Ill-Defined Conditions
Ch 14 – Infectious and Parasitic Diseases
Ch 16 – Mental Disorders

Week 5
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 15 – Endocrine, Nutritional, and Metabolic Diseases
Ch 17 – Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the
Immune Mechanism
Ch 18 – Diseases of the Nervous System and Sense Organs

Week 6
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 24 – Complications of Pregnancy, Childbirth, and the Puerperium
Ch 25 – Abortion and Ectopic Pregnancy
Ch 26 – Congenital Anomalies
Ch 27 – Perinatal Conditions

Week 7
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 19 – Diseases of the Respiratory System
Ch 20 – Diseases of the Digestive System
Ch 21 – Diseases of the Genitourinary System

Week 8
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 28 – Diseases of the Circulatory System
Ch 29 – Neoplasms

Week 9
Text: AHA – ICD-10-CM and ICD-10-PCS Coding Handbook
Ch 22 – Diseases of the Skin and Subcutaneous Tissue
Ch 23 – Diseases of the Musculoskeletal System and Connective Tissue
Ch 30 – Injuries
Ch 31 – Burns
Ch 32 – Poisoning, Toxic Effects, Adverse Effects, and Under-dosing of Drugs
Ch 33 – Complications of Surgery and Medical Care

Week 10
Comprehensive Review
UHDDS exercises
Multiple Choice Questions

March 11
Inpatient case
Multiple Choice Questions

Week 12
Reimbursement Methodology
Multiple Choice Practice Questions

Week 13
Introduction to CPT Nomenclature Basics
CPT Surgery – General Guidelines

Week 14 and 15
Introduction to CPT Nomenclature Basics continued
CPT Surgery – General Guidelines continued

Week 16
CPT Case Studies
Multiple Choice Practice Questions

Week 17
Final Review
Mock Exam

The level of effort to complete this course, start to finish, is equivalent to 39 CEUs. Remember: You have access to the course materials for the full six-month enrollment period and we encourage you to re-review any materials that are helpful to you as you prepare for the exam.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion.

AHIMA does not award CEUs for credential preparation or review courses. Libman Education is not associated, affiliated, or otherwise connected with AHIMA.

AAPC will not grant CEUs for courses related to non-AAPC credentials.

In addition to recorded lectures and online coursework, the program features live one-hour classes held weekly via web-based conferencing. The schedule for these classes is provided below:

Winter session:
January – May 2022

To enroll in Libman Education’s CCS Exam Prep: CCS for CDI, participants must have a minimum of two years hands-on acute-care hospital CDI experience.

The application process will ensure that the student is fully aware of the program requirements and prepared to commit the time necessary to be successful. Our goal is to ensure this is the right program for you at this time.

Step 1. Application
Submit the online application describing your experience and background. It is quick and there is no charge to submit an application.

Step 2. Complete the online Libman Education CCS Skills Assessment
Upon receipt of your application, you will be enrolled into the CCS Skills Assessment. Completing the assessment will provide valuable information to you and to the instructor on your strengths and weaknesses and ascertain your level of foundational ICD-10-CM, ICD-10-PCS and CPT coding skills. By knowing your skill level relative to the CCS, we can ensure that you have a realistic expectation of the level of effort required to be successful on the CCS.

Plan on approximately 2-3 hours to complete the assessment. Once started, you may stop the assessment and continue later. The CCS Skills Assessment is not graded and there is no ‘pass’ or ‘fail.’  There is no charge for the CCS Skills Assessment. Completion of the CCS Skills Assessment does not obligate you to sign up for the program nor Libman Education to accept you into the program.

Step 3.  Interview with the instructor
An interview will be scheduled for you with our instructor prior to acceptance to the course. The interview is your opportunity to ask questions, discuss the program and the CCS exam in detail, and review the results of your CCS Skills Assessment. You will be contacted via email to schedule a convenient time for the phone interview.

Step 4. Tuition
Once accepted, you will be invoiced for the tuition. Full payment is required prior to the start of class. Payment plans are available through PayPal Credit.

Mary Beth York, CCS, CCS-P, CICMary Beth York, CCS, CCS-P, CIC

Mary Beth York has over twenty year’s experience in coding, auditing and documentation improvement for hospitals ranging from community to teaching hospitals as well as physician group practices. As an educator, Mary Beth has taught in a broad range of settings from large classroom, to small group, to one-on-one instruction. Mary Beth has taught Libman Education’s highly successful CCS Exam Prep courses for eight years and has also taught CCS-P exam preparation skills, interventional radiology, and physician education on documentation requirements and assignment of E&M levels. Mary Beth York is a Senior Associate with Barry Libman Inc.

