PMBA | Become a Certified Medical Coding Consultant: Comprehensive Training

The Certified Medical Coding Consultant (CMCC®) credential, offered by PMBAUSA LLC, is an advanced-level certification tailored for experienced medical coders seeking to transition into leadership, audit, compliance, and consulting roles. The CMCC® designation signifies expert-level knowledge in multiple coding systems, regulatory frameworks, data protection, AI-enabled coding tools, and global healthcare terminologies like ICD-11, SNOMED, and LOINC.

Unlike entry-level certifications, CMCC® goes beyond code assignment to prepare coders for real-world challenges, quality assurance, project oversight, compliance monitoring, and team mentoring.

Understand regulations like HIPAA, GDPR, and data protection
Interpret complex documentation
Audit coding for compliance and accuracy
Train and guide junior coders
Integrate AI tools with human judgment
ICD-11, ATC, SNOMED, LOINC Coding Skills

The CMCC® credential bridges the gap between coding practice and healthcare consulting, making it an ideal next step for coders looking to advance into higher-paying and respected positions.

Global Medical Coding Market & Opportunity

The global medical coding market was valued at USD 18.8 billion in 2023 and is projected to grow at a CAGR of 10.3%, reaching over USD 35 billion by 2030. With the rise in telehealth, insurance reforms, and healthcare digitization, the demand for specialized, certified, and skilled coding consultants is accelerating.

The Growing Need for Medical Coding Consultants

While the number of certified coders is increasing, there’s a significant gap in consultant-level talent. Payers, providers, and audit firms are actively looking for:

Professionals who can review, validate, and improve coding quality
Leaders who can mentor coding teams and ensure compliance
Experts who can leverage AI tools while maintaining ethical standards

The CMCC® certification positions you as a trusted authority, ready to take on consulting, auditing, training, and leadership roles across inpatient, outpatient, specialty, and international coding environments

The Certified Medical Coding Consultant (CMCC) credential from PMBAUSA LLC stands as a mark of distinction in the medical coding field. In a rapidly growing market projected to reach USD 40.86 billion by 2032, CMCC equips certified coders with the advanced knowledge and skillset to excel.

Eligibility : Exclusively for certified medical coders with a minimum of 5 years of experience and two professional Letters of Recommendation– Click here to download the LOR template.
Fees : $525 – CMCC® Credential is valid for 3 year.
For Admission : Contact Jared Heaton for Admission Assistance, 1-801-486-3200.
Email – Jared@pmbausa.com
Assesment : Complete Online 10 Modules and final assessment from home. Number of Attempts- Two

The CMCC® (Certified Medical Coding Consultant) credential is essential for experienced coders aiming to lead and advise in today's evolving healthcare landscape. It ensures expertise in ICD-11 implementation, AI-driven coding solutions, data protection, and global coding systems—making consultants future-ready and in high demand

Skillset

1. Expert Knowledge in Medical Coding Standards

Proficiency in ICD-10, CPT, HCPCS, MS-DRG Coding.

Regulatory Knowledge (HIPAA, CMS guidelines).

2. SNOMED, LOINC, NDC, ATC Training

Covers international coding systems for clinical terminology, lab tests, drugs, and therapeutic classifications.

Understanding these enhances interoperability and equips consultants to work with global health data standards.

3. ICD-11 Training

Introduces the latest WHO coding standard, focusing on new structure, digital readiness, and implementation practices.

Consultants must master ICD-11 to stay future-ready and advise healthcare organizations on global coding transitions.

4. HIPAA, GDPR Training

Teaches compliance with US and EU healthcare privacy and data protection laws.

Essential for consultants to ensure legal handling of patient data and guide providers in meeting regulatory standards.

5. Data Security and Data Protection

Covers best practices for securing electronic health information and mitigating data breach risks.

Medical coding consultants must advise clients on safeguarding sensitive data in today's digital health landscape.

