Certified Outpatient Coder (COC®) Online Training Course

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Self-paced course

  • Self-paced online training course

  • 40 CEUs on successful completion

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Now $2,095 (a $4,190 value)

Most flexible

Self-Paced Max

  • Self-paced online training course

  • 40 CEUs on successful completion

Includes ($827 value):

  • Virtual internship through Practicode

  • Three practice tests

  • 2 Certification exam vouchers

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Now $2,450 (a $4,900 value)

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Instructor-Led

  • 16-week online course led by AAPC faculty

  • 40 CEUs on successful completion

Includes ($827 value):

  • Virtual internship through Practicode

  • Three practice tests

  • 2 Certification exam vouchers

JOIN AAPC and save 50% on this course + FREE books through November 30th

Now $3,150 (a $6,300 value)

The COC Online Training Course teaches fundamental medical coding skills for outpatient hospitals and facilities.  

Upon completion of this course, you will be able to review and assign the correct procedures and diagnostic codes for patient encounters in a hospital or outpatient setting. This highly coveted skillset helps hospitals and facilities receive appropriate reimbursement and maintain compliance with coding guidelines and government/payer regulations. 

When to enroll

This COC course is recommended for anyone who is preparing for a career in medical coding for an outpatient hospital/facility and ambulatory surgery center setting and who wants to earn the COC (formerly CPC-H® credential.

Value

AAPC trains over 20,000 new students annually for careers in medical billing and coding. Affirm your experience with employers and differentiate yourself for a career in hospital and facility coding.

Education and experience

Knowledge of medical terminology, anatomy, and pathophysiology is required to successfully complete this course. AAPC offers the following prerequisites:

Course length

Self-paced: Average time to completion is 4 months or less. 6-month access to course materials with options for extensions.

Instructor-led: 16 weeks from start date to completion. New courses start every week.

Continuing education units (CEUs)

Receive 40 CEUs on successful completion. One-time use only. AAPC certified prior to enrollment; excluding CPCO, CIRCC, CPMA, and specialty certifications. 

Financial options

Pay in full: Price includes $500 pay-in-full discount 
Pay over time: Make easy monthly payments over 12, 18, or 24 months 

Course curriculum overview

Understanding facility coding is vital when working in the hospital and ambulatory surgery center (ASC) settings, where reimbursement is based not on professional services provided, but on the resources used during the patient encounter.

The COC training will cover coding fundamentals including CPT®, ICD-10-CM, and HCPCS Level II coding, along with the Outpatient Prospective Payment System (OPPS) and an introduction to ICD-10-PCS.

Outpatient coding training objectives

  • Understand outpatient facilities and their departments including outpatient services at hospitals, teaching hospitals, critical access hospitals, ambulatory surgery centers (ASCs), and comprehensive outpatient rehabilitation facilities 

  • Navigate the business side of hospital outpatient services and ASCs 

  • Differentiate between inpatient and outpatient services and payment services (IPPS and OPPS) 

  • Understand the difference between MS-DRGs and APC assignments, and how those services are reported 

  • Develop an understanding of compliance in the outpatient hospital facility 

  • Discuss documentation and coding standards for outpatient facilities 

  • Code a wide variety of patient services using CPT®, HCPCS Level II, and ICD-10- CM coding guidelines and code sets 

  • Apply coding and conventions when assigning diagnoses and procedure codes 

  • Understand the UB-04 billing form and its proper use 

  • Know what the charge description master (CDM) is, how it works, and how to update it 

  • Be familiar with the outpatient flow of data through the facility pertaining to patient encounters and procedures

Team training

Looking to certify your team?

AAPC helps employers build stronger revenue cycle teams through industry-recognized training and certifications.

Explore solutions designed for organizations of all sizes, whether you're training new hires, supporting professional development, or upskilling existing staff across your organization.

Healthcare business professionals

Learning methods

AAPC understands that students learn in different ways — that's why we allow you to choose a learning style that fits you best. AAPC offers the following learning methods:

Prep Course Graphic
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Live instructor-led

  • Live instruction and classroom-paced training

  • 16-week course via 1.5 hour online live sessions per week

  • Highest exam pass rate

  • New courses start every week

Self-paced Icon

Self-paced instruction

  • Flexibility to prepare for the exam on your own time and pace

  • On-demand coaching — get expert feedback within two business days

  • Up to 6-month access to course materials

What students are saying

  • Rhonda D. McCaskill testimonial photo

    Obtaining my COC credential was one of the best decisions I made in my coding career... I advanced to a supervisory role in an ambulatory surgery center.