“Mary Beth York is a dynamite CCS prep instructor. I earned my CCS with her help last year, and landed my (first) coding job shortly thereafter. Today, I received the first audit report of my work, which included ‘compliments’ to the coder (i.e., me!!) for my accuracy! Thank you, Mary Beth!” — Maria Sullivan

“Thank you Mary Beth for your excellent instructions, patience and persistence.” — HIM Director with two new CCS-credentialed staff members

“I have to tell you that Mary Beth is the BOMB!!!!!!! She is great at what she does. I just want to thank all of you for having this course and helping everyone to achieve their goal of becoming certified. I will never forget Mary Beth and her kind words that she offered each week of the course. I enjoyed her class. Mary Beth makes every student feel important!” — Jeannine B., RHIT, CCS, HIM Manager

“I enrolled in Libman’s CCS Prep Course January of this year under the instruction of Mary Beth once again, and after several months of intensive course work and studying, I passed the CCS exam! Mary Beth York is more than just an instructor…she’s a mentor and a coach, and she will be cheering you on and helping you every step of the way. The course was tough with many hours of hard work involved but entirely worth it! I feel such a sense of accomplishment thanks to the mentoring of Mary Beth York.” — Eddy W.

“I took the CCS Exam Prep class with Mary Beth last year & loved it! Successfully passed my CCS!” — Kimberly (Jane) D.

“Thank you Mary Beth! Because of you, I no longer look at the coding book as being bigger than me. You have a methodology for teaching coding that is just awesome.” — Rosemary M. on the CCS for CDI

“I’ve been a CDI nurse for almost 15 years but wanted to take my skill set to a new level. Although this class was long & very labor intensive, it more than prepared me to sit for the CCS exam. I took the exam today & passed it with flying colors on the first try! Thank you Mary Beth York!” — Laura H. on the CCS for CDI

“Relieved and happy to have passed my CCS exam today. Many thanks to Mary Beth York at Libman Education for her hard work and patience and more than preparing me to sit the exam.” — Maria M., BSN,CCDS,CCS, CDI Supervisor

“I just wanted Mary Beth York to know that I have just become a coder. I took the CCS exam prep class a couple of years ago from her. Kaiser has opened up a position for me so I am doing outpatient coding work. Please let Mary Beth know how pleased I was for her helping me in this class. Thank you.” — James G.

“I had a great experience taking the CCS class with Mary Beth York.” — Angela S.

“I took your CCS for CDI training and was very pleased with your program.” — Lisa S.

“I want to thank you for one of the best experiences of my life. The growth that took place astounds me. Mary Beth is one of the best instructors I have ever had. Not only did I pass the CCS, my scores were 367/400 or 92%. I’m so glad that I met you!”

“I took the Intensive CCS Exam Prep class and I am happy to report that I passed the CCS exam! I know I would not have passed, or even registered to take the exam, had I prepared exclusively on my own. I really liked the virtual classes. I enjoyed the way it was done because you still have the instructor explaining and being able to ask question. Many people I work with have tried to diminish my credential because I took a class to prepare for the exam. I find, due to taking the course, (even with my lack of ‘coding chops’, as one person put it), I have more in-depth knowledge of some subjects than many of the seasoned coders I work with.”

“It was very challenging! I really liked the way it made us think and really get to know these codes better. Great learning tool.”

“I am doing very well since obtaining my CCS … thanks to you! I have been working part time remotely for over a year now and loving it! I am still working at the hospital as well full time … Having my CCS certification has opened up so many opportunities for me! It also has made me feel more confident in my daily coding work and am able to help coders (without CCS certification) who seem to struggle with coding accounts. So Kudos to you! I can’t tell you how happy I am to have taken your course and above all appreciated all your support and confidence in me!”

“I really liked the virtual classes. I enjoyed the way it was done because you still have the instructor explaining and being able to ask question.”

“I took the CCS prep class and really enjoyed the whole experience. It was quite a lot of work but Marybeth guided us all in the class very well and was always available for help and advice when we were stuck on any coding scenarios that came up. I felt very prepared for my exam when I went to take it.”

“The class requires a lot of commitment (!) and personal study time that you need to put aside and be willing to do in order to be successful on the class as well as on the exam.”

“This email could not have come at a better time. My boss and I were both talking about expanding our credentials (CCS and RHIT)! So, thank you for this opportunity!”
— Christine A., RN, BSN, Manager of CDI Clinical Education, on an email about the CCS for CDI Exam Prep course

“I have encouraged every coder I know, who has the slightest inclination to sit for the CCS exam, to take the course. Unfortunately, some are deterred by the distance to the classroom setting — the addition of online classes is wonderful. Others are deterred by the amount of homework that is required (I am completely honest when I tell them I spent 4 -5 hours most nights on coding exercises, coding cases, coding clinics, etc.), to them I say, well, I guess you just aren’t ready.”