6. Artificial Intelligence in Medical Coding

Explores the application of AI for auto-coding, auditing, and workflow optimization.

Equips consultants to assess and implement AI tools that improve accuracy and efficiency in coding processes.

7. Six Sigma Concepts

Introduces quality improvement methodologies to reduce errors and streamline processes.

Consultants use Six Sigma to drive performance excellence in coding teams and healthcare operations.

8. HL7 – Health Level 7

Explains standards for exchanging electronic health information across systems.

Crucial for consultants to support interoperability, EHR integration, and data-driven healthcare strategies.

9. Medical Coding Auditing Concepts

Provides expertise in reviewing and analyzing coding accuracy, compliance, and reimbursement integrity.

Auditing skills enable consultants to identify gaps, reduce denials, and recommend corrective actions.

10. Management and Leadership

Develops strategic, operational, and leadership capabilities to manage coding teams and projects.

Empowers consultants to take on advisory, supervisory, and training roles across healthcare organizations.

Career Advancement : Gain a competitive edge in the medical coding field.
Industry Recognition : Showcase your expertise with a prestigious credential.
Enhanced Skillset : Master advanced coding concepts and best practices.
Professional Network : Connect with other accomplished coding professionals.

Embrace the Future of Medical Coding

As the healthcare industry evolves, the demand for skilled medical coding consultants continues to rise. The CMCC program empowers you to meet this demand and contribute to accurate, compliant, and efficient healthcare billing practices.

Take the Next Step in Your Coding Career

Enroll in the CMCC program today and unlock your full potential as a medical coding consultant.

CMCC^® - Certified Medical Coding Consultant Certification

Experience Requirement : Must have at least 5 years of experience as a medical coder: This requirement ensures that the candidate has substantial practical experience in handling complex medical coding scenarios and a solid understanding of various coding systems and compliance regulations.
Assessment Requirement : Complete 1000 Medical Scenarios/Medical Records Assessments within 30 days: This rigorous assessment is designed to test the candidate's ability to handle a high volume of cases accurately and efficiently, simulating real-world consulting environments where quick decision-making and deep knowledge are crucial.
Achieve a minimum score of 80%: Ensures that the candidate has a strong grasp of medical coding concepts, compliance, and advanced methodologies required for consulting.

Essential Topics for CMCC® Certification

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) : Mastery of ICD-10-CM is crucial for coding diagnoses accurately across all healthcare settings. Proficiency in ICD-10-CM enables the consultant to provide accurate coding solutions, ensuring compliance with regulatory standards and optimizing reimbursement processes.
CPT (Current Procedural Terminology) : In-depth understanding of CPT is necessary for accurately coding medical procedures and services. Knowledge of CPT coding supports the consultant in guiding healthcare providers on billing practices and ensuring that all services are documented correctly for optimal revenue cycle management.
HCPCS (Healthcare Common Procedure Coding System) : Familiarity with HCPCS is essential for coding supplies, equipment, and non-physician services. Expertise in this area is critical for consultants who advise on billing for Medicare and Medicaid patients, where HCPCS codes are frequently used.
ICD-10-PCS (International Classification of Diseases, 10th Revision, Procedure Coding System) : Expertise in ICD-10-PCS is required for coding inpatient hospital procedures. A strong grasp of ICD-10-PCS allows the consultant to navigate complex inpatient coding scenarios and advise healthcare facilities on optimizing coding for DRG assignment.
DRG (Diagnosis-Related Groups) : Knowledge of DRGs is vital for understanding hospital reimbursement under the prospective payment system. The consultant must be able to assess and optimize DRG assignments to ensure accurate hospital billing and reimbursement while maintaining compliance with regulatory requirements.
APC (Ambulatory Payment Classification) : Proficiency in APCs is necessary for outpatient billing. Understanding APCs helps consultants guide outpatient facilities on coding and billing practices to maximize reimbursement and adhere to payer regulations.
Medical Billing : Comprehensive understanding of the entire billing process, from claim submission to payment posting, is required. A consultant must be able to identify and resolve billing issues, ensure compliance with payer requirements, and optimize the revenue cycle.
HIPAA Compliance : Ensuring HIPAA compliance is essential for protecting patient privacy and avoiding legal and financial penalties. A CMCC® must be well-versed in HIPAA regulations to provide guidance on maintaining confidentiality and security of patient information in all coding and billing activities.
Risk Adjustment : Familiarity with risk adjustment models, such as HCC coding, is critical for consultants advising on value-based care models. Understanding risk adjustment helps in accurately representing the patient population's severity and predicting healthcare costs.
Presentation Skills : Strong presentation skills are necessary to effectively communicate complex coding concepts, findings, and recommendations to stakeholders, including healthcare providers, administrators, and regulatory bodies.
Learning Methods : Knowledge of various learning methods enables the consultant to train and educate other coders, healthcare providers, and staff on best practices in medical coding, compliance, and documentation.
Project Management : Proficiency in project management is crucial for managing multiple coding projects simultaneously, ensuring timely completion, maintaining quality standards, and meeting client or organizational objectives.
NLP (Natural Language Processing) in Medical Coding : Understanding the application of NLP in medical coding is increasingly important for leveraging AI and automation in coding workflows. This skill enables the consultant to evaluate and implement advanced technologies that enhance coding accuracy and efficiency.

