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AHIMA Certified Coding Associate

AHIMA Certified Coding Associate — Allied Health credential from American Health Information Management Association (AHIMA)

Researched and maintained by Health-information & clinical-support certifications desk · Figures last verified August 2026

Verified against American Health Information Management Association (AHIMA) sources Applied
Awarded by American Health Information Management Association (AHIMA)
Exam fee $199 AHIMA member / $299 non-member
Length 2 hours
Pass mark Passing score set by the awarding body; see the official score report
AHIMA Certified Coding Associate — quick facts at a glance: requirements, exam format, fees and timeline
AHIMA Certified Coding Associate — verified snapshot

The short version

What is the AHIMA Certified Coding Associate and is it worth it?

AHIMA Certified Coding Associate is a professional credential administered by American Health Information Management Association (AHIMA). It validates job-ready knowledge and skills in the Allied Health field and is used for career entry, advancement, or compliance.

  • Recognized credential from American Health Information Management Association (AHIMA)
  • Demonstrates verified competence in Allied Health
  • Supports career advancement and may satisfy licensing or employer requirements

What is it?

What exactly is the AHIMA Certified Coding Associate?

AHIMA Certified Coding Associate — Allied Health credential from American Health Information Management Association (AHIMA)

Entry-level coding credential covering both hospital and physician settings., a nationally recognized professional credential in this field. Offered by American Health Information Management Association (AHIMA), it is designed for candidates who need to demonstrate verified competence in the Allied Health field. The credential is commonly used for career entry, advancement, regulatory compliance, or employer requirements. Candidates should review the official handbook for eligibility, exam format, and scoring before registering.

About American Health Information Management Association (AHIMA): American Health Information Management Association (AHIMA) is the awarding organization for the credentials listed on this page. It develops, administers, and maintains professional certification and examination programs within its field. Specific eligibility, fees, and renewal terms vary by individual credential — always confirm on the official program page.

The path in brief

  1. Confirm you meet any eligibility or prerequisites
  2. Review the official handbook and study materials
  3. Register and pay through the awarding body or authorized provider
  4. Schedule and take the exam (test center or online proctoring)
  5. Receive your score and, if passed, your credential

Before you book

Who is eligible to sit the AHIMA Certified Coding Associate?

Eligibility varies; many credentials are open to all, while others require coursework, work experience, or sponsorship.

Prerequisites: A high school diploma or equivalent (AHIMA recommends six months of coding experience or an approved coding program, but neither is mandatory).

Who it is for: Professionals and candidates seeking to validate Allied Health competence.

The test itself

What is the format of the AHIMA Certified Coding Associate?

The AHIMA Certified Coding Associate is administered by American Health Information Management Association (AHIMA) and runs 2 hours and contains 105 (90 scored + 15 unscored pretest items) questions.

Administered byAmerican Health Information Management Association (AHIMA)
Questions105 (90 scored + 15 unscored pretest items)
Time limit2 hours
Pass markPassing score set by the awarding body; see the official score report
Exam fee$199 AHIMA member / $299 non-member
FormatProctored, computer-based (test center or online remote proctoring)

Content outline

What topics are on the AHIMA Certified Coding Associate?

The AHIMA Certified Coding Associate covers 4 content domains.

Weightings come from the official exam outline. Study time is best allocated in roughly these proportions rather than evenly across domains.

  • Anatomy & physiology

    Topic area tested on the exam; see the official blueprint for the detailed breakdown.

  • Clinical procedures

    Topic area tested on the exam; see the official blueprint for the detailed breakdown.

  • Patient care & safety

    Topic area tested on the exam; see the official blueprint for the detailed breakdown.

  • Documentation & ethics

    Topic area tested on the exam; see the official blueprint for the detailed breakdown.

Study materials

Which study guide should you use for the AHIMA Certified Coding Associate?

Start with the exam sponsor's official content outline. If you also want one structured resource to work through, these are the Mometrix titles that match this exam.

Affiliate links We may earn a commission if you buy through these links, at no extra cost to you. Mometrix has no say in what our exam guides cover. How we make money.

The path

How do you register for the AHIMA Certified Coding Associate?