    Rhonda D. McCaskill, COC, CPC, CPB, MCS-P

  • Brenda Stevens Testimonial Photo

    Taking the COC course gave me thorough knowledge of APCs and payment indicators which was extremely helpful when taking the COC certification and passing on the first try.

    Brenda Stevens, COC, CPC, CDEO, CPB, CPMA, CRC, CPC-I CMC, CMIS, CMOM

  • Julia Mitchell testimonial photo

    I thoroughly enjoyed the COC course due to the outstanding content, flow of the material, and practice exams, passing the certification exam was just the cherry on top.

    Julia Mitchell, MHA, COC, CPC, CPCO, CDEO, CRC, LSSGB

Course bundle includes

In addition to the actual course of interactive online lectures, step-by-step coding processes, and all training needed to pass the exam, you’ll receive: 

  • Online practice exams (included in Self-Paced Max and Instructor-Led packages)
    Three 50-question practice exams to help you determine your readiness for the exam.

  • 2 COC exam attempts (2 attempts included in Self-Paced Max and Instructor-Led — a $499 value) 
    The COC exam features 100 multiple-choice questions over 4 hours.

  • FREE BONUS: Practicode COC Practicum (subscription included in Self-Paced Max and Instructor-Led packages — a $249 value)
    Practicode is a coding practice tool that helps you improve coding, giving you hands-on practice with real-world (redacted) cases. The tool evaluates your progress and helps you identify areas of weakness.

  • FREE BONUS: AAPC eBook
    Medical Coding Training: COC

Why train with AAPC?

  • Get certified in just 4 to 8 months — without spending a fortune on lengthy university studies. 

  • Train with the same experts who created the exams. Why study at an institution that bases its curriculum on AAPC’s when you can train directly with us?

  • Highest pass rates of any medical coding and billing program. We provide the most trusted curriculum and top-rated training — and the proof is in our pass rates.

  • Any credential you earn through us will be recognized worldwide. Our education is trusted globally, positioning AAPC as a leader in training and certification. We created the industry’s accreditations for medical coders and medical billers — and have been teaching these programs for more than 35 years. 

  • Exclusive AAPC member benefits: Free and low-cost CEUs, mentorship programs, national and regional events, discounts, and countless opportunities to network with over 300,000 other members. 

FAQs: Get your questions answered

If you want to become a certified outpatient coder, you should complete the COC training course so you can gain all the knowledge and skills needed for the role — and be ready to pass the certification exam. Once you pass the COC exam, you’ll become a certified outpatient coder (COC) — which enhances your credibility and value to employers. 

Additional training resources

Ensure you have mastered the prerequisites.

Earning the COC designation requires two years — or the equivalent — medical coding experience. If you have not submitted proof of 2 years’ experience, a COC-Apprentice designation will be awarded.

Highly recommended: AAPC offers a three-topic fundamentals of medicine (medical terminology, anatomy, and pathophysiology) prerequisite course to provide you with a high-level knowledge of medical terminology and other information that will allow you to succeed in the path to obtaining your COC credential.

PreRequisites

Review the study guide and test-taking techniques.

Designed to help you prepare for the exam, our official COC Study Guide walks you through a review of anatomy and terminology and covers all the content sections found on the exam. Best of all, it provides testing tips for taking the AAPC's COC exam.

In each chapter of the study guide, pertinent outpatient/facility coding principles are followed by coding scenarios related to that chapter.

Study Guide

Test your knowledge before the exam.

Diagnose your strengths and weaknesses. We highly recommend that you take one of the 50-question online practice exams to help you become familiar with the format and time constraints of the real test. Our practice tests accurately mirror the exam to ensure you are fully prepared on exam day.

Practice Exam

Diagnose and prioritize your focus areas.

After you take your first practice exam, you’ll realize not all areas of COC curriculum require equal study time. Based on your diagnostic results and practice performance, we’ll recommend lessons and exercises at just the right level. Follow these recommendations to make the most of your practice time.

Areas Of Weakness

Do you have questions about the COC training course?