medical coding course online uk

Last Updated on August 30, 2022 by Alvina Ibe

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To the general public, medical coding is one of the more mysterious aspects of healthcare. There are no prime time TV dramas about the love lives of the medical coders as they sit behind their desks, assigning specified codes to different medical procedures in order to keep effective medical records and ensure that bills and payments are accurate.

But what it lacks in drama, the career makes up for in stability and growth. According to the Bureau of Labor Statistics (BLS Oct. 2017), the number of positions for medical records and health information technicians—including medical coders—is expected to grow 13 percent from 2016 to 2026. Medical coders are required in virtually every private practice, hospital, and clinic. After gaining some experience, many coders are even able to work from home, which adds to the appeal of this profession for many.

However, for someone with little to no experience, medical coding certification is a critical step to take. Certification can improve an applicants chance at landing a job and can come along with a higher salary. In order to become certified, medical coding professionals must demonstrate a thorough knowledge of one or more of the three code sets that are currently in use: Current Procedural Terminology (CPT), ICD-10-CM, and Healthcare Common Procedure Coding System (HCPCS) Level II.

Medical coding certification is available through a few different organizations. The right certification for any coder ultimately depends on a candidate’s experience and intended specialization.

Although medical coding certification is not a legal requirement to find employment as a medical coder, professionals with certifications are more likely to be employed and earn a better salary that those who have not earned a certification. Certification demonstrates an important foundational knowledge of the three aforementioned key code sets, meaning that certified medical coders can be more efficient and by extension, offer more value to their employer.

There are a number of different certifications that prospective medical coders can choose to pursue, although three of the most common are the Certified Professional Coder (CPC), the Certified Coding Specialist (CCS) and the Certified Medical Coder (CMC), each of which is offered by a different organization. Coding work can vary greatly depending on the healthcare setting a coder chooses, so it is important that students seeking certification choose the one that matches with their ultimate goals.


The Certified Professional Coder (CPC) certification may be an ideal path for those interested in working in an outpatient setting, such as a physician’s office or outpatient clinic. The CPC exam is the most popular medical coding certification exam in the field of medical coding


The CPC certification is offered by the American Academy of Professional Coders (AAPC), which is the largest organization of its kind with more than 170,000 members.


Although not strictly required, the AAPC recommends that anyone taking the CPC exam have at least an associate’s degree from an accredited institution. Most people who choose to take the CPC exam also have existing experience in the field of medical coding.

It is important to note that successful completion of the CPC exam is not enough to qualify the examinee as a Certified Professional Coder. Those that choose to take the exam without first gaining professional experience in the field will earn a CPC-A certification, which stands for Certified Professional Coder-Apprentice. In order to become a full CPC, the coder must complete at least two years of professional experience and submit two letters of recommendation to the AAPC.

To qualify for the exam, applicants must be current members of the AAPC and pay an exam fee. The cost of membership is $80 for active students and $150 for non-students.


The CPC exam consists of 150 questions, divided into 12 distinct sections, including:

  1. Surgical procedures (60 questions)
  2. Evaluation and management (10 questions)
  3. Anesthesia (8 questions)
  4. Radiology (10 questions)
  5. Pathology and Laboratory (10 questions)
  6. Medicine (10 questions)
  7. Medical terminology (8 questions)
  8. Anatomy (8 questions)
  9. ICD-10, volumes 1 and 2 (10 questions)
  10. HCPCS Level II Codes (5 questions)
  11. Coding guidelines (6 questions)
  12. Compliance and regulation (5 questions)

An overall score of 70 percent is required in order to become certified. More than 80 percent of people who take the CPC exam pass on their first attempt.


Continuing education is required in order to remain certified. CPCs must complete at least 36 hours of approved Continuing Education Units (CEUs) every two years. CEUs may be earned by attending conferences, online courses, or other approved events.


For those who want to jump start or grow their career in medical coding at inpatient facilities, the Certified Coding Specialist (CCS) certification program is the most popular choice and is most comparable to the CPC.


The CCS is available through the American Health Information Management Association (AHIMA).


In order to sit for the CCS exam, a coder must have at least one of the following:

  • A diploma or degree from a medical coding training program
  • Two years of medical coding experience
  • An existing medical coding certification plus one year of medical coding experience

As with the CPC, examinees must be members of the AHIMA in order to sit for the exam. Membership costs $175 for uncertified individuals and $10 for renewing members.


