Monday, August 15, 2011

Spotlight on Certification: The Certified Coding Associate (CCA)

I get a lot of questions from interested individuals about coding certifications. Like it or not, employers are looking more and more to credentialed coders to staff the workforce. It's almost impossible to get hired without a coding certification -but which one is right for you? What do the different certifications say about your qualifications? And what will you have to do to maintain your certifications?

I thought I would help out by spotlighting different coding credentials. There are two main organizations I will focus on and there are a lot of certifications. So be patient - I will get to all of the AHIMA and AAPC credentials eventually! And remember - I hold certifications with both organizations, so I'm not here to sell you on any single credential. If you plan to work in hospitals, AHIMA credentials are more widely recognized whereas physician offices usually require AAPC certifications. Before you decide which organization to join, do your homework and find out what credentials they require where you want to work.

I'd like to start with the newest AHIMA credential, the Certified Coding Associate (CCA).

I've never taken the CCA exam because when it came out, I was already certified as a Certified Coding Specialist (CCS). And while many aspire to be a CCS, AHIMA doesn't recommend taking that exam until one has at least 2-3 years of experience as a hospital inpatient and outpatient coder. But what about those people who have taken coding classes and want to prove they know a thing or two so they can land an entry-level coding position? Enter, the CCA credential.

AHIMA created the CCA credential to demonstrate one's "coding competency in any setting, including both hospitals and physician practices." In essence, it lets your future employer know you've taken the core coding and HIM classes. When I talk to people who are trying to begin coding careers, I often hear them say something along the lines of, "Why should I waste my time with an introductory credential?" or, "It's a waste of money."

Well, from my perspective, if you have taken the time and effort to take the CCA exam, it tells me one big thing: you're serious about coding as a career because you took the initiative to study for an exam. And if I were hiring, that is something I would definitely take into account. Coding certifications cost money - it's an occupational hazard. But being without a coding credential most likely means not having a career as a coder. Which do you want more?

CCA Specs
The CCA credential, as mentioned, is available through AHIMA. It costs $199 for AHIMA members to take the test. If you aren't a member of AHIMA and plan to work as a hospital-based coder, I highly recommend joining. Again, another cost that is important to your career if you're serious about working as a coder. If you aren't a member of AHIMA, the cost is $299. The CCA credential is the only HIM credential worldwide that is accredited by the National Commission for Certifying Agencies (NCCA), although I've heard AHIMA is seeking the same approval for other credentials.

As for content, it's not just coding. And I think this surprises a lot of people who take the test. It also tests for HIM-related competencies. That's something to keep in mind when you're studying for it. There are six domains that make up the CCA test:
  1. Health Records and Data Content (20%)
  2. Health Information Requirements and Standards (14%)
  3. Clinical Classification Systems (36%)
  4. Reimbursement Methodologies (10%)
  5. Information and Communication Technologies (6%)
  6. Privacy, Confidentiality, Legal, and Ethical Issues (14%)
The tasks for each domain are outlined on AHIMA's website along with FAQs and other important exam information. If you plan to take the CCA exam, I recommend spending a lot of time on the CCA page.

CCA Jobs
The CCA credential is still relatively new for those of us who have been around for a decade or so. And I admit, as a profession, we're a little slow to accept new ideas sometimes. Job postings may not state the CCA credential as one that is accepted. My general rule is, if the job calls for a CCS and you have the CCA, apply for it. The employer may not get enough job applications from qualified individuals. And if it was me, I would certainly look at a CCA with more interest than someone without any certification. The credential is catching on, though, and I'm starting to see it in job postings. So, do I think it's a credential worth getting? If you don't have any other certifications, then yes. Absolutely!

Curious about whether or not to take the CCA if you have an RHIT? If so, check out this past blog of mine on the HICareers website: "Should There be a CCA After RHIT in Your Title?"


  1. Actually, I got my start in medical coding by first certifying as a Certified Coding Associate (CCA) by taking the Certified Coder Academy exam prep program online; performing volunteer and apprenticeship coding services (joined AAPC) for one year; certifying as a CPC-A; and using my program completion certification and verification letter from Certified Coder Academy to compensate for one year on coding experience. My preparation and investments paid well in return; I have a great full-time job and continue to advance my career as a medical coding professional. Thanks for your blog!

    1. Hi Leonard, I am about to enter an online accredited coding program. If I am understanding your comment above, you are describing how you got the A removed from your CPC-A certification and then proceeded to obtain a good job. By your description, I am gathering that you used the 2nd option on the AACP - using 80 contact hours from your coding education program and your apprentice time to accomplish this. If this is correct, I was wondering how "contact hours" are acquired and calculated for an online course.

      Thank you

  2. Where is the CCA Exam located? Is this a online exam?

  3. The CCA is a proctored exam. You can find information about scheduling a test at

  4. I just graduated with my bachelors in health information management, I plan to take the CCA exam since I currently have no health care experience besides a 6 month internship at one of our local hospitals. What would be your best suggestions of websites and books to prepare for this exam?

  5. How many sections and marks it will contain? There can be some lengthy questions or its all about short Q&A? I know all these coding but i haven't passed through the 09 module. Am i eligible for 10 module? cpc-exam-help has clarified some terms and conditions about eligibility criteria of exams please check and give your feedback that either these are enough or some other regulations are also added in the list?

  6. I just finished my associates degree in medical coding and billing. I need some experience hands on before any testing, how do I get this?

  7. volunteer in your area. Often addiction treatment centers will allow you after clearing your background check of course. This should help. It also looks great on a resume. Try not to over volunteer though. One day (about 5.0) hrs. is enough to get confident and see what else you may think that you need.