CCS Exam Review

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CCS Exam Review


The CCS Exam Review will help you improve your chance of CCS success! This online, self-paced, interactive and comprehensive review includes ICD-10-CM, ICD-10-PCS, and CPT coding practice; covers reimbursement methodologies, documentation quality, and regulatory compliance; and provides valuable study and test-taking strategies.

CEUs:  9    0 AHIMA    0 AAPC
Included in eLearning Library. Price per person. Group rates available.


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

Prepares candidates to sit for the Certified Coding Specialist (CCS) exam. This online, self-paced, interactive and comprehensive review includes ICD-10-CM, ICD-10-PCS, and CPT coding practice; covers reimbursement methodologies, documentation quality, and regulatory compliance; and provides valuable study and test-taking strategies.

Know what to expect! The CCS Exam Review provides comprehensive coverage of the four domains addressed by the CCS coding credential exam:

  • Domain 1 – Coding Knowledge and Skills
  • Domain 2 – Coding Documentation
  • Domain 3 – Provider Queries
  • Domain 4 – Regulatory Compliance

Knowledge checks and coding scenarios throughout the course ensure mastery of material.

The final assessment is comprised of 50 multiple choice questions covering the full range of topics likely to be included on the actual CCS exam. Drawn from Libman Education’s 100+ proprietary CCS test questions, the assessment questions and answers are randomized to assure the integrity of the exam experience. Learners are encouraged to take the final assessment multiple times to improve their test-taking skills and gain confidence in their mastery of the material.

Looking for more exam-taking practice? Libman Education’s CCS Practice Exam consists of 97 multiple choice questions and 8-9 coding scenarios that have 2 or 3 associated multiple choice, multiple response questions. The Practice Exam covers the four domains addressed by the CCS coding credential exam.

Interested in taking your preparation to the next level? CCS Exam Review with Live Instruction makes your CCS Exam Review experience even more valuable!  A special message for you from Instructor Cari A. Greenwood on the CCS Exam Review courses:

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

AHIMA’s updating of the CCS exam lags behind changes to the coding sets. Typically, AHIMA coding credential exams use the current year guidelines and code sets until May 1 of the following year.

Which year CCS Exam Review will I need? It depends on when you will be sitting for your credential:

  • If you are planning to take the exam prior to May 1, 2023, you should study the FY2022 guidelines and codes and prepare with the 2022 CCS Exam Review.
  • If you are planning to take the exam May 1, 2023 or later, you should study the FY2023 guidelines and codes and prepare with the 2023 CCS Exam Review.

Please refer to the AHIMA website ( for updates on the exam status and the list of allowable code books for your exam. Refer to the PearsonVue website ( for the specifics of what you need to know when registering for an exam.

CCS Exam Review

Introduction and Overview

  • Overview of the CCS Exam
  • What to expect from the course
  • Navigating the course

Lesson 1: ICD-10-CM Coding

  • ICD-10-CM Organization
  • Key Points
  • Official Conventions
  • Official Guidelines
  • Coding Scenarios

Lesson 2: ICD-10-PCS Coding

  • ICD-10-PCS Organization
  • Official Conventions
  • Official Guidelines
  • Coding Scenarios

Lesson 3: CPT Coding

  • Official Conventions
  • Official Guidelines
  • Anesthesia
  • Surgical Package
  • Imaging and Destruction
  • Surgery
  • Radiology
  • Pathology and Laboratory
  • Medicine
  • Parenthetical Instructional Notes
  • Sequencing Rules
  • Evaluation and Management (Facility Rules)
  • National Correct Coding Initiative (NCCI)
  • Coding Scenarios

Lesson 4: Auxiliary Coding Considerations

  • POA indicators
  • Reimbursement Classifications
  • CPT Modifiers

Lesson 5: Coding Documentation for Diagnoses

  • General Key Documentation Elements
  • Key Documentation Elements for Injuries
  • Clinical Indicators
  • Documentation discrepancies
  • Coding Scenarios

Lesson 6: Coding Documentation for Procedures

  • Surgical Key Documentation Elements
  • Evaluation and Management Key Documentation Elements
  • Anesthesia Key Documentation Elements
  • Radiology Key Documentation Elements
  • Pathology and Laboratory Key Documentation Elements
  • Medical Terminology
  • Diagnoses (CPT code Selection)
  • Discrepancies
  • Coding Scenarios

Lesson 7: Provider Queries and Regulatory Compliance

  • Queries
  • Regulatory Compliance

Exam Preparation and Test Taking Strategies

  • AHIMA Resources Pertaining to the CCS Exam
  • Applying for the CCS Exam
  • Scheduling the CCS
  • Preparation

First things first! Before attempting to earn a coding credential, candidates should be well versed in the knowledge essential to the work of a medical record coder.

Foundational Sciences: Medical record coders require foundational knowledge in certain key areas. Course work in these topics is essential prior to commencing a program of study in coding.