The CCS exam covers eight main topics, including:

  1. Health information documentation
  2. Diagnosis and procedure coding
  3. Guidelines and reporting requirements for inpatient services
  4. Guidelines and reporting requirements for outpatient services
  5. Data and quality management
  6. Information technologies
  7. Privacy, confidentiality, legal, and ethical issues
  8. Compliance

Diagnosis and procedure coding comprises the largest portion of the exam at up to 68 percent of the questions. The CCS exam is thought to be significantly more difficult than the CPC exam, with just 56% of people earning a passing score on the first attempt.


Continuing education is required in order to remain certified. CCSs must complete at least 20 hours of approved Continuing Education Units (CEUs) every year. In addition, CCSs must complete an annual coding self-assessment.


The Certified Medical Coder (CMC) certification is less common than either the CPC or CCS certifications, but it’s increasingly recognized as a comparable certification. In fact, the CMC has an exam format that is thought to be more difficult than the other two exams (which are multiple choice).


The CMC certification is offered by the Practice Management Institute (PMI).


Prior to completing the CPC exam, applicants should have at least one year of professional experience in medical coding. PMI offers an introductory course called Principles of Coding for inexperienced coders. Although PMI offers preparatory courses for the CMC exam, those courses are not a prerequisite for taking the CMC exam.


The most significant difference between the CMC exam and the CPC or CCS exam is that it is not offered in a multiple choice format. Rather, examinees must assess coding scenarios and be able to fill in the blanks accurately. The CMC exam is also only offered in a live, proctored setting. The CMC exam consists of approximately 133 questions. Examinees must earn a minimum of 70 percent in order to become certified.


In order to maintain certification, CMCs must earn 12 CEUs annually and submit proof of completion to PMI.


The CPC, CCS, and CMC are among the most common certifications and can act as important entry level certifications for medical coders who are newer to the profession. However, in order to open more doors for career advancement and higher salaries, many medical coders choose to specialize even further. The AAPC and AHIMA offer more specialized certification exams for experienced coders.


The COC certification (formerly known as the CPC-H) is specifically for coders working in hospital settings. The COC exam and certification indicate a high level of competency in coding specific to hospital groups, ambulatory surgical centers, and hospital billing and coding departments.


The CIC certification, as the name suggests, is targeted to those working or wishing to work in inpatient settings. According to AAPC, the CIC “validates expert level knowledge and experience in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding, and specialized payment knowledge in MS-DRGs and Inpatient Prospective Payment Systems (IPPS).”


While medical coders have typically worked in healthcare provider settings, increasingly health insurance companies and other healthcare payers are employing their own coders. The CPC-P certification is designed for those wanting to work on the payer side of the coding practice, demonstrating “proficiency and knowledge of coding guidelines and reimbursement methodologies for all types of services from the payer’s perspective.”


The CRC certification is specific to those coders working in the risk adjustment sector. CRC certification is awarded to those who pass an exam indicating a knowledge of ICD-10-CM specific to risk adjustment models such as HCC, CDPS, and HHS Risk Adjustment.


The AAPC also offers coding certifications in the following specialties:

  • Ambulatory Surgical Center (CASCC)
  • Anesthesia and Pain Management (CANPC)
  • Cardiology (CCC)
  • Cardiovascular and Thoracic Surgery (CCVTC)
  • Chiropractic (CCPC)
  • Dermatology (CPCD)
  • Emergency Department (CEDC)
  • Evaluation and Management (CEMC)
  • Family Practice (CFPC)
  • Gastroenterology (CGIC)
  • General Surgery (CGSC)
  • Hematology and Oncology (CHONC)
  • Internal Medicine (CIMC)
  • Interventional Radiology and Cardiovascular (CIRCC)
  • Obstetrics Gynecology (COBGC)
  • Ophthalmology (COPC)
  • Orthopaedic Surgery (COSC)
  • Otolaryngology (CENTC)
  • Pediatrics (CPEDC)
  • Plastics and Reconstructive Surgery (CPRC)
  • Rheumatology (CRHC)
  • Surgical Foot & Ankle (CSFAC)
  • Urology (CUC)


There are several specialized coding certifications available through the American Health Information Management Association (AHIMA) as well.


