Certified Professional Biller – CPB (AAPC)
By Raising Careers Staff | Updated: October 2019
OVERVIEW
Certification Description
The Certified Professional Biller (CPB) credential certifies individuals by preparing them to maintain all aspects of the revenue cycles, including provider reimbursement and payer requirements. The CPB certification gives individuals knowledge on how to properly submit medical claims in a way that is complaint with governmental regulations.
The COPC credential may lead to career opportunities and higher paying jobs that uncertified auditors may not be eligible for.
Skills Focus
The certification focuses on the following areas:
- The certification focuses on the following areas:
- Government regulations, as the pertain to private payer policies
- Resolution of claim denial and the submittal of claim appeals
- Techniques of posting payments, billing adjustments and how to handle collections
- Private payer policies and fund collections
- Knowledge of CPT®, ICD-10-CM, and HCPCS Level II coding guidelines
Exam Objectives
- Types of Insurance
- Billing Regulations
- HIPAA & Compliance
- Reimbursement and Collections
- Billing
- Coding
- Case Analysis
Exam Details
- Issuing Organization: American Academy of Professional Coders (AAPC)
- Prerequisites: AAPC membership required
- Questions: 200
- Time: 340 minutes
- Cost: $399, AAPC students $325, 1 free retake
- Re-certification and certification renewal: Every 2 years
- View Certification Guidelines
Other relevant details: Resources allowed during testing: CPT Books (AMA standard or professional edition ONLY), your choice of ICD-10-CM, your choice of HCPCS Level II, the CMS 1995 and 1997 Evaluation and Management Documentation Guidelines and E/M Audit Worksheet of your choice. Download full guide.
CPB (AAPC) Careers
Certified Professional Biller Careers
Jobs you can get with a CPB (AAPC) certification (additional requirements may apply):
Salary (Base Level)
A specialty certification may not only increase your employability, but may increase your earnings potential as well. Keep in mind that your actual salary can vary substantially depending on region, job description and employer expectations. Reference salary for the medical biller shown. Salary based on 2019 data.
National average per year: $39,180*
National average per hour: $18.83*
*Source: Bureau of Labor Statistics
CPB (AAPC) Training
Exam Preparation
- Review the exam guidelines
- Complete CPB practice exams
- Review CPT, ICD-10-CM and HCPCS Level II coding manuals
- Review the AAPC recommended E/M Audit Worksheet
Important: This is not a complete list of all certification training and learning options available. Remember to thoroughly research and choose study materials that fit your learning style and needs. This step is crucial to help you succeed in your certification exam.
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