Coding specialist – physician-based professionals perform coding in physician offices, group practices, multi-specialty clinics, or specialty centers. The CCS-P certification exam assesses mastery-level proficiency in coding of health services delivery beyond the hospital setting. 

CCS-Ps: 

• Review patient records and assign numeric codes for each diagnosis and procedure 
• Possess in-depth knowledge of the CPT® coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems 
• Are experts in health information documentation, data integrity, and quality 
• Play a critical role in a health provider's business operations, often as liaison to insurance companies or the government for expense reimbursement 

Candidates must meet one of the following eligibility requirements to sit for the CCS-P 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)
• 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®, RHIT®, or RHIA® credential 

Apply to take the Certified Coding Specialist – Physician-based (CCS-P) exam.   

• Non-member price: $399 (Learn more about the benefits of AHIMA membership.)  
• Member price: $299  

Certified Professionals and Pass Rates 

As of 12/31/19, there were 4,995 certified CCS-P professionals. 

*U.S. and Canada results only 

Exam Specifications 

The CCS-P is a timed exam. Candidates have four hours to complete the exam. The total number of questions on the exam range between 115 and 140 total items. The exam consists of two sections, a Multiple-Choice Section and a Medical Scenario Section (evaluation and management, surgery, medicine). The exam is given in a computer-based format. 

AHIMA exams contain a variety of questions or item types that require you to use your knowledge, skills, and/or experience to select the best answer. Each exam includes scored questions and pre-test questions randomly distributed throughout the exam. Pre-test questions are NOT counted in the final results. 

The passing score for the CCS-P is set at 300, as are all AHIMA exams and programs. 

Competencies for CCS-P fall into five domains. Each domain accounts for a specific percentage of the total questions on the certification exam. See the Exam Content Outline below for greater detail.