  1. 1

    Visit the awarding body’s official website and create an account

  2. 2

    Select the credential and review its specific requirements

  3. 3

    Complete any required eligibility (education, experience, or training)

  4. 4

    Pay the registration fee

  5. 5

    Schedule the exam at a test center or online

  6. 6

    Take the exam and receive your results

Preparing for it: Exams are delivered through the awarding body and/or authorized test providers such as Pearson VUE or Prometric where applicable.

The fine print

What are the retake and renewal rules for the AHIMA Certified Coding Associate?

Proctoring & delivery
Proctored, computer-based delivery (test center or remote online proctoring), varying by exam.
Retake policy
Varies by credential — most bodies permit retakes after a waiting period and full or partial fee.
Score reporting
Scores are reported per the body’s timeline, typically electronically after the exam.
Recertification
Varies; many credentials require renewal every 2–3 years via continuing education or a recertification exam.

What it pays

How much does this credential pay?

$48,890 median for medical records specialists (BLS, May 2024)

There is no Bureau of Labor Statistics occupation called "AHIMA CCA" — the Certified Coding Associate credential certifies entry-level medical coding skill, and the wage question belongs to the occupation you perform with it. The closest official BLS occupation is Medical Records Specialists, SOC 29-2072, which had a May 2024 median wage of $48,890, with the lowest 10 percent under $32,140 and the highest 10 percent above $79,260. The fit is deliberate: CCA holders work as entry-level medical coders, coding the diagnoses and procedures in patient records for billing and reporting, and BLS counted 198,100 medical records specialist jobs in 2024, projecting 7 percent growth from 2024 to 2034 with about 17,600 openings a year. The limitation to state plainly: the BLS median covers the whole occupation at all levels, credentialed or not, and the CCA is explicitly an entry-level credential, so the realistic benchmark for a new holder sits at or below the median, climbing with the CCS (Certified Coding Specialist) credential and experience. Read the number as the market for the occupation, with the credential as the entry ticket and the advanced credentials as the advancement path.

MeasureFigureSource / note
Median annual wage, medical records specialists$48,890BLS OOH, SOC 29-2072, May 2024
Lowest 10 percentUnder $32,140BLS OOH, SOC 29-2072, May 2024
Highest 10 percentAbove $79,260BLS OOH, SOC 29-2072, May 2024
Projected openings per year~17,600BLS OOH, SOC 29-2072, 2024-2034

Job growth.BLS projects 7 percent growth for medical records specialists from 2024 to 2034, about 17,600 openings per year.

Source: BLS Occupational Outlook Handbook - Medical Records Specialists

Your odds

What are the pass rates?

AHIMA publishes the passing standard and reports pass rates by credential; the CCA pass rate is not published as a single national figure

AHIMA does not publish a single national pass rate for the CCA exam, and third-party estimates are not official data, so we do not treat them as authoritative. What AHIMA does publish is the format and the passing standard: the CCA exam is a computer-based exam of 100 questions with a 2-hour time limit, and the result is reported on AHIMA's scaled score system with a passing standard set by the credentialing program (AHIMA's exams report results on a scaled basis rather than a simple percentage). The exam content follows the published content outline, covering clinical classification systems (ICD-10-CM and CPT coding), the coding process, regulatory and compliance requirements, and health information management fundamentals. The absence of a published pass rate is not an absence of standards: the exam validates entry-level coding competency, and the scaled scoring means performance is judged against a fixed standard rather than a curve. The practical reading: complete an accredited coding education program (the typical eligibility path), study the current coding guidelines and the content outline, and prepare for a computer-based exam that tests applied coding decisions, not just book knowledge.

Read this before quoting the number.AHIMA publishes the format and scaled scoring but no single national CCA pass rate; any percentage circulating online is a third-party estimate.

Source: AHIMA - Certified Coding Associate (CCA) certification

Your schedule

How long should I study for it?

