Hyderabad, India – April 18, 2025 – PMBAUSA LLC, a pioneer in medical coding and billing certification and training, proudly announces the launch of its newest elite credential — CMCC®: Certified Medical Coding Consultant. This globally recognized certification is designed for experienced medical coders ready to transition into leadership, audit, training, and consultancy roles in the rapidly evolving healthcare industry.

As medical coding becomes more critical in the age of AI, compliance regulations, and evolving payer guidelines, there is a growing demand for expert consultants who can audit records, guide coding teams, train staff, and advise healthcare organizations. The CMCC® certification by PMBAUSA LLC addresses this need by validating the advanced skills, experience, and leadership capabilities of senior coders.

About the CMCC® Credential

The Certified Medical Coding Consultant (CMCC®) credential is designed for medical coding professionals with a minimum of five years of practical coding experience. It goes beyond basic code assignment and focuses on coding audits, DRG/APC validation, project leadership, compliance assurance, risk adjustment advisory, NLP integration, and coder mentoring.

Candidates must demonstrate not only coding proficiency but also strategic consulting knowledge across all key domains — inpatient, outpatient, surgery, HCC risk adjustment, billing compliance, and AI-assisted coding methodologies.

Eligibility Criteria

To apply for CMCC®, candidates must meet the following requirements:

• 5+ years of experience as a professional medical coder.
• Completion of 1,000 medical coding scenario assessments within 30 days, with a minimum 80% accuracy score.
• Prior certification in at least one major coding system (e.g., CPC, CCS, CAIMC, FIMC, or equivalent).

This credential ensures that only qualified professionals who meet rigorous competency and ethics standards are certified.

Core Areas Covered in the CMCC® Program

The CMCC® curriculum and assessments span multiple domains, including:

• ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II coding systems
• MS-DRG and APC grouping logic
• Inpatient and outpatient medical coding
• HCC Risk Adjustment and RAF Score analysis
• Medical billing and revenue cycle processes
• HIPAA and compliance regulations
• Coding audits and quality assurance
• AI, Natural Language Processing (NLP), and automation in medical coding
• Training methodologies and presentation skills
• Project leadership and coder upskilling strategies

Training and Certification Process

The CMCC® certification is offered in a completely online, self-paced format, enabling experienced coders to learn and test from anywhere. The program includes:

• Access to 1000+ redacted, real-world medical records across specialties
• Detailed rationales for each coding scenario
• Consultant-level case studies and audits
• Live Q&A support and mentorship
• Two attempts at the final certification exam

Why CMCC®?

CMCC® empowers coders to move beyond routine coding roles and establish themselves as thought leaders, trainers, and trusted advisors in the healthcare documentation and reimbursement landscape.

“Today’s coders are tomorrow’s consultants,” said Dr. Santosh Guptha, Founder and CEO of PMBAUSA LLC and Medesun. “With CMCC®, we are giving seasoned coders a platform to elevate their careers. This credential not only recognizes their hard-earned skills but also prepares them to lead audits, ensure compliance, and contribute to the evolution of AI in medical coding.”

Key Benefits of Becoming a CMCC®

• Advance your career from coder to consultant, trainer, or auditor
• Gain credibility to advise hospitals, RCM companies, and AI vendors
• Work on real-world scenarios to sharpen audit and advisory skills
• Earn recognition as a senior-level coding professional with consulting capability
• Be future-ready for AI, automation, and value-based payment models

Global Recognition and Future Scope

CMCC® -certified professionals will be listed in the PMBAUSA Global Consultant Registry — a resource for healthcare organizations, coding companies, and AI developers seeking qualified experts for audits, projects, and training.

Whether you’re a senior coder in the U.S., UAE, UK, or India, the CMCC® credential is designed to validate your global consulting competence in medical coding.

About PMBAUSA LLC

PMBAUSA LLC is a globally trusted training organization offering advanced certifications in medical coding, billing, and compliance. With its innovative credentials like CAIMC (Certified AI Medical Coder), CPMB (Certified Professional Medical Biller), FIMC (Fellowship in Medical Coding), and now CMCC®, PMBAUSA continues to set new benchmarks in healthcare documentation and RCM education.

Enrollment Details

To apply for the CMCC® program or to learn more, visit: www.pmbausa.com

Email: [email protected]

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