Medical Billing and Coding Certification

Due to the amount of regulation and scrutiny given to medical coding activities the need for Medical Billing and Coding Certification is greater for individuals embarking on a medical billing and coding career compared with many other career fields. An entry level or advanced medical billing or medical coding certification is typically considered a prerequisite for entry into the medical billing and coding profession.

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There are two national organizations that certify medical coders:

1. AHIMA – American Health Information Management Association
2. AAPC – American Association of Professional Coders

Both of these organizations provide a variety of entry level and advanced medical coding certification options. While an entry level medical coding certification will get you started in a medical coding career, in order for a medical coder to advance in the career field, it is usually necessary to gain advanced medical coding certification status. The medical coding certifications offered by both of these organizations are widely recognized and respected in the medical coding industry.

At this point, most medical billing and coding work is still performed by medical coders working in hospitals or clinics. Medical coders work in a professional environment and perform a vital behind the scenes billing support activity.

There is a trend toward outsourcing of medical coding work to third party vendors. As this trend catches on, more medical coding work will be done in homes and it will evolve to become more of a home based career – much like medical transcription is today. It is believed that as technology continues to evolve and remote platforms are developed, the outsourcing model will begin to take hold in the industry. However, at this point it is important to point out that most medical coding and billing is still performed in hospitals, clinics, and other healthcare facilities.

For Healthcare Billing and Management Association – HBMA, is a credentialing organization for medical billing specialists.  The HBMA offers the both an entry level and an advanced certification option for medical billers. The two medical billing certificates offered by the HBMA are:

Certified Medical Billing Associate - CMBA
Certified Healthcare Billing Management Executive - CHBME

These two professional credentials demonstrate a level of competency in the medical coding profession. A proper certification is important to both clients and employers alike. This designation provides a level of assurance that an individual is certified to comply with all of the requisite regulatory provisions and requirements as a medical billing practitioner or manager.

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