  • Introduction to Anatomy and Physiology – The anatomical structures and physiology of the human body. Each body system is discussed in detail.
  • Introduction to Medical Terminology – The language used by medical professionals to accurately describe the human body and associated components, conditions, processes and procedures.
  • Introduction to Pharmacology – The principles and basics of pharmacology, introducing students to the principles of clinical application, including basic pharmacokinetics, dosage forms, and drug administration.
  • Introduction to Pathophysiology – The function and symptoms of diseased organs for purposes of diagnosis and patient care.

The Libman Education’s Medical Coding Foundational Skills program provides access to all four foundational sciences. Buy them together and save!

Coding Systems: There are three primary code sets used in healthcare organizations. It is essential to master the code set and guidelines prior to attempting to earn a coding credential. The following Libman Education courses provide foundational studies in the code sets.

  • ICD-10-CM: Diagnosis Coding – A comprehensive program on the structure, function, and application of ICD-10-CM organized by body system. ICD-10-CM is used to code diagnoses in all healthcare settings.
  • ICD-10-PCS: Medical and Surgical Coding – Education on assigning codes within the medical and surgical section of ICD-10-PCS, with complete education on the 31 root operations used in the coding process. ICD-10-PCS is used to code inpatient procedures.
  • CPT: Procedural Coding – Course covers format and organization of CPT code system including modifiers and evaluation and management codes, with detailed instruction organized by body system. CPT is used to code procedures in the outpatient setting and physician practices.

Libman Education’s eLearning Library: Credential Prep provides these essential foundational coding courses and many others plus hands-on practice applying codes to ensure you are truly prepared for your credential exam.

The level of effort to complete this course, start to finish, is equivalent to 9 CEUs. Remember: You have access to the course materials for the full 16 week 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.

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

  • WebinarPlus™ multimedia and interactive online course promotes engagement with challenging materials while offering independent self-study.
  • Teaching methods including audio and video files, diagrams, and animations to accommodate different learning styles. Where appropriate, the Merck Manual Professional Version supplements course materials with in-depth descriptions of diagnoses and/or procedures.
  • Knowledge checks and/or final assessment ensure mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Price listed is per person/per course. Group rates available upon request.

Eligibility to sit for the CCS is set by AHIMA. While not required, one of the following is recommended to sit for the CCS examination:

  • Complete courses in all the following topics: anatomy & physiology, pathophysiology, pharmacology, medical terminology, reimbursement methodology, intermediate/advanced ICD diagnostic coding, and procedural coding and medical services (CPT/HCPCS) plus one (1) year of coding experience directly applying codes; OR
  • Minimum of two (2) years of related coding experience directly applying codes; OR
  • Hold the CCA® credential plus one (1) year of coding experience directly applying codes; OR
  • Hold a coding credential from another certifying organization plus one (1) year of coding experience directly applying codes; OR
  • Hold a CCS-P®, RHIT®, or RHIA® credential

To enroll in Libman Education’s CCS Exam Review learners should already be proficient in ICD-10-CM, ICD-10-PCS, and CPT coding systems. For learners who require additional instruction in the coding systems, Libman Education offers a complete catalog of online coding courses. Contact [email protected] for recommendations.

Cari A. Greenwood, RHIA, CCS, CPC, CICA

With more than 18 years of experience in health information management (HIM), Cari Greenwood is a well-rounded HIM professional who holds RHIA and CCS credentials from AHIMA, a CPC credential from AAPC, and is an AHIMA-approved ICD-10-CM/PCS Trainer and an HFMA-Certified Inpatient Coding Auditor. Through her 12 plus years as a coding educator, Cari has gathered insight and information derived from her experience working with individual professionals and teams as they pursue advanced HIM training.

Cari’s HIM expertise combined with her passion for teaching is the foundation for her career as an author and presenter specializing in coding and auditing education. As Cari has stated: “The challenge facing anyone working with data and code sets is that it requires regular study to stay current with the evolutions in healthcare and the ability to accurately and efficiently do the work required of an HIM professional. A strong foundation of core skills and knowledge is the beginning, not the totality of an HIM education, there is always more to learn.”

“Yay!! Thank you so much! The course is fabulous.” — Colleen Parr, RN, CCDS

“Thank you so much for your amazing CCS Prep tutorial! I did pass the Exam and your review deserves much of the credit.” — Richard Gordon, RHIA, CCS(!)

“I asked one of my instructors for a review course to study for preparing to take my CCS exam and she recommended this course. It definitely helped me study and get ready to take the exam and I definitely recommend doing this course to get ready for the CCS exam!” — Misty McNeil

“I truly thank you Libman Group for your wonderful courses that have contributed to my success.” — Leslie Jay Corn, CCS, CPC, CCA/ER Coding Analyst/Boston Medical Center OR LogixHealth

“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC

“Thank you! Your company provides outstanding service and we appreciate it!” — Jim Herren, RHIA, CCS, Parkland Health & Hospital System

“LOVEEE Libman! Very happy with the classes I’ve taken.” — Linda C.

“I love the courses at Libman Education.” — Joanne S., CCS

“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”

“I greatly appreciate this support and outstanding customer service!” — former student


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Required resources: 

2022 CCS Exam Review:

* 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 will be listed on the AHIMA website.

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