CCS (Customs & Trade Compliance Certifications) study plan
CCS · Give each week a clear focus.
8 weeks · About 7 hours per week
Coding Knowledge and Skills
Map every ICD-10-CM chapter guideline and convention (Excludes1 vs Excludes2, laterality, 7th character, sequela) into a one-page-per-chapter reference sheet
Code 40 operative reports and inpatient scenarios from scratch, then audit each against the official guidelines and record the reason for every miss
Drill sequencing rules for principal diagnosis, principal procedure, and admission-vs-facility coding until you can state them without notes
Build a personal error log that classifies mistakes as guideline knowledge, look-up speed, or documentation interpretation
Your checkpoint
A 40-scenario coding practice set scored with a written error log showing error category and corrected rationale for each miss
Coding Knowledge and Skills
Apply CPT Evaluation and Management 2021+ office/outpatient rules, including medical decision making and time-based selection, to 25 documented encounters
Code 25 surgical and procedural cases spanning integumentary, musculoskeletal, and digestive systems, verifying bundling edits and modifier use
Interpret NCCI edits, modifier 25, 59, and X{EPSU} in written rationales for each modifier decision
Rehearse outpatient facility vs physician coding differences on the same 10 cases to expose setting-specific rules
Your checkpoint
A 50-question mixed ICD-10-CM/CPT timed practice exam scored at 75% or better, with every missed item rewritten as a one-line rule
Coding Knowledge and Skills & Data Content, Structure, and Standards
Code 20 inpatient cases end-to-end using MS-DRG logic, verifying CC/MCC impact and principal diagnosis selection
Explain the structure and purpose of the ICD-10-PCS axes (section, body system, root operation, body part, approach, device, qualifier) and build a root-operation quick-reference
Compare AHIMA and ACDIS ethical coding standards and identify how query practice differs between the two professional bodies
Describe the data elements and definitions in the legal health record and how documentation standards feed coded data
Your checkpoint
A one-page root-operation decision aid plus 20 inpatient cases coded with DRG assignment and a written CC/MCC justification
Data Content, Structure, and Standards & Information Governance
Diagram the flow of data from source documentation through coding, abstraction, and reporting, naming each standard applied at each step
Explain the roles of HIPAA, the HITECH Act, and 42 CFR Part 2 in governing use and disclosure of coded data
Outline an information governance framework covering data stewardship, retention, and destruction schedules for a mid-size hospital
Distinguish data quality dimensions (accuracy, completeness, timeliness, consistency) and give a coding-specific example of each
Your checkpoint
A two-page data governance brief mapping each data standard and regulation to the coding workflow step it controls
Revenue Cycle Management & Compliance and Regulatory
Trace a claim from charge capture through coding, claim scrub, payer adjudication, and remittance, identifying where coding errors create denials
Analyze 15 denial scenarios and write the corrective action and prevention control for each
Summarize the OIG compliance program seven elements and apply them to a coding audit plan
Explain the impact of value-based payment models and risk adjustment (HCC) on coding accuracy expectations
Your checkpoint
A denial root-cause analysis table covering 15 scenarios with prevention controls and a one-page coding audit plan aligned to OIG elements
Compliance and Regulatory & Coding Knowledge and Skills
Audit 20 previously coded records against official guidelines, scoring accuracy and writing compliant physician queries for each discrepancy
Apply query best practices (clinical indicators, non-leading language, multiple-choice format) and rewrite five poorly worded queries
Review the False Claims Act, Anti-Kickback Statute, and Stark Law and explain how each shapes coding and billing conduct
Re-drill the two weakest ICD-10-CM and CPT topic areas identified in your error log from weeks 1-3
Your checkpoint
A 20-record mock audit with accuracy rate, query letters, and a remediation summary for the two weakest topics
Data Analytics and Informatics & Leadership and Management & Health Law and Ethics
Compute and interpret core coding metrics: first-pass accuracy, query rate, DRG mismatch rate, and case mix index
Build a small dashboard or spreadsheet that visualizes those metrics from a sample dataset and state one action each metric would trigger
Draft a 10-minute briefing for a department manager on a coding quality issue, including recommendation and expected impact
Analyze two ethics scenarios involving pressure to upcode and describe the compliant response and escalation path
Your checkpoint
A metrics dashboard with sample data and a one-page executive briefing recommending one quality intervention
Coding Knowledge and Skills & Compliance and Regulatory & Revenue Cycle Management
Complete two full-length timed practice exams under test conditions and score each by domain to expose residual gaps
Re-code every missed item from both exams and confirm understanding of the governing rule for each
Review condensed notes for domains 2, 3, 6, 7, and 8 in two spaced sessions to lock in retention
Finalize a one-page exam-day strategy covering time allocation, item-flagging, and guideline look-up priorities
Your checkpoint
Two completed full-length practice exams with domain-level score breakdown showing 80% or better overall and no domain below 70%
Milestones
Week 2: Score 75% or better on a 50-question timed mixed ICD-10-CM/CPT exam and show a written rule for every missed item
Week 4: Produce the data governance brief and explain, without notes, where each standard and regulation enters the coding workflow
Week 6: Complete a 20-record mock audit with a documented first-pass accuracy rate and compliant queries for every discrepancy
Week 8: Score 80% or better overall on two full-length practice exams with no domain below 70%