Certification

What Is the CPCS?

The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations.

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to:

• Maintaining compliance with regulatory and accrediting bodies;
• Participating in the development and implementation of credentialing processes and procedures;
• Credentialing of physicians, allied health and other practitioners;
• Overseeing or participating in the development of and adherence to:
  • Governance bylaws;
  • Department rules and regulations;
  • Policies pertaining to medical staff, practitioner/provider and the organization; and
• Collecting and maintaining an accurate practitioner database and analyzing verification information.

Why Certify?

Certification by NAMSS puts you in the driver’s seat: It increases your potential for advancement in any healthcare environment and indicates to your supervisor(s) and accreditation surveyors that you are an expert in the field, both which enhance your value and job security. Here are some other reasons for credentialing specialists to seek certification by NAMSS:

• More than 27% of current certificants received a salary increase as a result of their certification by NAMSS.
• By achieving your CPCS designation, you gain confidence and demonstrate professional competence in the application of your knowledge.
• CPCS certificants cite recognition and respect from peers and supervisors as a top value of certification.

CPCS Examination Eligibility Requirements

1. At the time of application, candidate must be currently employed in the medical services profession for at least the past 12 consecutive months and have a total of three years of experience within the past five years, OR
2. Be a CPMSM in good standing and be employed for at least the past 12 consecutive months in the medical services profession.

Resources for CPCS Candidates

CPCS Exam Content Outline

CPCS Exam Application

CPCS Post Cumulative Exam Statistics

CPCS Practice Examination

Candidate Handbook

NAMSS Credentialing Specialist Certification Preparation Course

NAMSS Online CE Center