How to become a medical coding and billing specialist online: Step by step guide

Flexibility remote positions

High demand for professionals

Opportunities for salary growth

This webpage is your ultimate guide to everything you need to know about this in-demand profession, including information on online training, certification, skills, salary, online schools, and the many benefits of pursuing a career in medical coding and billing.

Becoming a medical coding and billing specialist requires a combination of education, experience, and certification. The first step is to complete a medical coding and billing program, either online or on-campus. This will provide you with the knowledge and skills necessary to perform the job. After completing a program, it’s essential to gain hands-on experience in medical coding and billing. Many employers require some level of experience before hiring medical coders and billers. This can be obtained through internships, part-time work, or volunteer opportunities. Obtaining certification is critical to becoming a successful medical coding and billing specialist online. Keep reading to take the first step towards an exciting career in healthcare!



What is medical billing and coding?

Medical billing and coding is the process of translating medical services, diagnoses, and procedures into standardized codes for reimbursement. Medical coders and billers are responsible for accurately documenting and coding medical services, which is essential for healthcare providers to receive proper compensation for their services from government, private and commercial payers. This process helps to streamline the financial operations of healthcare organizations and ensures that medical services are accurately documented and billed. Medical billing and coding is a complex field that requires specialized knowledge and expertise.

What does a medical coder and biller do?

Medical coders specialist: are responsible for assigning codes to medical diagnoses and procedures, using the standardized coding system (ICD-10-CM and CPT codes). These codes are used to describe the services provided by healthcare providers, and they enable insurance companies and government programs to process claims and reimburse providers for their services.

Medical billers specialist: are responsible for submitting claims to insurance companies or government programs on behalf of healthcare providers. They also follow up on claims that have been submitted to ensure that they are processed, paid accurately and in a timely manner.

Both medical coders and billers need to be knowledgeable about medical terminology, anatomy, and physiology, as well as the rules and regulations related to medical billing and coding. They may work in hospitals, clinics, physician offices, or other healthcare settings.

Medical Coding and Billing Career
Medical coder specialist functions:

Assigning specific codes to medical diagnoses, procedures, and services.

Reviewing medical records.

Maintaining accuracy.

Ensuring compliance.

Communicating with healthcare providers.

Medical biller specialist functions:

Submitting claims to insurance companies or government programs for reimbursement.

Reviewing claims to ensure that they are accurate.

Maintaining patient records.

Ensuring compliance.

Communicating with patients.

Medical coding and billing salary in USA and job outlook 

  • Salary High $74,200
  • Salary Median $46,660
  • Salary Low $29,430

What is medical coding and billing salary in USA?

As for salaries, the BLS reports that the median annual wage for medical records and health information technicians, which includes medical coders and billers, was $46,660 or $22,43 per hour as of May 2021. The lowest 10 percent earned less than $29,430, and the highest 10 percent earned more than $74,200.

 

Factors that can affect a medical coder and biller’s salary include their level of education, years of experience, and certification, as well as the type of healthcare facility they work in and the region of the country where they are employed. Medical coders and billers who specialize in certain areas, such as coding for specialized procedures or working in a specific healthcare setting, may also earn higher salaries.  

 

Medical coding and billing job outlook:

The job outlook for medical coders and billers is generally positive, with demand for these professionals expected to grow in the coming years. According to the United States Bureau of Labor Statistics (BLS), employment of medical records and health information technicians, which includes medical coders and billers, is projected to grow 8 percent from 2020 to 2030, which is faster than the average for all occupations. This growth is due to an aging population that requires more medical services and increased demand for electronic health records.



Skills required for medical coding and billing

Medical coding and billing require a unique set of skills to effectively manage and accurately document medical services. The healthcare industry relies heavily on medical coders and billers to ensure that patients receive appropriate care and healthcare providers receive timely and accurate payments. The essential skills for medical coding and billing include:

Knowledge of medical terminology

Medical coders and billers need to have a solid understanding of medical terminology, including knowledge of anatomy, physiology, and common medical procedures.

Familiarity with coding systems

Medical coders and billers must be familiar with coding systems, such as ICD-10-CM and CPT codes, and have a thorough understanding of coding guidelines.

Attention to detail

Accuracy is critical in medical coding and billing, so medical coders and billers must be detail-oriented and able to identify errors and inconsistencies in medical records.

Understanding of Insurance and Reimbursement

Knowledge of insurance plans, reimbursement procedures, and government regulations related to healthcare billing is necessary for success in medical coding and billing.

Time Management:

The volume of medical records and bills can be high, so medical coders and billers need to be able to manage their time effectively. They must be able to prioritize tasks and work efficiently to meet deadlines.

Computer skills

Medical coding and billing is typically done using computer software, so medical coders and billers must have basic computer skills and be comfortable using specialized software programs.

Communication skills

Medical coders and billers may need to communicate with healthcare providers, insurance companies, and patients, so strong communication skills are essential.

Familiarity with Medical Software

Medical coders and billers must be familiar with medical software programs used for coding and billing, such as electronic health record (EHR) systems.

Analytical skills

Medical coders and billers must be able to analyze medical records to determine the appropriate codes and billing procedures.

i

Medical coding and billing requires a combination of technical knowledge, analytical skills, and communication skills. Medical coders and billers must be detail-oriented and accurate, while also able to communicate effectively with healthcare providers, insurance companies, and patients.