60-120 hours of exam study over 6-8 weeks (after the accredited coding program) of focused study

The CCA exam is a 100-question, 2-hour computer-based exam, and its curriculum is the published content outline: clinical classification systems (ICD-10-CM and CPT), the coding process, regulatory and compliance requirements, and health information management fundamentals. Eligibility typically requires completion of an accredited coding education program, which is also where the hands-on coding practice happens. A defensible plan runs 60 to 120 hours of exam-focused study over 6 to 8 weeks, on top of the education program. Weeks 1-2: ICD-10-CM — the classification structure, coding conventions, and the official guidelines for diagnosis coding. Weeks 3-4: CPT — the procedure coding structure, modifiers and the coding process from documentation review to code assignment. Weeks 5-6: compliance and health information fundamentals — regulations, audits, data quality and health records. Weeks 7-8: coding-practice drilling in volume and timed practice exams at the real format. The plan is practice-heavy because the exam rewards applied coding decisions; code real scenarios from the guidelines, not just memorised rules.

  1. Weeks 1-225

    ICD-10-CM

    • Classification structure and coding conventions
    • Official guidelines for diagnosis coding
    • Scenario coding practice
  2. Weeks 3-425

    CPT

    • Procedure coding structure and modifiers
    • The coding process from documentation to code
    • Scenario coding practice
  3. Weeks 5-625

    Compliance and fundamentals

    • Regulations, audits and compliance
    • Health records and data quality
    • Health information management basics
  4. Weeks 7-825

    Drill and simulate

    • Coding practice in volume
    • Timed practice exams at the real format
    • Review weak content areas

Adjusting the pace

Recent coding program graduate.The coding skill is fresh; focus study on the exam format and the compliance block.

Career-changer with HIM background.Add 1-2 weeks of ICD-10-CM and CPT refresher before the drill phase.

How to study

How do I prepare most effectively?

The CCA exam rewards applied coding decisions, so the dominant strategy is coding practice: work real coding scenarios against the official ICD-10-CM and CPT guidelines, because the exam tests the decision process — reading the documentation, applying the conventions and guidelines, and selecting the correct code — not memorised code lists. Second, use the published content outline as the scope map and audit every study resource against it. Third, master the coding guidelines deliberately: the official guidelines are the authority the exam follows, and candidates who code from habit instead of the current guidelines lose points. Fourth, drill the compliance block — regulations, audits and data quality — which is a distinct content area that candidates focused on codes routinely under-prepare. Finally, take at least two timed practice exams at the real 100-question, 2-hour format; the pace is part of the test, and the computer-based delivery rewards comfort with the interface.

Code real scenarios

The exam tests the decision process; practise against the current guidelines.

Audit against the content outline

The published outline is the authoritative scope.

Master the current guidelines

The official guidelines are the authority; code by them, not by habit.

Drill the compliance block

Regulations, audits and data quality are a distinct content area.

Run two timed simulations

100 questions in 2 hours; the pace and interface are part of the test.

What to buy

Which study resources are worth paying for?

CCA costs are dominated by the education program: accredited coding education programs range from roughly $1,500 to $5,000 depending on the institution and format, and they are the standard eligibility path and the source of hands-on coding practice. The AHIMA exam fee is about $199-$299 depending on membership status. AHIMA's official study materials — the CCA exam preparation products, the content outline (free) and the coding manuals (ICD-10-CM and CPT, roughly $100-$300) — are the core study stack. Third-party practice-exam products add $50-$150. A realistic total budget is $2,000 to $6,000 including the program. Prices below are list prices as of mid-2026 and change frequently; we rank nothing by commission.

ResourcePriceFormatBest for
AHIMA content outlineFreeOfficial PDFThe authoritative scope; read it first
Accredited coding program$1,500-$5,000Classroom or online + practiceThe eligibility and coding-skill core
ICD-10-CM and CPT manuals$100-$300Printed or digital manualsThe reference the exam follows
AHIMA exam prep products$100-$300Online prep and practiceThe official preparation path
Third-party practice exams$50-$150Online simulated examsVolume drilling before the exam

List prices as of mid-2026, subject to change; AHIMA fees vary by membership; no commission or affiliate ranking is implied.

Avoid these

What mistakes do candidates most often make?

