dcsimg

Medical Billing and Coding Certification and Requirements

Medical billing and coding professionals are tasked with ensuring that payment requests made to insurance companies are accurate and complete. Because they have the financial well-being of health care facilities in their hands, it's imperative for these workers to receive extensive, quality training. To help ensure that they are hiring knowledgeable workers, many organizations require that billing and coding employees receive a professional certification. There are a number of certifications available for these workers, some of which are offered by the American Health Information Management Association (AHIMA) and the American Academy of Procedural Coders (AAPC). The requirements for certifications generally include working in the field for a certain amount of time, completing continuing education courses, or passing an examination.

Although medical coding and billing can be done by the same person, they are actually two distinct functions, and professionals can obtain a certification for each one. Coding certifications -- such as the Certified Professional Coder (CPC) and Certified Professional Coder-Hospital Outpatient (CPC-H) offered by the AAPC -- test on knowledge of medical codes for diagnoses and procedures, reimbursement guidelines, medical terminology and what to do when a claim is denied.

Similarly, billing certifications like the Certified Professional Biller (CPB), allows professionals to demonstrate their knowledge about types of insurance plans, the life cycle of a medical bill, and how to follow up on a medical claim.

Educational requirements for medical billing and coding

To embark on a career in medical billing and coding, candidates are required to complete a high school diploma, or its equivalent, and are encouraged to take courses in health, math, biology, and computer science. After graduation, they may be required to obtain an associate degree or a postsecondary certificate that may take about one year to complete. According to the Bureau of Labor Statistics (BLS.gov), some employers also require that employees earn a professional certification in addition to a billing and coding degree.

Benefits of billing and coding certification

Certification may be a condition to gain employment in some cases, but it may also help some workers advance in their careers and gain the potential to boost their salaries. According to a survey conducted by AAPC, medical coders and billers who earn a professional certification generally make 20 percent more than those who do not.

Sources:

Medical Billing and Coding Certification, Ultimate Medical Academy, Accessed June 23, 2014, http://www.ultimatemedical.edu/education/medical-billing-and-coding-certification

Medical Certification Overview, AAPC, Accessed June 23, 2014, http://www.aapc.com/certification/

Medical Records and Health Information Technicians, Bureau of Labor Statistics, Occupational Employment Statistics, January 8, 2014, http://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm

Six Steps to Becoming a Certified Medical Coder, Find A Code, Accessed June 23, 2014, https://www.findacode.com/articles/six-steps-to-becoming-a-certified-medical-coder.html

What is Medical Coding?, AAPC, Accessed June 23, 2014, http://www.aapc.com/medical-coding/medical-coding.aspx

Medical Billing & Coding Schools

Refine School Matches
Hide filters
  • SUBJECT Clear All

    See More

  • DEGREE

    See More

  • PROGRAM TYPE

  • START TIME

    LOCATION
    Please enter valid US or Canada Zip.
            Results open in new window

            Searching Searching ...

            Matching School Ads
            Medical Billing and Coding Certificate
            • Ranked among the Best Online Bachelor's Programs in 2015 by U.S. News and World Report.
            • Lets undergrad students try classes before paying any tuition.
            • Has an average class sizes of 18 for undergraduate and 13 for graduate-level courses.
            • Offers numerous scholarship opportunities that can help students save up to $750 per term on their tuition.
            • Tends to educate degree-seeking online and campus-based students who are adult learners with families and students who work while pursuing higher education.
            • Online Courses
            • Flexible Scheduling
            • Financial Aid
            • Transferable Credits
            Medical Front Office and Billing (10-month diploma program)
            • Medical Front Office & Billing program covers medical office procedures, insurance claim processing, laboratory coding, and other valuable skills.
            • Prepares students for opportunities to work as Admissions Coordinators, Medical Office Specialists, Billing Coordinators, and more.
            • Continually maintains programs according to industry needs by working closely with industry experts and employers.
            • Provides well-equippped training facilities to give students the advantage of hands-on training.
            • Accredited
            • Flexible Scheduling
            • Financial Aid
            • Transferable Credits
            Medical Billing and Office Administration
            • A part of the Select Education Group (SEG).
            • Offers several scholarship and financial aid opportunities for students who qualify.
            • California campuses accredited by the Accrediting Commission of Career Schools and Colleges, and accreditation for the Salem campus from the Accrediting Council for Continuing Education and Training.
            • 4 Campuses located in Clovis, Modesto and Redding in California, and Salem in Oregon.
            • Accredited
            • Flexible Scheduling
            • Financial Aid
            • Transferable Credits
            Medical Biller
            US Colleges , Riverside
            • Offers health care and business programs that prepare students to enter the working field in as little as 8-16 weeks.
            • Provides morning, afternoon, and evening classes for most courses.
            • Offers career placement assistance to help students with their resumes, job-searching techniques, interview practice, and more.
            • Engages students through hands-on learning in labs, internships, and externships.  
            • Gives students the option to break up tuition costs into interest-free payments over the course of their education.  
               
            Show more [+]
            Medical Coding and Billing
            American Institute , West Hartford

            At American Institute, we believe you can become whatever you want to be, and we’re ready to help you get there. We pride ourselves on working hard to deliver quality, innovative education to our students that gives them the skills to begin or enhance their careers. We try to help our students meet their goals of changing or enhancing their careers, and also help prospective employers of our graduates in meeting the workforce needs of the 21st century while actively participating in the communities we operate within.

            • Flexible Scheduling
            • Financial Aid