How to become a medical billing and coding technician

Is becoming a medical billing and coding technician right for me?

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Overview
What do medical billing and coding technicians do?
Career Satisfaction
Are medical billing and coding technicians happy with their careers?
Personality
What are medical billing and coding technicians like?

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How to become a Medical Billing and Coding Technician

Becoming a medical billing and coding technician typically involves the following steps:

  • Obtain a High School Diploma or GED: A high school diploma or equivalent is usually required to pursue training or certification in medical billing and coding.
  • Complete a Medical Billing and Coding Program: Consider enrolling in a post-secondary certificate or associate degree program in medical billing and coding. These programs are offered by community colleges, vocational schools, and online institutions. Look for programs accredited by reputable organizations such as the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) or the American Academy of Professional Coders (AAPC).
  • Gain Knowledge and Skills: During your training program, you'll learn about medical terminology, anatomy, physiology, healthcare laws and regulations, and coding systems such as ICD (International Classification of Diseases) and CPT (Current Procedural Terminology). You'll also develop skills in coding, billing procedures, and medical software applications.
  • Consider Certification: While certification is not always required, obtaining professional certification can enhance your credibility and job prospects in the field. The two main organizations offering certification for medical billing and coding professionals in the United States are the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA) (see below).
  • Gain Practical Experience: Consider gaining hands-on experience through internships, externships, or entry-level positions in medical billing and coding. Practical experience can help you apply your knowledge in real-world settings and build valuable skills and confidence in the field.
  • Stay Updated: The field of medical billing and coding is continually evolving, with changes in coding guidelines, regulations, and technology. Stay updated with industry trends, attend continuing education courses, and pursue recertification as needed to maintain your credentials and expertise.

Certifications
There are several certifications available for individuals pursuing a career in medical billing and coding. These certifications are offered by reputable organizations and demonstrate proficiency in coding systems, billing procedures, and healthcare regulations. Some of the most recognized certifications in the field include:

  • Certified Professional Coder (CPC): Offered by the American Academy of Professional Coders (AAPC), the CPC certification validates proficiency in outpatient coding and billing. CPCs are skilled in assigning CPT (Current Procedural Terminology) codes and ensuring compliance with coding guidelines and regulatory requirements.
  • Certified Coding Specialist (CCS): Offered by the American Health Information Management Association (AHIMA), the CCS certification is focused on inpatient coding and billing. CCS professionals specialize in assigning ICD (International Classification of Diseases) codes to diagnoses and procedures for hospital inpatient records.
  • Certified Coding Associate (CCA): Also offered by AHIMA, the CCA certification is an entry-level credential for coding professionals. CCAs demonstrate basic coding skills and knowledge of coding principles, anatomy, and medical terminology.
  • Certified Professional Biller (CPB): Offered by AAPC, the CPB certification validates expertise in medical billing processes, including claim submission, reimbursement, and compliance with billing regulations. CPBs are proficient in handling insurance claims, resolving billing issues, and managing accounts receivable.
  • Certified Professional Medical Auditor (CPMA): Offered by AAPC, the CPMA certification is designed for professionals who specialize in medical coding audits. CPMA professionals conduct audits to ensure accuracy and compliance with coding guidelines, documentation requirements, and regulatory standards.
  • Certified Outpatient Coder (COC): Offered by AAPC, the COC certification is focused on outpatient facility coding and billing. COCs specialize in assigning CPT codes for procedures performed in outpatient settings such as ambulatory surgery centers and outpatient clinics.

Schools for Medical Billing and Coding
The following are some schools in the United States known for offering quality education in healthcare information management, including medical billing and coding:

  • American Health Information Management Association (AHIMA) Foundation: AHIMA offers various educational resources and training programs in health information management, including medical coding and billing. Their programs are designed to prepare students for certification exams and careers in healthcare information management.
  • American Academy of Professional Coders (AAPC): AAPC offers online training courses and certification programs in medical coding, billing, auditing, compliance, and practice management. Their programs are recognized for preparing students for AAPC certifications such as Certified Professional Coder (CPC) and Certified Professional Biller (CPB).

Community Colleges - Many community colleges across the United States offer certificate and associate degree programs in health information technology, medical coding, and medical billing. Examples of community colleges known for their healthcare information management programs include:

  • Hillsborough Community College (Florida)
  • Tarrant County College (Texas)
  • Kirkwood Community College (Iowa)
  • Madison Area Technical College (Wisconsin)

Online Universities - Several online universities and colleges offer accredited programs in health information management, medical coding, and medical billing. Online programs provide flexibility for working professionals and individuals seeking to advance their careers in healthcare. Examples of online schools offering healthcare information management programs include:

Universities - Some universities offer bachelor's and master's degree programs in health information management, which may include coursework in medical coding and billing. Examples of universities with reputable health information management programs include:

  • University of Illinois at Chicago
  • University of Pittsburgh
  • Temple University
  • Indiana University - Purdue University Indianapolis (IUPUI)