The most common CCA mistake is memorising code lists instead of learning the coding process: candidates who study codes without the guidelines and conventions fail the applied items, which test the decision from documentation to code. The fix is scenario coding practice from the start. The second mistake is using outdated guidelines — coding rules change annually, and candidates who code from old habits or old materials answer current questions wrong. Third, candidates under-prepare the compliance and health-information block, treating it as secondary when it is a distinct content area. Fourth, some candidates rush the eligibility path and arrive without the accredited program documentation; confirm it early. Finally, candidates who never run a timed simulation misjudge the 2-hour pace and the computer-based delivery; two simulations are the minimum.

✕Memorising code lists

✓Learn the coding process — documentation to code, by the guidelines.

✕Using outdated guidelines

✓Coding rules change annually; use current materials.

✕Under-preparing compliance

✓Regulations and audits are a distinct content area; drill it.

✕Rushing the eligibility path

✓Confirm the accredited program requirement early.

✕Skipping timed simulations

✓100 questions in 2 hours; run two timed simulations.

What you'll face

What question types will I see?

The CCA exam is a 100-question computer-based exam in 2 hours, and its items are coding-decision-focused: a described record, scenario or documentation excerpt followed by the correct code assignment, guideline application, or compliance action. The exam covers clinical classification systems, the coding process, regulatory and compliance requirements, and health information management fundamentals per the published content outline. Samples below are editor-written illustrations of the published content outline, not live exam items; they show the applied coding style of the real items.

Coding scenario itemsMajority

Documentation with the correct ICD-10-CM or CPT assignment.

Guideline application itemsLarge minority

Applying conventions, sequencing and modifier rules.

Compliance and HIM itemsMeaningful share

Regulations, audits, data quality and health records.

Try these

Q1A patient is admitted with pneumonia due to COVID-19, confirmed by test. Under the official coding guidelines, the correct sequencing is:
  • A. Code the pneumonia as the principal diagnosis with COVID-19 as a secondary diagnosis
  • B. Code COVID-19 as the principal diagnosis with the pneumonia as a manifestation
  • C. Code only the pneumonia
  • D. Code only COVID-19

Answer:B

Under the current guidelines, when COVID-19 causes pneumonia, COVID-19 is sequenced as the principal diagnosis and the pneumonia is coded as a manifestation (in this case with the combination code). Coding only one condition or sequencing the manifestation first misapplies the guideline.

Q2Which CPT modifier indicates that a procedure was performed bilaterally?
  • A. Modifier 50
  • B. Modifier 51
  • C. Modifier 52
  • D. Modifier 59

Answer:A

Modifier 50 identifies bilateral procedures. Modifier 51 indicates multiple procedures, 52 reduced services, and 59 a distinct procedural service.

Q3A coder discovers a discrepancy between the documented diagnosis and the code assigned by the previous coder. The appropriate action is to:
  • A. Follow the facility's coding and query process, including a physician query where appropriate
  • B. Change the code to match the previous coder
  • C. Ignore the discrepancy
  • D. Delete the code and leave it blank

Answer:A

Coding practice requires resolving discrepancies through the facility's process, including a physician query when the documentation is ambiguous — not silently matching, ignoring or deleting the code.

Samples are editor-written illustrations of the published content outline, not live exam items.

The big day

What should I expect on exam day?

The CCA exam is a 100-question, 2-hour computer-based exam taken at a Pearson VUE centre or through the approved testing platform. Bring the required identification matching your registration and your exam confirmation; arrive early — late arrivals may forfeit the appointment and fee. The exam is closed book: you cannot bring coding manuals, so the exam tests what you know, and the interface provides the tools you need. Pace at about 72 seconds per item and flag uncertain items for review. Your result is reported after the exam, with the official score report following. If you do not pass, AHIMA's retake policy defines the waiting period and reapplication. On a pass, the CCA credential requires continuing education to maintain — AHIMA credentials have an annual maintenance requirement, so plan it from the start. The afterwards matters: the CCA is the entry credential; the CCS (Certified Coding Specialist) is the common next step, and employers often pay a premium for the advanced credential.