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 prior to taking the CCA exam.


The CCS-P has similar requirements to the CCS, but is specific to those working in physician offices, group practices, or clinics rather than hospitals.


Although most medical coding certifications do not require that applicants have a specific academic degree, those prospective medical coders who want to increase their value—particularly at the entry-level—may want to consider an accredited college program.

Many colleges and universities offer professional certificates in medical coding, which are separate from the certification outlined above. Bachelor’- or master’s-level degrees in medical coding are not available, as such, but may schools offer relevant degrees such as health information technology (HIT) or health information management (HIM) which do include foundational courses in medical coding and billing. Following are a few of the top medical coding programs that can provide a strong academic basis for medical coding professionals.

Cowley College

Located in Arkansas City, KS, Cowley College offers a medical coding program as part of their health & human services and allied health programs. Students are able to earn a medical coding certificate or an associate of applied science (A.A.S.) degree. It is important to note that the certificate offered by the college is not equivalent to a CPC or other certification, which would still need to be earned subsequent to completing the program.

Davenport University

The campus for Davenport University is located in Grand Rapids, MI but the school’s health information programs are available online. Students can select from an A.A.S. degree in health information technology or a bachelor of science degree in health information management. Students who choose to complete the B.S. can be prepared to take the Registered Health Information Administrator (RHIA) exam, offered by the AHIMA.

Minnesota West Community & Technical College

Minnesota West Community & Technical College offers an online medical coding specialist diploma. Earning the diploma takes just one year. Students completing this diploma can go on to earn their associate of applied science as a medical secretary at the same institution.

California State University San Bernardino

Cal State San Bernardino is another accredited institution that offers a certificate (not certification) as a medical coder. The CSUSB professional medical coding & billing program is part of the professional & continuing education sector of the school and takes place completely online. The total time necessary to complete this training is 640 hours.

Western Governors University

Western Governors University (WGU) offers a bachelor of science degree in health information management. Completion of this four-year online program can make students eligible for the Registered Health Information Administrators (RHIA) credential. Graduates of the WGU program also earn the CompTIA Project+ certification for their project management experience. Notably, the WGU program is accredited by the Commission on Accreditation for Health Informatics and Information Management Education.

Medical Billing vs. Medical Coding

The healthcare system is a complicated machine, relying on many different types of professionals to keep it running smoothly. Doctors, surgeons, and nurses certainly play important roles —and so do pharmacists, physician assistants, physical therapists, nutritionists, technicians, and medical billers and coders.

Medical billers and coders make sure healthcare facilities earn enough revenue by sending claims to insurance companies and statements to patients. In short, they ensure that procedures are properly paid for. However, both professions take on unique responsibilities.

If you’re interested in the field, then it’s important to know the difference between medical billing and coding. This guide explores those differences as they relate to job duties, work environments, certification requirements, and salary outlook.

What Is the Difference Between Medical Billing and Coding?

Medical coders and billers work alongside each other to achieve the same goal, but they take on distinct roles. Below you can see a breakdown exploring the differences between medical billing and coding.

Job Duties Are Not the Same

Medical coders translate healthcare services and diagnoses into codes that are universally understood by insurance agencies. These codes, a series of numbers and letters, serve as a sort of shorthand that ensures billing and payment is correct and follows regulatory requirements. These professionals know what codes to enter for “new patient visit of low complexity” or a diagnosis for pneumonia. These codes determine how healthcare services receive payment, whether through insurance reimbursement or direct patient payment.

Medical billers pick things up from there, using these codes to actually file insurance claims. This involves working with insurance companies, particularly involving any disputes about denials and rejections. Finally, medical billers send out statements to patients.

That said, at smaller healthcare facilities or doctors clinics without as much staffing, sometimes one person streamlines the insurance billing process and works as both a medical coder and biller. Individuals interested in coding and billing can become trained in both areas of expertise if they wish.

Medical Billers Work With Patients; Medical Coders Do Not

Although medical billers do not work with patients in a clinical sense, they do speak to patients regularly about their payments. This isn’t always an easy task, particularly when patients aren’t happy with their healthcare bills or when they receive rejections from health insurance companies. Therefore, medical billers need to be empathetic and patient.