“I feel that CCS Exam Prep was well worth the cost. I highly recommend this course for coders that feel ready to attempt their CCS certification.”

“I would like to express my personal thanks for your time and effort helping her pass her CCS exam. It was certainly above and beyond expectations, and reflects well on your professionalism and work ethic. Well done!”

“Homework, Homework, Homework — there is a lot of it and it needs to be done to pass the test. Mary Beth also had me reading the guidelines till I was dreaming about them! …This was the best educational experience for my professional development without question. It was a lot of work but well worth it, and would recommend the program to anyone.”

“The course is very demanding especially when working full time. At times I found it hard to keep up with some of the others in the class. And I found the range of material terribly broad — but such is the nature of the exam. Mary Beth is an excellent instructor and gave us full warning of the difficulty of the exam. And she obviously prepared us very well since our group all managed to pass.”

“I thought that the course was great and I would have never have passed the test without the prep class.”

“I am very impressed with your strict guidelines to be accepted into this program. It happens far too often that an education facility will just take students for financial gain or to make their ‘numbers’. You seem very passionate about what you do and I think that is wonderful.”

“I had the good fortune to train with Mary Beth York for the CCS exam and passed in 2009. She is one of the most patient, kind and knowledgeable coding mentors that I have encountered. In addition to CCS training, I completed the Barry Libman online education course ‘Anatomy & Physiology for Coders’ in 2011. I hold Libman Education in high regard. The education I received and the professionalism of the staff has been superb.”

“I am a student from last year and I just took my CCS exam March 26, 2015 and pass with flying colors (370/400) . I am truly amazed with MaryBeth’s teaching style and overall serenity. During the class and right before my exam she took the time to calm my nerves and help me to relax so I don’t freak out during the test. She also is able to challenge an individual in such a short amount of time. THANK YOU MaryBeth for changing my life. I am forever grateful!”

“I do very much appreciate the CCS Exam Prep program and what it can do for students if they give 100%. I also appreciate that the class is not over once the weekly classes are complete. The follow-through with mock exam, follow-up calls, and examples is just absolutely wonderful. It is a great program that has been developed and everyone who had a part in that should be commended.”

“Mary Beth went above and beyond my expectations for all the students in our CCS class.”

“I just recently passed the CCS in July. I currently hold a CPC certification but I feel that facility employers favor the CCS. It took me several years to finally take initiative and get the CCS completed! I believe I could not have done that without this class. I do know that as the coding field is just booming I was getting frustrated with some of the coding guidance I was getting. It seems that so many people were advancing to auditing and management positions so quickly that basic coding guidelines were being ignored or not addressed. By going through the class and passing the CCS, my confidence and quality in my coding has improved tremendously!” — Wendy W., CCS

“Dear Mr. Barry Libman,
I am writing to thank you for offering the online live instructor-led CCS Exam Preparation course for CDI professionals.

I recently completed this course. This structured online live instructor-led coding course was a perfect fit for my specific learning needs.

And I am very thankful that selection to attend this course was not based solely on my CCS Skills Assessment score. Also I am very thankful that Mrs. Mary Beth York conducted my pre-course telephone interview. During this interview Mary Beth not only solicited information from me she also explained the value of the CCS Skills Assessment tool. Furthermore, Mary Beth explained and provided examples of the time and work commitments required to succeed in this course and to prepare for the CCS examination. In fact, it was a positive source of motivation throughout this course to replay in my mind over and over Mary Beth’s interview words of wisdom and my responses.

I am very thankful to God, to Mary Beth York, and to my family for providing the support I needed to succeed in this very challenging and rewarding endeavor. I learned so much from this course. And I am also very thankful I was able to become CCS certified on 12-06-2018, on the first time I took the AHIMA CCS examination.

Again I am writing to thank you Mr. Libman for offering this online live structured CCS Exam Preparation course for CDI professionals instructed by, coached by, and mentored by Mrs. Mary Beth York.”
— Madylin A., CCDS, CCS


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Provided materials: The course tuition includes online access to all course and proprietary study materials.

Participants will also receive a one year subscription to the Virtual Lab (VLab), an $85 value, at no additional charge.  This web-based, practical, participatory, coding environment has been selected by Libman Education to provide CCS Exam Prep participants online access to critical resources including Coding Clinic, CPT Assistant,  and AHA’s ICD-10-CM and ICD-10-PCS Coding Handbook.

Required materials: Each participant in the class is required to purchase (or have access to) the edition-specific textbooks.

  1. Professional Review Guide Online for the CCS/CCS-P Examination, 2021, 1st Edition
  2. ICD-10-CM Code Book – 2021
  3. ICD-10-PCS Code Book – 2021
  4. CPT® Code Book – 2021 

* Please note: It is important that each participant have the correct edition and date of each publication as specified. Failure to have the correct edition and date will result in not being able to complete assignments.