Bring

  • Required identification matching your registration
  • Exam confirmation

Leave at home

  • Coding manuals — the exam is closed book
  • Personal electronics and study materials

How the day runs

Before the examConfirm the appointment, ID requirements and the testing centre or platform.
Exam100 questions in 2 hours; pace ~72 seconds per item, flag and review.
After submitResult is reported; the official score report follows.
NextPlan the continuing-education maintenance and the CCS step.

Rules in the room

  • The exam is closed book — no coding manuals may be brought in
  • 2 hours for 100 questions; the clock does not pause
  • The credential has an annual maintenance requirement

Afterwards.On a pass, maintain the CCA with the required continuing education. On a fail, follow the AHIMA retake policy after additional study. Plan the CCS as the advancement step.

Reference

What are the key facts about the AHIMA Certified Coding Associate?

AHIMA Certified Coding Associate is a certification credential; awarded by American Health Information Management Association (AHIMA); the exam fee is $199 AHIMA member / $299 non-member; typical preparation is 2 hours (100 questions); holders typically earn $35,000-$60,000.

CredentialAHIMA Certified Coding Associate
AbbreviationCCA
TypeCertification
ProfessionAllied Health & Medical Support
SpecialtyCoding and HIM
Awarded byAmerican Health Information Management Association (AHIMA)
DifficultyApplied
Typical prep time2 hours (100 questions)
All-in cost~$199-$299 depending on membership
Typical salary range$35,000-$60,000
CredentialAHIMA Certified Coding Associate
Awarding bodyAmerican Health Information Management Association (AHIMA)
Exam formatProctored, computer-based
Validity2 years — renew with continuing education credits (CEUs) per AHIMA's recertification cycle.
LanguagesVaries — see awarding body
ScopeNational / Multi-state

Real questions

Frequently asked questions about the AHIMA Certified Coding Associate

How do I register for the AHIMA Certified Coding Associate exam?

Register through American Health Information Management Association (AHIMA)'s official portal or an authorized test provider (e.g., Pearson VUE or Prometric where applicable). Create an account, select the exam, pay the fee, and schedule a date.

How much does the exam cost?

Fees vary by location and currency. Confirm the current fee on the official registration page before scheduling.

How long is the credential valid, and how do I renew?

The CCA is valid for 2 years and is renewed by earning the required continuing education credits (CEUs) and paying the renewal fee per AHIMA's recertification cycle; check the AHIMA site for the current requirements.

What if I do not pass?

Most bodies allow retakes after a waiting period and payment of the full or partial fee. Check American Health Information Management Association (AHIMA)'s retake policy before rescheduling.

How do I register for a American Health Information Management Association (AHIMA) credential?

Register through the official website, select your exam, pay the fee, and schedule a date.

How do I renew a credential?

Renewal policies vary by credential; check the specific program page for requirements and cycles.

In short

Is the AHIMA Certified Coding Associate worth it?

  • AHIMA Certified Coding Associate is awarded by American Health Information Management Association (AHIMA).
  • Validates job-ready competence in Allied Health.
  • Registration is through the awarding body or an authorized test provider.
  • Renewal and retake policies vary — confirm before scheduling.

Same awarding body

What other credentials does American Health Information Management Association (AHIMA) award?

Worth comparing

How does the AHIMA Certified Coding Associate compare with similar credentials?

Trust

Where does this information come from?

Everything above is taken from the awarding body's own published material. Fees, question counts and domain weights are revised regularly — check the official page before you pay.

Research confidence: low · Last reviewed 2026-08

How this guide is maintained

Health-information & clinical-support certifications desk

This desk covers health-information certifications. Exam structure, fees and rules come from the certifying body's official pages (AHIMA), which are revised regularly; wage figures come from the Bureau of Labor Statistics Occupational Outlook Handbook series named by SOC code. When a figure is not published, we say so plainly rather than guessing.

Verified against AHIMA's Certified Coding Associate (CCA) program pages and BLS OOH Medical Records Specialists (SOC 29-2072), May 2024 data. Every fee, score and deadline on this page was checked against the primary sources cited above in August 2026. Exam boards change these without notice — confirm anything you are about to pay for on the official site.