Embark on your journey to become a Certified Medical Coding Consultant with our flexible online course. You'll have access to:

Dive deep into medical coding, AI concepts

TO get CMCC Certificate from Accredible, you need to complete 1200 Medical Coding Assessment includes all specialities.

Comprehensive Study Materials : A full course manual with workbook exercises, a medical terminology course, and a practice exam to solidify your understanding.
Certification Exam : A timed, six-hour proctored exam to test your knowledge and earn your CMCC certification.

Important Notes

Reference Materials :You'll need your own current editions of CPT®, HCPCS, ICD-10-CM, and a medical dictionary throughout the course and on exam day. (See "Requirements" for details).
Passing Score : You need a 70% or higher to earn the CMCC certification.
Retake Option : If you don't pass on your first try, you can retake the exam for an additional fee.
Access Duration : Registered students can access the online recordings for up to one month after the original recording date.

Enroll today and take the first step towards a rewarding career in medical coding!

Prerequisites for CMCC - Certified Medical Coding Consultant Certification:

Candidates must be Medical Coders holding either a CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification, along with a minimum of five years of professional coding experience.

The CMCC exam was instrumental in landing my dream medical coding consultant job! The comprehensive curriculum prepared me for real-world scenarios, and the certification gave me a competitive edge." – Sid, CPC, CRC, CCS, CAIMC, CMCC

As a medical coding trainer, the CMCC certification solidified my expertise and boosted my credibility with students. The in-depth coverage of coding guidelines and compliance is invaluable." – Naresh, CPC, CAIMC, CMCC

The CMCC's focus on compliance and ethics is crucial in today's healthcare landscape. I feel confident navigating complex regulations and ensuring accurate coding practices." - Maria R.

The CMCC program equipped me with the skills to streamline our revenue cycle management. My understanding of coding's impact on reimbursement has improved our financial performance significantly." – Niki, CPC, CMCC.

The CMCC certification instilled in me a commitment to coding accuracy. The rigorous exam preparation honed my attention to detail, reducing errors and claim denials." - Emily K

Earning my CMCC certification opened doors to career advancement. I'm now leading a team of coders, confident in my ability to guide them towards excellence." - Michael S.

The CMCC's emphasis on ethics is refreshing. It's not just about coding; it's about doing what's right for patients and providers." - Lisa P

The CMCC certification is well-respected in the healthcare industry. It demonstrates a commitment to professional development and sets me apart from other coders." - Robert T.

