Earn a Medical Billing and Coding Certification

Earn a Medical Billing and Coding Certification

Do you know certified in medical billing and coding can take you where you can’t imagine?

Lot of places, depending on skills, work ethics, demand of job in your local area, and your own skills and efforts helps you in finding job. A certification can bring your employment possibilities to a new level. It ensures that you are efficient, professional, and qualified to perform the entire task that are required for medical billing and coding specialist.

What is the meaning of certification?

With certification medical billers and coders can take benefits mentioned below.

  • Higher professional norms
  • Higher professional dealings
  • Ability to direct regard and faith
  • Capable to earn more

The actual work profile of Medical insurance billers and coders is to maintain accurate records for insurance billing service and they are also health care professionals.

The health care providers will not receive actual payments they are demanding without accurate data and along with this patients will not receive correct treatment and medications because of inaccurate data.

How to Become a Certified Medical Insurance Biller and Coder

To start this first of all enroll yourself in good college that offers medical insurance billing and coding program and be graduate in this field. The second and most important task is to qualify in exam given by the American Academy of Professional Coders (AAPC) and by the American Health Information Management Association (AHIMA).  These organizations make you certified in medical billing and coding and ensure your skills in this field as professionals.


CMRS stands for Certified Medical Reimbursement specialist (CMRS) that was established specially for medical billing professionals. The AMBA i.e. American Medical Billing Association has been providing certification to this field from last ten years. The purpose of this exam is to enhance their professional status.

This exam consists of 16 sections i.e. Medical Terminology, Anatomy & Physiology, Information Technology, Web & Information Technology, ICD-9-CM Coding, CPT-4 Coding, Clearinghouses, CMS 1500, Insurance, Insurance Carriers, Acronyms, Compliance, Fraud & Abuse, Managed Care, General and Case Study.

In most of cases exam registration will be admitted on same day the exam is purchased. Students who enrolled for exam can complete the exam in 45 days. There is requirement of 85% or higher to pass the exam.

Three books i.e. HCPCS, CPT-4, and ICD-9 books are sufficient for this exam. One more book offered by AMBA i.e. CMRS case study 80% of the exam is taken from this book.


RHIA stands for Registered Health Information Administrator and was previously known as Registered Record Administrator. RHIA is completely managed by American Health Information Management Association (AHIMA). Certified person results will get license in health information management.

The certification in RHIA helps in making carrier in health information and medical records management, including management of the processes and systems that capture and report on health care-related data. The RHIA professional’s design and control health information systems to maintain all medical standards.

The main job profile of RHIA professional is to check patient medical report whether it is complete or not, ensures to keep all data confidential and not associated with medical care of any patient and maintains distance.

For certification in RHIA one must have bachelor degree in health information management program authorized by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) or graduate from a foreign association that has a agreement with AHIMA.

Certified Professional Coder Certificate (CPC)

Certification in certified Professional coder is the most recognized certification in medical healthcare industry. In last few years demand for certified professional coder is increasing day by day. According to U.S. Bureau of Labor Statistics jobs in field of CPC will increase by 22% in next 6 to 7 years.

To become CPC certified candidate must have job experience of at least two years in field of medical biller and coder. The candidate must have knowledge in CPT, ICD-9-CM, HCPCS, HCPCS coding manuals, pharmacology, human anatomy and medical terminologies.

The CPC exam consists of 150 multiple questions and covers 18 different fields. The CPC is divided in to two categories i.e.

  • Certified Professional Coder Hospital (CPC-H)
  • Certified Professional Coder Payer (CPC-P)

Certified Professional Coder Apprentice (CPC-A)

There is no requirement of two or more year job experience for CPC-A certification. Candidate can easily get CPC status when you have an experience of two or more years.

That is all about Certification in Medical Billing and Coding. I tried to put all the data that is important for this post. For more updated please tune with us.

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