Online medical coding and billing training and certification

Medical Coding and Billing Career

Online training program:

Training for medical coders and billers typically involves completing a post-secondary education program or obtaining certification from a professional organization. Here are some common paths for training to become a medical coder and biller:

  • Associate’s degree program: Many colleges and universities offer associate’s degree programs in medical coding and billing, which typically take two years to complete. These programs may include coursework in medical terminology, coding systems, and healthcare regulations.
  • Certificate program: Certificate programs in medical coding and billing are also available and can usually be completed in less time than an associate’s degree program. These programs may be offered by community colleges or vocational schools.
  • On-the-job training: Some medical coders and billers learn on the job, often starting out in entry-level positions and working their way up. This may involve shadowing experienced coders and billers, and gradually taking on more responsibilities.
  • Professional certification: Professional organizations, such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA), offer certification programs for medical coders and billers. These programs typically involve passing an exam and demonstrating a certain level of knowledge and skills in medical coding and billing.

It’s important to note that medical coding and billing regulations can vary by country, so it’s important to research the specific requirements in your region before pursuing training. In addition, ongoing education and training may be necessary to stay current with changes in regulations and coding systems.

The specific certification needed to become a medical coder and biller depends on the type of work and setting in which you plan to work. For example, if you plan to specialize in outpatient coding, the COC certification may be appropriate. If you plan to work in a hospital setting, the CIC or CCS certification may be more applicable. Some employers may also have their own specific certification requirements.

To obtain certification, you typically need to meet education and/or work experience requirements and pass a certification exam. Continuing education is also typically required to maintain certification.

Certification:

In the United States, there are several types of certifications that are recognized in the medical coding and billing field. The most commonly recognized certifications are offered by the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA). 

AAPC certifications include:

  • Certified Professional Coder (CPC)
  • Certified Outpatient Coder (COC)
  • Certified Inpatient Coder (CIC)
  • Certified Risk Adjustment Coder (CRC)
AHIMA certifications include:

  • Certified Coding Associate (CCA)
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist – Physician-based (CCS-P)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)

Top online schools for medical billing and coding

There are many schools and programs that offer online medical coding and billing training. These programs are designed to provide students with the knowledge and skills necessary to become successful medical coders and billers. Online programs are an excellent option for people who need flexibility in their schedules and who cannot attend traditional on-campus programs.

When choosing an online medical coding and billing program, it’s essential to consider several factors, including:



Online school considering factors:

Z

Accredited or approved

Ensure that the online school is accredited by a recognized accrediting agency or state boards of education. Accreditation ensures that the program meets certain academic and educational standards and is recognized by employers and other educational institutions.

Z

Curriculum

Review the program’s curriculum to ensure that it covers the necessary clinical and administrative tasks required of medical assistants. The curriculum should also be up-to-date with current healthcare industry standards and regulations.

Z

Student support

Consider the level of student support provided by the online school, such as academic advising, tutoring, and technical support. You want to ensure that you have the necessary support to succeed in the program.

Z

Cost and financial aid

Compare the cost of the program with other online medical assistant programs. You want to ensure that the program is affordable and offers a good value for the cost.

Z

Flexibility

Consider the flexibility of the program, such as the ability to complete coursework at your own pace and on your own schedule. 

i

By keeping these factors in mind, you can choose a medical coding and billing online school that meets your needs and prepares you for a successful career in the healthcare industry.



Medical coding and billing pros and cons

One of the main benefits of a career in medical coding and billing is job security. As the healthcare industry continues to grow, the demand for skilled medical coders and billers is expected to increase. Additionally, medical coding and billing professionals enjoy a high level of flexibility, with the ability to work from home or in a healthcare facility.

Pros

N

Job Security

Medical coding and billing is a rapidly growing field, and there is a high demand for qualified professionals.

N

Remote Work

Many medical coders and billers have the option to work from home or remotely, providing flexibility in their work schedules.

N

Competitive Salary

The average salary for a medical coder and biller is above the national average.

N

Low Barrier to Entry

Becoming a medical coder and biller does not require a college degree, and certification can often be obtained through online training programs.

N

Opportunity for Advancement

With experience and additional education, medical coders and billers can advance to supervisory or managerial positions.

Cons

s

Repetitive Work

The job can be monotonous and require sitting for extended periods, which may not be suitable for everyone.

s

Technical Knowledge

Medical coding and billing requires knowledge of medical terminology, anatomy, and insurance procedures, which can be challenging to learn.

s

Risk of Burnout

The job can be stressful, particularly when dealing with difficult patients or insurance companies.

s

Constantly Changing Regulationsy

The medical billing and coding industry is continuously changing, and professionals must keep up with the latest rules and regulations.

s

Errors can be Costly

Mistakes in medical coding and billing can lead to significant financial consequences, so attention to detail is crucial.

Medical coding and billing professionals are in high demand and are essential to the efficient functioning of the healthcare system. It’s a great career choice for anyone who wants to make a positive impact on society while enjoying a challenging and fulfilling job.



Related Careers
Medical Trauma Registrar

Medical Trauma Registrar

Medical trauma registrar are professionals who specialize in reviewing and analyzing medical records to identify and document instances of trauma.

Electronic Medical Records Specialist Career

Electronic Medical Records

An Electronic Medical Records Specialist is responsible for managing and organizing electronic patient health information in healthcare organizations.

Medical Administrative Assistant Career

Medical Administrative Assistant

Medical administrative assistants play a crucial role in managing patient information, scheduling appointments, and assisting with billing and insurance claims.