Passing the CPC-P Exam is a critical part of advancing your career in medical coding. A Certified Professional Coder (Payer) (CPC-P®) plays an important role in paying medical insurance claims.
More private and public payers (health plans) are recognizing the value of employing certified coders to process and analyze medical claims for payment. The CPC-P® credential meets the growing demand for certified coders in a payer environment. Additionally, those with the CPC-P® earn 66% more than non-credentialed coders.
The CPC-P® demonstrates a coder’s aptitude, proficiency and knowledge of coding guidelines and reimbursement methodologies for all types of services from the payer’s perspective. Contributing developers include Dr. Marc Lieb, M.D., J.D., Susan Goldsmith, CPC, as well as a number of other well-known CPC-Ps in the payer community. Claims reviewers, utilization management, auditors, benefits administrators, billing service, provider relations, contracting and customer service staff can each benefit their practice with the CPC-P® credential.
The CPC-P® certification exam certifies that the successful candidate has the knowledge and skills to adjudicate provider claims effectively. The exam will test the examinee’s basic knowledge of coding-related payer functions with emphasis on how those functions differ from provider coding. The relationship between coding and payment functions will be explored in depth.
source: AAPC website