Certification: Certified Provider Credentialing Specialist (CPCS)
2025 M St. , NW Suite 800 Washington, DC 20036
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).<br>A CPCS is an integral part of a credentialing team and may be responsible for maintaining compliance with regulatory and accrediting bodies, participating in the development and implementation of credentialing processes and procedures, governance bylaws, department rules and regulations, medical staff, organizational, and/or practitioner/provider policies, maintaining an accurate practitioner database, and collecting and analyzing verification information.
- More than two years of education or training after high school required?
- Yes
- More than two years of work experience required?
- Yes
- Either training or work experience required, but not both?
- No
- Oral or Written Exam Required?
- Yes
- Renewal Required?
- Every 3 Year(s)
- Renew through Continuing Educational Units(CEU)?
- Yes
- Renew through Continuing Professional Development(CPD)?
- Yes
- Does applicant have choice of at least two options from above for renewal (CEU, CPD, or exam)?
- No
Specialty
The certification corresponds to a specialty within a recognized occupation. For example, Oncology Nurse and Pediatric Nurse are specialties within the nursing field, so Certified Oncology Nurse and Certified Pediatric Nurse would be classified as specialty certifications.
- This certification is considered in demand.
- This certification is accredited by the National Commission for Certifying Agencies (NCCA).
- This certification is related to military occupational specialties.