What degree do you need for medical coding

Most employers who hire for Medical Billing and Coding positions expect you to have more than just a high school diploma or GED. But unlike many medical professionals, you won’t need a four-year degree or years of medical school to become a Medical Biller or Coder. You could enroll in a certificate or associate degree program and be on your way to a Medical Billing and Coding career in less than two years.

What Does a Certificate Program Teach?

Certificate programs cover the basics about Medical Billing and Coding and introduce you to thousands of codes that will become your new language. The codes come from the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT) and work together to describe diseases, diagnoses, and treatments. A certificate program should also teach you about the health care system and help you become familiar with common medical terminology.

What Will You Learn in a Medical Billing and Coding Associate Degree Program?

An associate degree program teaches you all that a certificate program does, then goes more in-depth. It also sets you up for further education if you decide to pursue a Bachelor’s Degree in Healthcare Administration. Your Medical Billing and Coding education should cover:

Health care System

As a foundation of your Medical Billing and Coding education, you will need to have a good understanding of the U.S. health care system and the critical issues facing health care. You need to understand the complexity and multidimensional nature of health care delivery in the U.S., including the roles of health care providers and the government.

Medical Terminology

To communicate with doctors and nurses, you need to learn their language, so to speak. Medical terminology includes complex terms for diseases and injuries, but with time, they will become second nature to you.

Health Records Management

To work as a Biller or Coder, you need to understand how health records function. This means taking a detailed look at Electronic Health Records and information about billing, office visit software, medical research, patient correspondence, and the archival of unused medical records.

Medical Insurance Processing and Reimbursement Methods

For every service your health care facility performs, it needs to be paid. Most often, it’s paid by an insurance company. You need to know about different kinds of insurance companies and what they cover. You also need to learn procedural and diagnostic codes, how to use them, and how to work closely with insurance providers so patients and your facility get the benefits and payments they deserve. And you need to understand how to complete, interpret, and process manual and automated insurance claim forms for government and third-party payers.

To work in any type of health care career, you need an understanding of the laws, regulations, guidelines, ethics, and bioethics in the health care industry. Legal topics might include the various components of the US legal system, licensure and certification requirements, laws specific to health care, and the legal responsibilities of medical personnel. You will also need to know about electronic medical records, record-keeping, charting, and the rules and regulations of the workplace.

HIPAA Rules and Regulations

One of the most important rules to follow comes from the Health Insurance Portability and Accountability Act. A federal law that governs how insurance can move with an employee, it also helps protect the privacy of patient information. It guides what information can be shared, when it’s appropriate to send data electronically, and what National Provider Identifiers are.

How to Become Certified in Medical Billing and Coding

Once you complete your program, you can sit for the Certified Professional Coder exam. A passing grade proves that you are qualified for entry-level work in Billing and Coding.

Medical billing and coding need to be done properly, or costly mistakes could occur. To learn the standards, rules, and laws that apply to billing and coding, enroll in a training program. If you’re ready to start learning now, contact Charter College. We offer an Associate of Applied Science in Medical Billing and Coding that will prepare you for a new career in as few as 14 months. Our dedicated faculty have years of knowledge and experience from the industry and are eager to share it with you. Currently, this program is only available to residents of Alaska. Call 888-200-9942 or fill out the form to learn more.

Medical Coding and Billing is a fulfilling career. Learn more about the responsibilities, education requirements and salaries for professionals in these roles.

What degree do you need for medical coding

Medical billing and coding is a system that organizes and updates information in patient records and bills. This system documents medical issues and conditions as well as treatment options. Working in this field requires a driven individual with the skill set to handle many medical records and the attention to detail to accurately organize vital patient information for treatment. These professionals are also in charge of medical insurance claims and the overall billing process. This role supports healthcare providers while directly impacting patient care and privacy.

A medical biller and coder is responsible for reading and transcribing patient charts, turning that into the correct codes, and submitting the billing as an insurance claim. The job requires analyzing a patient's medical information following any visit with a healthcare professional and choosing the best route for billing the insurance company or the patient. They are also responsible for sifting through medical codes that are used to notify the insurance companies of the specific procedures performed and how much they need to be compensated for them. It is crucial that medical billers and coders are precise in their work to ensure that patients receive appropriate care and bill the correct party. Any errors made can result in over- or underbilling and not getting the medical professional properly reimbursed.

You’ll need to take a certification exam after completing a specialized course in medical billing and coding. Fortunately, there are several different certifications that you can choose to pursue. One of the most common routes of certification is through a professional organization, such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Along with the proper certification, the educational requirement for medical billers and coders is a high school diploma. Some employers require an associate degree. Additionally, any degree in healthcare or previous years of healthcare work experience are beneficial in developing a solid foundation of the skills and credentials needed to lead in this industry.

Certifications are facilitated by professional organizations and include:

  • Certified Coding Specialist (CCS) 
  • Certified Medical Coder (CMC) from the Practice Management Institute (PMI)
  • Certified Professional Biller (CPB) 
  • Certified Coding Associate (CCA) from the American Health Information Management Association (AHIMA)
  • Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association 
  • Certified Outpatient Coding (COC)
  • Certified Professional Coder (CPC) 

Health Information Management – B.S.

A program designed for future leaders in HIM:...

A program designed for future leaders in HIM:...

A program designed for future leaders in HIM:

  • Time: 60% of grads earned this degree in 36 months or less.
  • Tuition: $3,998 per 6-month term, plus a Health Professions Student Fee of $350.