Medical coders don’t work with patients in their day-to-day responsibilities. Instead, their duties focus on records and data input.

Because of these differences, introverts and extroverts may be best suited for different jobs. Medical billers spend their days speaking on the phone with insurance representatives and patients, which lends itself to a more extroverted personality.

On the other hand, medical coders generally work with records and computers. Although they do work with other healthcare staff, they spend the majority of time working independently — an ideal job for introverts.

Separate Certification Requirements

Professional certification can help individuals qualify for certain jobs. Medical coders can choose from various credentials, including:

  • Certified professional coder (CPC) from AAPC
  • Certified coding associate (CCA) from the American Health Information Management Association
  • Certified coding specialist (CCS) from the American Health Information Management Association

Medical billers don’t necessarily need professional certification to work, but it can help them land a job or negotiate their salary. Billers should consider the certified professional biller credential from AAPC.

Many professionals in the field attend vocational training programs at colleges, receiving a certificate of completion once they graduate. These programs typically last 1-2 years, and they teach aspiring medical coders and billers the specialized information about health insurance and medical terms they need to succeed in their jobs.

Some students prefer to enroll in an associate degree program in coding and billing instead of vocational training. At the end of their education, graduates earn a full degree instead of a specialized certification.

Distinct Salaries and Job Outlooks

When it comes to medical billing vs. medical coding salary, medical coders generally make more than medical billers. Medical coders earn an average annual salary of about $43,260, according to PayScale data from June, 2021. By contrast, PayScale data from the same time shows that medical billers make about $40,340 in mean annual earnings.

Medical coders also have a higher general earnings potential, especially as they continue to work through their careers. Late-career medical coders make an average of $50,240 per year, according to PayScale data from June, 2021, while late-career medical billers earn a $45,250 average salary annually.

The Bureau of Labor Statistics (BLS) categorizes these professionals as medical records and health information specialists. The BLS projects that the profession could grow by 8% from 2019 to 2029 —much faster than average.

Is Medical Billing and Coding as Hard as it Seems?

The demand for healthcare is growing rapidly, along with the need for health professionals at every corner of the field. From nurses to physicians, radiologists to medical coders, employment of these professionals is booming across the board. At the same time, we know that these can be complex careers, with their own demands. Healthcare professionals must help care for complicated human conditions and administer advanced treatments. Even those who do not work with patients directly – such as medical billers and coders – have pressures and stressors on the job.

Right now you may be wondering, “Is medical billing and coding hard?” You may desire an impactful career on the administrative side of the healthcare field, and medical coding fits the bill perfectly. Yet at the same time, you may be intimidated by what the job entails. This is normal. After all, medical billers and coders work with data every day.

What Do Medical Billers and Coders Do?

Medical coders are responsible for collecting data from patient records, and translating it into a universal, alphanumeric code that will be used by other medical professionals and systems. Medical billers then use these codes to create insurance claims, and ensure providers get reimbursed for their healthcare services. 

Due to the nature of their work, these professionals require skills in detail orientation, data organization, memorization, and communication—and this can sound like a long list for those just starting out. But is medical billing and coding actually hard? It doesn’t have to be, if you prepare ahead of time.

Is it Hard to Become a Medical Biller or Coder?

Medical billing and coding can be hard at times, but it is by no means impossible.

Like many healthcare careers, becoming a medical biller and coder will take education and training. In other words, it will take hard work. You cannot become a great medical coder or biller overnight. This is because, to be successful, you must be well-versed in the industry’s codes and classification systems. You must know how to work with the professional software used to code records and bill patients.

However, if you love learning, the tactics of medical billing and coding may come easily to you. You may find that with the proper training and experience, you will become an expert in the field in just a matter of months. At Goodwin University, the medical billing and coding certificate program helps students get trained, certified, and working in the field in under 18 months—faster than any other programs. Upon completion of the program, you will leave well-versed in:

  • Processing medical insurance claims
  • Analyzing medical reports and patient data
  • Accurate coding of medical procedures and diagnoses, including knowledge of CPT-4, ICD-10-CM, and HCPCS
  • Recording co-payments, deductibles, co-insurance, and risk withholds
  • HIPAA regulations
  • Effective communication with the greater healthcare team

Goodwin’s program is taught by industry experts who will help you learn the ropes. Like many medical billers and coders, they love what they do! While medical billing and coding may come with its challenges, there is great job satisfaction within the field. According to U.S. News, medical records technicians (such as billers and coders) rank #7 in the top 30 healthcare support jobs. They report a strong work-life balance, with above-average flexibility. Many medical billers and coders can work remotely, making their day-to-day more accommodating. Stress level of medical billers and coders, which is based on the complexities of the job, was also rated below average in the same survey.

