Certified Outpatient Coder (COC®) Certification Course

Enroll Now Save up to 57% through Aug 31st

Outpatient medical coders assign ICD-10-CM, CPT®, and HCPCS Level II codes to outpatient facility procedures and services, making them integral to revenue cycle management in numerous healthcare settings — hospital emergency departments, ambulatory surgery centers (ASCs), outpatient therapy departments, outpatient cancer centers, outpatient radiology departments, outpatient hospital clinics, and dialysis centers.

Become a Certified Outpatient Coder (COC®)

Choosing to become a Certified Outpatient Coder (COC®) is a great career choice. Not only are COCs in high demand, but they’re also one of the highest paid medical coders in healthcare, earning an average salary of $62,846 per year, according to AAPC's 2022 Medical Coding Salary Survey Report.

Benefits of COC Certification Course Training

Students taking the COC Certification Course will develop mastery of CPT®, ICD-10-CM, and HCPCS Level II codes used for billing outpatient hospital and ASC facility services to government and private payers. Specific areas of knowledge and skills you will gain include:

  • Determining accurate codes for outpatient hospital diagnoses and procedures, including codes for ancillary services and supplies using CPT® and HCPCS Level II codes
  • Determining and applying the proper modifiers to codes on outpatient hospital claims
  • Having a working knowledge of Ambulatory Payment Classifications (APCs), including payment status indicators and MS-DRGs
  • Understanding the UB-04 billing form and its proper use
  • Understanding what the charge description master (CDM) is, how it works, and how to update it
  • Being familiar with the outpatient flow of data through the facility pertaining to patient encounters and procedures
  • Reviewing the acuity forms used to determine levels of facility evaluation and management (E/M) services for comparison with documentation
  • Keeping current with outpatient compliance and reimbursement policies, including medical necessity issues and correct coding issues
  • Updating patient information forms in keeping with effective records management

    Download the COC Preparation Course Syllabus

COC Certification Course Options

To prepare for your COC exam, you can choose classroom training or our online COC certification training. When choosing the online course, you can further customize your training.

Lifestyles and learning preferences are not one-size-fits-all, which is why AAPC offers training options for students preparing for a career in risk adjustment coding.

  • 1.
    Select the self-paced option if you prefer working at your convenience with no set schedule.
  • 2.
    If you learn best in a structured and interactive setting, choose our instructor-led online COC training course. This option is live, meets on specified days, and provides one-on-one time with your instructor.

Already a CPC or CPC-A? View accelerated version of this course.

What are you waiting for?

AAPC online training courses are the best way to get certified & advance your career.

Packages & Pricing

Save up to 57% through Aug 31st

Required Code Books

Medical codes and coding guidelines change annually, making it essential that your code books are published in the same year as when you plan to sit for the certification exam.

Prerequisite Courses for CPC Training

Because outpatient medical coders work with patient charters and clinical documentation, courses in anatomy, pathophysiology, and medical terminology are essential to COC certification training. These three courses — or the 3-in-1 course, Foundations in Medicine — are prerequisites for COC students.

Exemption: If your educational or employment background have provided you with working knowledge of medical terminology, anatomy, and pathophysiology, you are exempt from these prerequisites. 

Computer With:

  • High-speed Internet access
  • Adobe Acrobat Reader (free download available)
  • For best experience, use of a mobile device is not recommended

COC Certification Course Description

The self-paced version of this course is divided into learning modules with tests at the end of each module to assess your progress. In addition to reading assignments, your studies will feature audio lectures, critical-thinking exercises, and other learning materials. A team of AAPC-certified coaches are available to answers questions as you work through the COC training program.

The COC Certification Course involves roughly 80 clock hours of course work, plus reading and study time. You should plan to complete the self-paced program in 4 months. AAPC allows for an additional 2 months, giving you 6 months of online access to course materials.

Certificate of Completion & CEUs

If you currently hold an AAPC certification, you will earn 40 CEUs you can apply to your existing certification by completing this course. CEUs are one-time use only and satisfy requirements for all certifications except CPCO, CIRCC, and CPMA, and specialty certifications.

Successful completion of the COC Certification Training Course requires:

  • A passing score of 70% or higher on all chapter review exams
  • A passing score of 70% or higher on final exam
  • An overall final course score of 70% or higher

To receive a certificate of completion, students must meet the above requirements and complete the course within the allotted time frame.