Some careers and jobs this degree will prepare you for:

  • Director of informatics
  • HIMS chief
  • Information systems auditor
  • Outpatient coder
  • Health records manager

This CAHIIM-accredited program makes you eligible for the RHIA exam. 

Compare with B.S. Business – Healthcare Management

What degree do you need for medical coding

College of Health Professions

Nursing – Nursing Informatics (BSN-to-MSN) – M.S.

A nursing degree program that empowers data-driven nurses who...

A nursing degree program that empowers...

A nursing degree program that empowers data-driven nurses who already have a BSN but seek the success only a master's can bring:

  • Time:  72% of grads finish within 18 months.
  • Tuition: $4,367 per 6-month term, plus a one-time Health Professions Student Fee of $350.

Some careers and jobs this degree will prepare you for:

  • Chief Nursing Informatics Officer
  • Informatics Director
  • Nursing Informatics Specialist
  • Informatics Analyst

The trajectory of data and informatics in healthcare will continually open opportunities for nurses who take this path.

What degree do you need for medical coding

College of Health Professions

Nursing – Nursing Informatics (RN–to–MSN) – M.S.

A nursing program that empowers data-driven nurses to go from RN...

A nursing program that empowers data-driven...

A nursing program that empowers data-driven nurses to go from RN to MSN, earning their BSN along the way:

  • Time:  90% of RN-to-MSN grads finish within 36 months.
  • Tuition: $3,998 per 6-month term during undergraduate portion, $4,367 per 6-month term during graduate portion, plus a Health Professions Student Fee of $350 for both the undergraduate and graduate programs. 

Some careers and jobs this degree will prepare you for:

  • Chief Nursing Informatics Officer
  • Informatics Director
  • Nursing Informatics Specialist
  • Informatics Analyst

The trajectory of data and informatics in healthcare will continually open opportunities for registered nurses who take this path.

What degree do you need for medical coding

College of Health Professions

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What degree do you need for medical coding

  • Medical Terminology: Medical billers and coders often work with various code types that come with unique abbreviations. The ability to understand various applications of healthcare delivery systems, regulations, and compliance is important for transcribing a physician's diagnosis into the correct alphanumeric codes. It’s important for these professionals to become well versed with these codes as well as standard medical terminology in order to accurately communicate data to the required party.
  • Technological Proficiency: Medical billers and coders must also be proficient in technological terminology and problem-solving. This includes understanding and using classification systems, such as CPT, ICD-10-CM, and HCPS Level II.

  • Attention to Detail: All jobs in medical coding and billing require strong organizational skills and the ability to recognize and correct errors.
  • Strong Communication Skills: A medical biller and coder is often a crucial link of communication between patients, insurance companies, and healthcare professionals. It’s important that they have the communication skills to relay information between all three parties.
  • Ability to Work Independently: This job is often remote and, therefore, requires the individual to be able to solve problems and work independently.
  • Accounting and bookkeeping: It’s ideal to understand basic accounting and bookkeeping since the professional will be responsible for sending out billing statements and will need to reconcile them as payments.
  • Ability to Maintain Patient Confidentiality: In any healthcare field, maintaining the patient’s privacy is absolutely necessary. Any breach in HIPPA compliance or patient confidentiality will result in immediate termination.

Salary for Medical Billing and Coding Jobs

$42,015

The salary of a medical biller and coder depends on previous education and certifications. Those who are not yet certified can make an average salary of $42,015 per year, while certified professionals can make an average salary of $55,923 per year.

If the individual chooses to pursue education and a career in this field, they have the option to choose a health manager track, which has an average salary of $104,280 per year. A survey from the AAPC showed that those with a higher degree earn a significantly higher salary.

Job Outlook for Medical Billing and Coding

8% Growth

There will be a significant increase in demand for medical billers and coders within the next 10 years.

The U.S. Bureau of Labor Statistics anticipates an 8% growth rate by the year 2029.

As for health information manager professions, career growth is expected to increase by 32%.

Where Do Medical Billers and Coders Work?

Varies

Many medical billers and coders can work from home thanks to the job’s emphasis on technology and coding that can be done simply from a computer. Other potential locations are:

-Hospitals
-Physician's offices
-Nursing homes
-Home health-care
-Outpatient facilities

Learn more about how you can pursue a health degree and a career in medical coding or billing at WGU.

Interested in Becoming a Medical Billing and Coding Specialist?

Learn more about degree programs that can prepare you for this meaningful career.

View degree programs

Which degree is best for medical coding?

A bachelor's degree in healthcare administration or health information management is a longer but more complete path to working in medical coding.

How do I start as a medical coder?

Steps to Become a Medical Coder.
Step 1: Test-Drive Your Career Choice With a Few Basic Questions..
Step 2: Take a Medical Coding Training Course..
Step 3: Study for the CPC Exam..
Step 4: Pass the CPC Certification Exam..
Step 5: Network at Your Local Chapter..
Step 6: Get a job..

What type of certification is required for a coding position?

Certified Coding Associate (CCA) The CCA certification is appropriate for entry-level coders in both hospital and physician office settings. A high school diploma, as well as six months of professional coding experience, are recommended before taking the CCA exam.

Do medical coders memorize codes?

First, it's important to know that medical coders don't actually have to memorize all of these codes. Instead, they utilize reference codebooks and software programs to ensure accurate coding assignments are made.