The COC credential recognizes expertise in physician-based or pro-fee coding, which encompasses the proper
use of medical codes as they apply to the physician practice and provider reimbursement.

• Proficiency in assigning accurate medical codes for diagnoses, procedures and services performed in the outpatient setting
(emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)
• Proficiency across a wide range of services, including evaluation and management, anesthesia, surgical services, radiology, pathology, and medicine
• Knowledge of coding rules and regulations along with proficiency on issues regarding medical coding, compliance, and reimbursement under outpatient grouping systems. COC’s can better handle issues such as medical necessity, claims denials, bundling issues, and charge capture
• Ability to integrate coding and reimbursement rule changes in a timely manner to include updating the Charge Description Master
(CDM), fee updates, and the Field Locators (FL) on the UB04
• Correctly completing a CMS 1500 for ASC services and UB04 for outpatient services, including the appropriate application of
modifiers
• Knowledge of anatomy, physiology, and medical terminology commensurate with ability to correctly code provider services and
diagnoses
• A working knowledge in the assignment of ICD-10-CM codes from Volumes 1 & 2