The CCS coding credential, offered by AHIMA, 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.