CCA Certified Coding Associate (AHIMA) Practice Test

140 questions available

Entry-level medical coding certification covering basic ICD-10-CM, CPT coding, health record documentation, and reimbursement methodologies.

Certification exam

Associate Level

Practice bank

140 Practice Questions

2 hours 20 minutes Practice Time

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The bank 140 Practice questions checked against the official objectives.

American Health Information Management Association140 practice questionsBank updated 2026-05-08

Sample Questions

Try a few questions to see what the full exam is like.

Information Technologies (EHR, HL7, FHIR)

A continuity-of-care document is exchanged as a structured XML clinical summary after a referral. Which standard best fits?

Reimbursement Methodologies (DRG, RBRVS, RVU, MIPS)

A physician fee schedule update lowers the conversion factor while RVUs stay the same. What happens to allowed payment before other adjustments?

Information Technologies (EHR, HL7, FHIR)

A hospital interface sends ADT admission, discharge, and transfer messages from the registration system to ancillary systems in near real time. Which standard is most commonly associated with these pipe-delimited messages?

Clinical Classification Systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS)

A skin graft is moved from the patient's thigh to cover a burn wound on the hand. Which PCS root operation usually describes moving a body part to another location to take over function?

Clinical Classification Systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS)

A planned colonoscopy is started, but the physician cannot advance beyond the sigmoid colon because of poor preparation and terminates the procedure. Which CPT modifier concept is most relevant?

Why This Certification Opens Doors

In the real world, accurate medical coding is the linchpin of healthcare revenue, patient care analytics, and regulatory compliance. Incorrect codes lead to claim denials, lost revenue for providers, and skewed data that impacts public health reporting and research. The CCA certification matters because it provides tangible proof of your ability to perform this critical function correctly from day one. It directly impacts a healthcare organization's financial health and data reliability, making you a valuable, credible asset in an industry that demands precision and accountability.

Exam Details AHIMA-CCA

Exam Code AHIMA-CCA

Vendor American Health Information Management Association

Frequently Asked Questions

Is the CCA exam open-book? Can I use my coding manuals?

Yes, this is a critical feature of the exam. You are required to bring and use current, unmarked copies of the ICD-10-CM, ICD-10-PCS, and CPT code books. The test assesses your ability to use these references efficiently and correctly, just as you would on the job. Familiarity with the organization and guidelines within your manuals is essential for success.

How does the CCA differ from other entry-level coding certifications like the CPC?

The CCA is a multi-setting credential from AHIMA, with a strong emphasis on hospital-based coding (ICD-10-PCS for inpatient procedures) alongside CPT for outpatient services. In contrast, the CPC from AAPC is heavily focused on physician-based outpatient coding. The CCA is often seen as a broader foundation, making it ideal for those seeking roles in hospitals or integrated health systems that require knowledge across the care continuum.

What is the passing score, and how is the exam formatted?

AHIMA uses a scaled scoring system, with a passing score set at 300. The 126 questions are multiple-choice and multiple-select (select all that apply), covering domains like Coding Concepts, Diagnosis and Procedure Coding, and Regulatory Guidelines. The time limit is 2 hours, requiring efficient time management and manual navigation.

I have no direct coding experience. Can I realistically pass the CCA?

Absolutely. The CCA is explicitly designed as an entry-point certification. Success is highly achievable through formal education (e.g., a coding certificate program) and dedicated self-study. Focus on thoroughly understanding coding guidelines and completing hundreds of practice questions and case studies to simulate the exam experience.

What kind of job roles should I target after earning my CCA?

The CCA credential qualifies you for roles such as Coding Specialist, Medical Records Coder, Charge Entry Specialist, or Health Information Technician in hospitals, clinics, physician offices, and consulting firms. It is often the first step toward more advanced certifications (like the CCS) and career advancement in health information management.

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