The CMCC program challenged me to think critically and solve complex coding scenarios. These skills have proven invaluable in my day-to-day work." - Jennifer W.

The CMCC certification journey ignited a passion for continuous learning in the ever-evolving field of medical coding. I'm excited to stay ahead of the curve and contribute to improved patient care." - Mark B.

For admissions :

Call Jared Heaton for Admission Assistance, 1-801-486-3200

Eligibility and Examination

Eligibility : To be eligible for the CMCC credential, candidates must be certified medical coders with a minimum of 5 years of experience in the field.

Enrollment : Enrollment is free for eligible candidates. Once registered, you will receive login credentials to access the certification portal, where you must complete 1200 questions within 30 days to earn the CMCC credential.

Examination : The CMCC examination consists of multiple-choice questions designed to measure your comprehension of the body of knowledge, including ICD-10-CM, CPT, HCPCS, and specialty coding.

Why CMCC is Important
The medical coding market is experiencing rapid growth, with the market size estimated at USD 22.69 billion in 2024 and projected to reach USD 35.63 billion by 2029, growing at a compound annual growth rate (CAGR) of 9.45% during the forecast period. This growth is driven by several key factors:

1. Escalating Demand for Coding Services : The rise in medical admissions and the need for accurate medical billing and coding services have created a booming demand for skilled professionals. As of 2024, there have been around 34 million hospital admissions in the United States, significantly increasing the need for expert medical billers and coders.

2. Need for a Universal Language : The increasing complexity of healthcare services requires a universal language to minimize fraud and misinterpretation in insurance claims. The CMCC credential equips professionals with the necessary expertise to contribute to this critical aspect of healthcare.

3. Streamlining Hospital Billing Procedures : The demand for efficient hospital billing processes is growing, and CMCC-certified professionals are at the forefront of ensuring accuracy and compliance in medical coding, which is vital for reducing errors and improving patient care.

Ethics and Qualities of a Medical Coding Consultant
A Certified Medical Coding Consultant upholds the highest ethical standards and possesses the essential qualities that set them apart in the industry:

1. Ethical Integrity : CMCC-certified professionals are committed to maintaining strict confidentiality and adhering to all regulatory guidelines, including HIPAA compliance. Their work reflects a dedication to accuracy, transparency, and the ethical management of patient data.

2. Expert Knowledge : Proficiency in ICD-10-CM, CPT, HCPCS, ICD-10-PCS, AI Medical Coding, and other coding systems is essential. CMCCs are well-versed in the latest updates and healthcare reforms, including risk adjustment version 240V28, RAC audits, and CERT procedures.

3. Analytical Skills : CMCCs excel in analyzing medical coding systems, identifying deficiencies, and providing solutions to improve coding accuracy and compliance. Their ability to evaluate and report on coding practices ensures adherence to industry standards.

4. Leadership and Consultation : As consultants, CMCC-certified professionals lead coding projects, mentor other coders, and work collaboratively with healthcare providers to optimize coding processes and ensure compliance with regulatory requirements.

The CMCC Credential: A Mark of Quality Excellence

Earning the CMCC credential confirms your commitment to quality and the positive impact it will have on your career. With the growing demand for medical coding consultants, particularly those with expertise in ICD-10-CM, CPT, HCPCS, and AI medical coding, the CMCC certification positions you as one of the most qualified professionals in the industry.

Don’t Miss the Opportunity

The demand for skilled medical coding consultants is growing rapidly due to healthcare reforms, regular updates, and increasing regulatory scrutiny. The CMCC credential is your pathway to becoming a recognized expert in this dynamic and essential field. Don’t miss the opportunity to enhance your career and contribute to the quality and efficiency of healthcare systems. Register today and take the first step toward earning your CMCC credential.

Certified Medical Coding Consultant (CMCC) Credential

CMCC® - Certified Medical Coding Consultant