Certification Application

Please fill out the application below

This application page assumes you already know your testing location. If you do not know your testing location, we encourage you to register for an exam by location under "Exam Schedule" or by clicking here. To register, simply click the "Register" button next to the location. Location and date will automatically be filled in for you.

Please note that PAHCS membership is required to take the certification exam. If you are not yet a member of PAHCS, we invite you to learn more about the benefits of membership.

Exam Location and Date:
Member #:
(use 0001 if unknown)
First Name:
Last Name:
Email:
Education Level:
HS Associate Bachelor Masters PhD
Experience
Active Employment as Medical Coder
Formal Education Pertinent to Healthcare
Currently Employed as Coder:
Yes No
If Current Employer Less than 2 Years, Enter Previous Employer Contact Information
List Any Memberships to Other Professional Organizations:

Professional Reference #1:

Professional Reference #2:
Select Exam Choice:



*If you need to fax your application to PAHCS, please click here for special documents