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Thread: Is CPC mandated by CMS

  1. #1

    Default Is CPC mandated by CMS

    AAPC: Back to School
    Can anyone tell me if CMS has mandated the CPC certification in order to work as a coder?

  2. #2


    it's not mandatory to be a certified coder, but over the years CMS has been contemplating it. However,many large medical facilities now require the coder hold a AAPC or AHIMA cert.
    TeeMarie, CPC, Coding Supervisor
    Bakersfield, CA

    If you When you believe in a thing, believe in it all the way, implicitly and unquestionable-- Walt Disney

  3. #3
    Join Date
    Apr 2007

    Default Required Credentials

    I worked for Medicare for over 3 years before I got my CPC-H and found a coding job. Medicare does require their medical review RNs to have a coding certification now and I have noticed that some the education specialists also have a CPC. It depends on the position you have with Medicare.


    Debbie Peterson, CPC-H

  4. #4
    Join Date
    Apr 2007

    Default Addendum

    Yes, to be clear, Medicare does require its providers to hire certified coders.

  5. #5
    Join Date
    Apr 2007
    Louisville, KY


    OIG's compliance recommendations for providers and hospitals also support the use of certified coders. While there isn't a mandate, there is language that encourages providers to utilize them.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

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