Online COC Certification Course Content

ICD-10-CM Coding
  • Medical terminology, word roots, abbreviations, prefixes, and suffixes
  • ICD-10-CM conventions and terms
  • Other conventions
  • Medical necessity
  • Table of Neoplasms
  • Table of Drugs and Chemicals
  • Adverse effect
  • Poisoning and underdosing
  • External cause codes and Z codes
  • Selecting the correct ICD-10-CM diagnosis
Payment Methodologies & the Outpatient Prospective Payment System (OPPS)
  • Billing for outpatient facilities
  • Medicare program instructions
  • Outpatient hospital departments
  • Administrative departments
  • Freestanding ambulatory surgical centers
  • Teaching hospitals
  • Graduate medical education
  • Comprehensive outpatient
  • Rehabilitation facility (CORF)
  • Partial hospitalization
  • Inpatient services
  • Outpatient Prospective Payment System
  • Ambulatory Payment Classification System
  • APC structure
  • Composite APCs
  • Partial hospitalization services
  • Evaluation and management coding for outpatient facilities
  • Hospital emergency departments
  • Inpatient reimbursement-Medicare Severity Diagnostic Related Groups (MS-DRG)
  • Advance beneficiary notice (ABN)
  • Medicare — appeals process
  • Quality reporting (QR) programs
  • Level I HCPCS codes — CPT® codes
  • Procedure code assignment
  • HCPCS Level II — National Codes
  • HCPCS modifiers
CPT® Coding
  • CPT® format
  • Evaluation and management
  • Anesthesia
  • Surgery
  • Radiology
  • Pathology and laboratory
  • Medicine
  • Category II
  • Category III
  • Guidelines
  • Unlisted procedure codes
  • CPT® coding terminology
  • Coding outpatient hospital claims
CPT® Surgery
  • Definition of surgery
  • Coding tips for the integumentary system
  • Destructions
  • Repairs
  • Musculoskeletal system
  • Aspiration/injection: joint size
  • Fracture care
  • Auditory/ear
  • Composite APCs
  • Sample of HCPCS Level I codes assigned to composite APC
  • Positions and views
  • Technical vs professional component
  • Laterality
  • Contrast material
  • General diagnostic radiology
  • Chest
  • Gastrointestinal tract
  • Urinary tract
  • Gynecological and obstetrical
  • Vascular procedures
  • Transcatheter procedures
  • Diagnostic ultrasound procedures
  • Obstetrical pelvis
  • Non-Obstetrical
  • Radiologic guidance
  • Radiation oncology
  • Nuclear medicine
Pathology and Laboratory
  • Modifiers used in laboratory and pathology services
  • Organ or disease-oriented panels
  • Drug assay
  • Therapeutic drug assays
  • Evocative/suppression testing
  • Consultations (clinical pathology)
  • Urinalysis
  • Molecular pathology
  • Multianalyte assays with algorithmic analyses
  • Chemistry
  • Hematology and coagulation
  • Immunology
  • Transfusion medicine
  • Microbiology
  • Cytopathology
  • Surgical Pathology
  • Immune globulins
  • Immunization administration for vaccines/toxoids
  • Vaccines, toxoids
  • Psychiatry
  • Dialysis
  • Gastroenterology
  • Ophthalmology
  • Otorhinolaryngology services
  • Cardiovascular
  • Pulmonary
  • Allergy and clinical immunology
  • Neurology and neuromuscular procedures
  • Hydration
  • Therapeutic, prophylactic, and diagnostic injections and infusions
  • Chemotherapy administration
  • Special dermatological procedures
  • Physical medicine and rehabilitation

COC Certification Course Policy

This 80-clock hour course should be completed within 4 months, although you are given an additional 2 months or 6-month access to the class from date of purchase. Date of purchase is considered your course start date, with additional time allotted for processing your order. You will receive email instruction on course access once your order is processed.

  • If you need more time to complete your studies, you may purchase time extensions for a monthly fee.
  • If you purchased a COC exam voucher in your training package, your voucher is valid for 12 months from date of purchase. 
  • Membership is required to take any AAPC examination.

By purchasing any online course and other items, I certify that I have read and agree to the online course Terms and Conditions, the Course Requirements, and the Refund Policy.

Why Choose AAPC for Your Outpatient Coding Training?

AAPC is the industry leader, having established the standards for medical coding and billing — and maintaining a stellar reputation through the excellence and professionalism of our graduates. If that isn’t enough cause to choose us for your career training, here are few more reasons.

  • Be career-ready in 6 months — without lengthy university studies
  • Highest pass rates of any medical coding and billing program
  • Flexibility to learn at your pace from your home or office
  • Option to learn in an online and interactive, instructor-led classroom
  • Expert AAPC-certified coaches to help you over the hurdles
  • Spectrum of online medical coding courses to advance your career — CPCCOCCRCCIC, and specialty medical coding training
  • Exclusive AAPC member benefits — job networking, free and low-cost CEUs, mentorship programs, national and regional events, and savings

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