Don’t Be Afraid of Medical Billing and Coding

While it’s true that this career path involves and data crunching and classification, do not be intimidated. As an entry-level medical biller and coder, you will never get thrown in the deep-end. The training program you choose will ensure you have the skills and know-how needed to launch a career in the field. And even as you enter the job, you can still rest assured that:

  • You can always use your codebook. There are thousands of medical codes, and it takes time to know them all! If you have a question, your codebook can be your best guide.
  • Medical billing and coding technology is user-friendly. The software used in today’s industry is designed to be intuitive, so that you can fulfill this important job. If you have basic computer skills and dedicated training on the specific software you’re using, you will fare well.
  • You will be prepared if you have completed a training program. Medical billing and coding programs, like the one at Goodwin, are designed to prepare you for a successful career. They will teach you the basics of health science, as well as the technical skills needed to interpret health records, transcribe code, and bill patients. A college-level program will also give you hands-on practice in working with different technologies, so you can carry that experience to your first day on the job.

Medical Billing and Coding is Rewarding

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If you have a passion for helping people, and a knack for detail and data, a career in medical billing and coding may be the path for you. This is an extremely rewarding profession that allows you to make a difference in the greater healthcare field. Without medical billers and coders, patient information would not be processed the same, and healthcare providers would not get compensated for the work they do!

A medical billing and coding career can also mean a journey of learning and growth. The more you gain experience in the field, and the more challenges you encounter in the work, the better you will become in your role. The more you understand what issues might come your way, and what each individual code means, the more armed you will be to tackle the days ahead. Medical coders and billers have the mobility to grow within the field, and become health information managers, hospital coding managers, medical and health services managers, and more, as they build upon their knowledge and experience.

Are Medical Billing and Coding Classes Hard to Complete?

We mentioned that medical billers and coders benefit from a great work-life balance, but how about medical billing and coding school? Is it hard to balance these college classes, while maintaining a job or caring for a family? Is it impossible?

The answer is no. There are flexible medical and billing programs out there, ready to help you take the next step in your career. Goodwin’s medical billing and coding program is offered on days and evenings, so that you can find classes on your schedule. Courses are also available on-campus and online, so that you can choose the format that works best for you.


Medical coding and billing jobs are increasingly popular for individuals seeking entry into an in-demand healthcare industry. Medical coders use ICD or CPT codes to translate patients’ diagnoses, tests, and treatments into numerical digits for reimbursement processing. Medical billers review this information to file insurance claims and collect payments from the carrier. Both jobs are essential for keeping healthcare organizations profitably paid for their medical services rendered. But are medical coding and billing specialists paid handsomely too?

Medical Coding and Billing Salaries

On average, medical coding and billing jobs bestow an annual salary of $40,430. This is equivalent to a mean hourly wage of $19.44. Different job titles in this diverse field provide varying income levels though. According to, the average base salary for medical billing clerks in the United States is $34,121. Medical coders reap mean annual salaries of $38,463. .Medical records coding technicians can expect an average salary of $48,909. The salary range for medical coding and billing goes from $24,190 to $61,400 and up. Let’s explore how important factors like work setting, state, and education can affect salary.

Median Salaries Based on Workplace

Collecting a healthy salary in medical coding and billing can depend on which healthcare organizations you apply to. The AAPC shows that workplace size plays a pivotal role in determining the dollar signs on your paycheck. Coders and billers employed at mid-sized practices with 11 to 49 physicians earn the lowest at $44,870 on average. Solo and small group practices with under 10 doctors give average yearly salaries at $45,722. Larger hospitals provide sizeable average income jumps to $47,773 (outpatient) and $50,925 (inpatient). Multi-site health networks gift the biggest average earnings at $51,389 per year.

