Medical Billing and Coding

In today’s world of increasing demand for healthcare insurance products, the medical biller and coder is more important than ever. A person who works in the medical billing and coding field is responsible for translating a doctor’s record of services performed for a patient into terminology that can be understood by the health insurance payer. It is also a field that is easy to enter if you enjoy working in an office environment. Plus, the pay tends to increase with experience.

It is vitally important to be informed!
Be sure to request information from more than one school in order to compare which program is best for you.

Popular Schools — Or Choose A State —>

Matching School Ads

Regis is a leading Catholic university in greater Boston with undergraduate, graduate and doctoral students in the arts, sciences and health professions devoted to engage, serve and advance in a global community. Founded in 1927, and as a leader in education, Regis is dedicated to offering programs with a holistic view of health care that are designed for the future of the field.

Programs:

  • Online Master of Health Administration
  • Impact your world with a degree from Walden. Start today!
  • Walden degree and certificate programs are designed for working professionals. Click for more information.
  • Receive personal attention from advisors in enrollment, financial aid, academics, and other support services to make the most of your online program.
  • Study worry-free knowing you have 24/7 access to Walden technical support.
  • Convenient start dates throughout the year

Programs:

  • M.B.A. in Healthcare Management
  • D.B.A. - Healthcare Management
  • M.B.A. in Healthcare System Improvement
  • Earn your Master of Public Health Online from GW in 12 months.
  • GRE waivers available for qualified applicants.
  • Advance your career in a range of industries, including epidemiology, public health and biostatistics.

Programs:

  • Executive Master of Health Administration
  • Recognized as a Top 20 Best Online Bachelor’s Program by U.S. News & World Report in 2016.
  • Online, campus-based, and evening courses offered in 95 areas of study, including Business, Nursing, Psychology, & more.
  • Endorsed by G.I. Jobs and Military Advanced Education magazine as a Military Friendly School in 2015.
  • Features small class sizes, with a student-to-faculty ratio of 23 to 1.
  • 88% of Regent University students receive financial aid, with $18 million awarded in institutional scholarships & aid each year.

Programs:

  • Master of Arts in Organizational Leadership - Healthcare Management
  • Doctor of Strategic Leadership - Healthcare Leadership
  • Master of Arts in Government - Healthcare Policy & Ethics
  • Liberty University's online programs ranked in the top 5 of more than 2,100 online colleges and universities for academic quality, affordability, and accessibility*
  • 100% online programs at associate, bachelor’s, master’s, and doctoral level**
  • No standardized testing if you meet admission requirements
  • Transfer up to 90 credits into an undergraduate degree program
  • Up to 50% of your master’s degree can be transferred in to help you get the most out of your hard work and maximize the credit you previously earned
  • *BestColleges.com Gold Medal of Distinction **excludes licensure, certification, and some doctoral programs

Programs:

  • MS in Exercise Science: Nutrition
  • MS in Exercise Science: Community Physical Activity
  • Master of Science: Healthcare Administration
  • And more...
  • Do you have entrepreneurial visions to advance your career in the business world? Learn about the options available at GCU.
  • Earn a competitive bachelor's or master's degree in the areas of business administration, business analytics, accounting, marketing and more.
  • Many of our business degrees have attained elite accreditation from the Accreditation Council for Business Schools & Programs (ACBSP).
  • GCU nurtures the startup spirit, propelling your entrepreneurial visions on a powerful platform with opportunities to help you thrive.
  • Pursue a next-generation education with an online program or join Grand Canyon University's vibrant and growing campus community in beautiful Phoenix, Arizona.

Programs:

  • M.B.A.: Health Systems Management

Located just steps from the U.S. Capital, the George Washington University is uniquely positioned at the core of U.S. government, policy and law. GW students and faculty benefit from an unparalleled opportunity to study and work alongside leaders in every discipline. Whether on campus or online, you too can take part in the interchanges that shape our community and the world.

Programs:

  • MBA in Healthcare

You’re serious about success. With your busy schedule and the desire to move your career forward, you can earn an accredited associate, bachelors or master’s degree at a pace that works for you anywhere, anytime, 24/7.

At AIU, the Serious U, you can get started to get ahead.

