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The RCCB® was established to improve professional development of radiology coders, identify a body of knowledge and skills necessary to the profession, and recognize those individuals who demonstrate a level of excellence through the certification exam.

The eligibility requirements and test materials for the RCCB®, known as RCC, credentialing program were developed based on a thorough study of the current state of knowledge in radiology coding. The test materials, standards and requirements may change as regulatory requirements change, and in accordance with annual CPT® and ICD-9 (ICD-10) updates. A national survey of radiology coders and their supervisors was conducted to define the body of knowledge for radiology coders and determine the content areas appropriate for the test. The survey was designed to identify the knowledge used by radiology coders in the day-to-day performance of their jobs. A representative panel of coding experts reviewed the results of the survey and identified the body of knowledge for radiology coding based on this data, which included: ethics, compliance, medical terminology, anatomy, CPT® and ICD-9 (ICD-10).The content outline for the test, which was based on this body of knowledge, can be found on page 10 of the Candidate Bulletin.

The test questions that make up the exam question bank were written by experienced radiology coders with expertise in all subspecialties of radiology and all types of radiology practices. The questions were then reviewed by a panel of coding experts prior to being selected for the test. After the test is taken, the questions are analyzed statistically to ensure reliability and validity. A pass rate then is determined and the test is scored.

The test question pool for the RCCB® credentialing program will be updated on a regular basis to reflect current radiology coding practices and regulatory requirements. Individual questions that have been shown by statistical analysis to be unclear or outdated will be modified or deleted from the pool.

The RCCB® certification test has been designed to meet testing industry standards for validity and reliability. Validity is the degree to which the content of the test reflects the knowledge and skills required to perform the duties of a radiology coder in an accurate and efficient manner. Reliability is the accuracy of the test results; that is, the likelihood that if you took the test on two separate occasions, under the same conditions (i.e., with the same level of knowledge and professional experience), you would achieve the same results.

Certification is obtained only after an individual has submitted an application, met the eligibility requirements and successfully completed the certification examination. Submission of an application does not guarantee that an applicant will be certified.