Medical coding and billing positions can see pay increases or decreases based on type of healthcare facility also. The Bureau of Labor Statistics reports that ambulance services offer an average annual wage at $28,930. Skilled nursing facilities have below-average income potential at $37,550. However, medical coders and billers in specialty hospitals reap a mean salary of $43,060. Jobs with the federal executive branch grant $47,520 on average. Medical coding and billing specialists working for dentist offices bring home a mean yearly salary of $41,430. T hose who teach college students in academia have a high mean wage at $45,210.

Salary Potential by Location

How much you’ll make as a medical coder or biller will vary greatly based on where you live and practice. Salary averages by location show that the top-paying place in the United States for medical coding and billing is the District of Columbia. Jobs here earn an annual mean wage of $69,290! Following behind Washington, DC, are New Jersey, Alaska, and California where the average salary for medical coders and billers is $60,310, $52,040, and $48,590 respectively. States in the South typically have the lowest income level. For instance, medical coding and billing professionals in Louisiana make just $32,390 on average.

Medical coders and billers can find increased earning potential in certain cities too. In 2015, the top-paying metropolitan area was Newark, New Jersey, with an annual mean salary of $66,710. A close second went to San Jose-Santa Clara where coding and billing specialists earned an average income of $62,270. Other high-paying metros were Oakland, San Francisco, and Silver Spring at $58,830, $55,480, and $54,740 respectively. On the other end of the spectrum, some metropolitan areas have little room for salary growth. For example, medical coding and billing jobs in Davenport, Iowa, deliver an mean wage of $29,380.

Salary Increases with Education/Experience

Paying college tuition for a degree or certificate in medical coding and billing will prove fruitful. Employees with no college education typically start in the bottom 10th percentile with income under $29,130. The AAPC proves that studying pays off because coders and billers with an associate degree earned an average of $46,815. Technicians who had a four-year bachelor’s on their resume unlocked a mean salary of $54,552. Having higher education will also prepare you for assuming more advanced titles. For instance, those who assume leadership responsibility as medical billing managers earn $84,096 on average!

Coders and billers with past years of experience in the fast-paced healthcare arena are rewarded with higher salaries. Starting salary for trained medical coding and billing specialists with zero to one year of experience is around $32,000. After you get five to nine years under your belt, salary hikes to over $42,500 on average. Professionals with more than 15 years of coding and billing experience make a mean of $56,667 annually. From there, salary usually increases by 5 percent for every five years of additional experience.

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AAPC Certification for Salary Growth

Medical coding and billing workers who take the extra effort to earn certification from the American Association of Professional Coders are rewarded with above-average salaries. The AAPC 2015 Salary Survey found that that certified members averaged a 2.6 percent pay increase. Certified Professional Coders (CPCs) obtain a mean wage of $51,454 each year. Certified Outpatient Coding (COC) specialists make a mean yearly salary of $58,822. The highest income average belongs to Certified Physician Practice Managers (CPPM) who bring home $64,666 per year. Having two AAPC credentials sparks a median salary of $58,399.

Investing your time into building a medical coding and billing career can pay off in spades in today’s market. It’s predicted that the healthcare sector will require more coders and billing specialists to organize a surplus of patient data. Increased medical demand will ignite faster-than-average job growth by 15 percent for over 29,000 new jobs through 2024. The AAPC also reports that unemployment rates have decreased by 0.5 percent for certified members in the last 12 months. Now that you’re more aware of salary comparisons in medical coding and billing, you can maximize your earnings in this rewarding healthcare profession.

Is a medical billing and coding certificate worth it?

As most certifications, medical billing and coding certifications are definitely worth it. They provide better job opportunities and higher salaries since they prove that you have gone through accredited training and the necessary examination. It is important to keep in mind that there are multiple medical billing and coding certifications. The most widely known certifications are the Certified Professional Coder (CPC), the Certified Coding Specialist (CCS), and the Certified Medical Coder (CMC). These certifications have the highest quality standards in the medical billing and coding field. Therefore, most professionals work to get them. These certifications are offered by different agencies that have different certification requirements. Most of them require candidates to take and pass a certification examination that ensures that candidates are properly prepared to get a credential. They can also require candidates to have completed an accredited training program or to have a certain amount of work experience. In conclusion, if you want to further your career as a medical biller and coder, you should get a certification.


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