Programs:

  • Bachelor's (BBA) - Healthcare Management
  • MBA - Healthcare Management
  • Offers M.B.A. and bachelor’s programs in Business Administration with concentrations in Marketing, Accounting, and more
  • Ranked among the Best Online MBA Programs and Graduate Business Programs for 2017 by U.S. News and World Report
  • Coursework covers topics like project management, management fundamentals, and business strategies
  • Business students complete a capstone class that demonstrates their knowledge of business concepts

Programs:

  • Master of Business Administration - Health Care Management
  • Bachelor of Science in Business Administration - Health Care Management

Earn your graduate degree online with Northcentral University.  We offer online programs focused on doctoral and master’s degrees in the schools of business and technology management, education, psychology and marriage and family sciences.

Earn your graduate degree online with Northcentral University.  We offer online programs focused on doctoral and master’s degrees in the schools of business and technology management, education, psychology and marriage and family sciences.

The field of technology is rapidly evolving to meet the growing demands of modern society. For those seeking a future in tech, this means maintaining skills, increasingknowledge and quickly adapting to change. For today’s students, however, successwill require dedication, commitment and access to education specifically designedto meet the demands of this dynamic industry.


Programs:

  • Health Care Administration - D.B.A.
  • Health Care Administration - PhD in Bus. Admin.
  • MS Organizational Leadership - Health Care Administration
  • And more...

At a Glance

Medical Billing and Coding TrainingOther Job Titles: Medical Coding & Billing Specialist, Medical Billing Clerk, Billing Coordinator
Salary Range*: $20,800-$49,920; Average $31,000; Median $33,000
Education/Training Required: High school to bachelors degree however employers prefer those with associate’s degree and medical billing and coding certificate
Desired Skills/Aptitude: attention to detail and working with health information systems (computers)
Certification/Licensing: Certification available through AAPC
Locations with Best Opportunities: Texas, Arizona, Nevada, New Mexico
Employment Outlook: Faster than average through 2018
Opportunities for Advancement: Experience, cross-training, moving into management

What is Involved in Medical Billing and Coding?

Medical billing and coding is sometimes separated into two distinct jobs. Medical coders are responsible for taking incoming documentation from a healthcare provider facility and “coding” it so that it can be processed for payment by a health insurance company.

The coder uses a set of standards for translating documents from a healthcare provider into a claim that the insurance payer can understand. There are three main standards or guidelines:

  • Current Procedural Terminology (CPT)
  • Healthcare Common Procedure Coding System (HCPCS)
  • International Statistical Classes of Diseases (ICD)

CPT codes are defined and maintained by the American Medical Association (AMA). The publication assigns codes to all procedures used by medical practitioners on patients. For example, an office visit has a CPT code of 99201. HCPCS codes are based on CPT codes except used for billing to Medicare and Medicaid which are the government healthcare payers for those living on financial assistance or social security.

ICD codes can be thought of as the diagnosis for a condition when the patient visits a healthcare provider. This code set was created by the World Health Organization and is intended to form a standard way for classifying diseases or other ailments. ICD codes are complex and the U.S. is currently on ICD-10 however there are some organizations still using ICD-9.

Medical billers are the thread between entities of patient, insurance companies, and healthcare providers. Their responsibility is to send healthcare claims to the appropriate payer which will be an insurance company or government-funded healthcare assistance program such as Medicare and Medicaid.

The Workplace

Medical billers and coders can work in just about any healthcare provider or insurance facility there is. These include:

  • Doctor’s offices
  • Health insurance administration centers
  • Hospitals
  • Dental offices
  • Nursing homes
  • Pharmacies

At these locations, medical coders are responsible for assigning the right codes for procedures performed before sending the claim documentation to the insurance payer.

Education and Certification

Employers prefer those with at least an associate’s degree and a certificate awarded through an approved medical billing and coding program. Some seeking to enter this field will get an associate’s degree in any discipline and then augment it with a medical billing and coding certificate. There are also associate degree programs for this field.

Although not specifically required, employers also desire certification of its billers and coders. The most widely-known provider of certification is the AAPC (American Academy of Professional Coders). They offer several certifications all related to coding but with specialties. For example, for physician’s offices there is the Certified Professional Coder or CPC and for hospitals and outpatient facilities there is the Certified Professional Coder-Hospital Outpatient or CPC-H.

Salary Source: Bureau of Labor Statistics, May 2012.