Candidates for the CCS exam are required to bring the correct edition of code books to the test center. Candidates who do not bring the correct code books to the test center will not be allowed to test and will forfeit their exam fees. The allowable code books are published on the AHIMA website (see “2020 List of Allowable Code Books”) https://www.ahima.org/certification-careers/certifications/ccs/

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  • Certified Coding Specialist (CCS) Exam Review


    AHIMA has announced the FY2021 exam will commence May 1, 2021. To be alerted when the 2021 CCS Exam Review is available, click here.

    The CCS coding credential demonstrates mastery-level coding skills, generally in a hospital setting. A minimum of two years hands-on acute-care hospital coding experience (both inpatient and outpatient) is strongly recommended before attempting the CCS.

    The CCS Exam Review offers a comprehensive review of materials covered on the exam including:

    • ICD-10-CM/PCS, CPT, and HCPCS Level II coding and guidelines
    • Reimbursement methodologies including the Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS)
    • Health information documentation requirements
    • Regulatory guidelines and reporting requirements for inpatient and outpatient services
    • Data quality management
    • Information technology and security
    • Privacy, confidentiality, legal and ethical issues
    • Compliance review

    Knowledge checks, assessment exercises, and a CCS Readiness Assessment offer over 250 practice questions with rationale to ensure mastery of material.

    A bonus study guide helps you set-up an organized study schedule.

    The CCS Exam Review covers:

    • Selecting and appropriately sequencing the diagnoses and procedures that require coding according to current coding and reporting requirements using the official ICD-10-CM/PCS coding guidelines for acute care (inpatient) visits and the official ICD-10-CM and the official CPT/HCPCS Level II coding guidelines for hospital outpatient services.
    • Selecting the principal diagnosis, principal procedure, complications, comorbid conditions, and other diagnoses and procedures that require coding according to UHDDS definitions and Coding Clinic.
    • Selecting the reason for encounter, pertinent secondary conditions, primary procedure, and other procedures that require coding according to UHDDS definitions, CPT Assistant, Coding Clinic, and HCPCS.
    • Assigning the present on admission (POA) indicators.
    • Evaluating and verifying the impact of code selection on Diagnosis Related Group (DRG) assignment based on Inpatient Prospective Payment System (IPPS) definitions and Outpatient Prospective Payment System (OPPS) reporting requirements.
    • Assigning and validating the discharge disposition.
    • Applying OPPS reporting requirements related to modifiers, CPT/HCPCS Level II, medical necessity, and Evaluation and Management code assignment (facility reporting).
    • Applying clinical laboratory service requirements.
    • Assessing the quality of coded and abstracted data. Ensuring coding and auditing is current and accurate. Resolving coding edits such as: CCI, MCE, and OCE.
    • Interpreting medical record documentation, consulting with physicians about documentation, querying, reference materials, and posting charges.
    • Navigating through the EHR, and accurate and efficient use of coding, grouping, and data analytic software.
    • Ensuring confidentiality and security of patient information. Applying ethical coding standards.
    • Evaluating accuracy and completeness of the medical record according to organizational policy and external regulations and standards. Monitoring and reporting compliance concerns.

    Libman Education is not associated, affiliated, or otherwise connected with AHIMA.

  • Live Instruction

    Certified Coding Specialist (CCS) Mock Exam


    AHIMA has announced the FY2021 exam will commence May 1, 2021. The 2021 CCS Mock Exam is expected to be available 5/1/2021. To be alerted when the 2021 CCS Mock Exam is available, click here.

    The CCS Mock Exam will help you improve your chance of CCS success!

    Quick results: Detailed and actionable exam results available within 48 hours of exam completion.

    Rationales: Results include rationales for any missed questions to identify areas needing additional study.

    Not a quick assessment: Libman Education’s CCS Mock Exam consists of 97 multiple choice and 8 case scenarios and closely resembles the structure and format of the actual CCS.

    Real-life feel: Experience the pressure of a timed test so you will be prepared for the pressure of the actual CCS exam.

    One-on-One mentoring: A private consultation with renowned CCS instructor Mary Beth York will be scheduled within one week of completing the Mock exam. This one-on-one session will identify your areas of strength, determine where you may have weaknesses, and lay out a tailored plan to make the most of your limited CCS preparation time.

    Prepare to be successful: Learn study techniques and test-taking strategies demonstrated to help coders succeed.

    Flexibility: Online access to the CCS Mock Exam from any computer with internet access. The CCS Mock Exam can be taken only once but students will have up to 4 weeks from date of purchase to complete the CCS Mock Exam. (Extensions available on request.)

    Libman Education is not associated, affiliated, or otherwise connected with AHIMA.