Medical Coding Certification will prepare students to work as part of the healthcare team as integral members of the health information industry. Medical coders are responsible for selecting the appropriate diagnostic and procedural codes of various medical services for data analysis and reimbursement.
Medical coding specialists work in doctorâs offices, hospitals and clinics, gathering and coding data to get reimbursement from healthcare claims. Medical coders are responsible for ensuring that claims meet all legal and insurance regulations. Both doctors and patients rely on coding specialists for getting insurance reimbursements. Hereâs how to become a certified medical coder:
- Prepare in high school Youâll need a well-rounded education to be a certified medical coder. Start by taking high school algebra, biology, data processing and health classes.
- Earn an associateâs degree Most entry-level medical coding positions require the coder to have at least an associateâs degree in medical coding. Coursework typically includes classes in medical terminology, anatomy, physiology, data analysis and database security and management.
- Certification Certified Professional Coder (CPC) is the official title for a certified medical coder. The American Academy of Professional Coders (AAPC) oversees and credentials certified professional coders. In order to receive certification, you must work as a medical coder for at least two years and pass a written exam administered by the American Academy of Professional Coders. Coders need to renew their membership each year by paying dues and by completing 36 hours of continuing education every two years. Additionally, the American Academy of Professional Coders offers several other more specific certifications for different areas in healthcare, that employers may require.
- Earn a bachelorâs degree A bachelorâs or even masterâs degree could lead to serious advancement in the field of medical record keeping. Certified professional coders with advanced degrees will become eligible for senior positions in medical offices and can move on to be health information managers
Medical coders work for doctors, hospitals, and insurance companies, assigning codes to hundreds of different medical ailments and procedures listed on a patientâs medical record for billing and insurance purposes. By assigning universal codes to various procedures, medical and insurance personnel are able to streamline the billing process.
However, this task requires extensive knowledge of medical terminology and processes, so medical coders often obtain certification to confirm their abilities and ease the hiring process for future employers. As with most certifications, medical coder certification requires either education or experience to sit for a certification exam.
Though medical coder certification is not required, there are many opportunities available to pursue certification and it will improve chances of hire for those without adequate experience to obtain a job otherwise. Several agencies offer medical coder certification, but the most recognized agency is the American Health Information Management Association (AHIMA). This agency grants the entry level designation of Certified Coding Associate (CCA). To obtain this beginnerâs certificate, candidates must have a high school diploma or the equivalent and pass an exam. Though not required to sit for the exam, it is strongly recommended that candidates complete an AHIMA approved coding program or have at least six months of work experience in the field.
The next step in medical coder certification is the Certified Coding Specialist (CCS) credential. This certification acknowledges higher skill and knowledge than than a coder with CCA certification. Again, the only requirement to sit for the exam is a high school diploma or its equivalent. However, for this exam it is strongly recommended that candidates have at least three years of job experience in medical coding in multiple areas such as hospital based in patient coding and hospital based ambulatory and outpatient care. It is also recommended that candidates have completed coursework in anatomy, physiology, and pharmacology.
Additionally, a special certification for those seeking employment in a physicianâs office is offered. This is the Certified Coding Specialist-Physician based (CCS-P) certification. The exam requirements for this medical coder certification are the same as for the CCS, but instead of three years experience in multiple areas in a hospital-based setting, candidates should have three years of experience coding for physician services. Whichever certification is desired, all may be achieved with a combination of education and experience, depending on the individualâs background. Many have learned coding on the job, but newcomers in the health field will find there are numerous educational programs available of varying lengths to suit each candidateâs goals.
What is a Medical Coder? Overview of Medical Coding:

Medical coders work in the billing office, or âback officeâ of medical practices or hospitals. Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients.Each medical procedure and patient encounter has a number, or CPT code, associated with it which corresponds to another code for a diagnosis (an ICD code). This helps insurance companies account for, and track the money they reimburse to physicians and practices, to help prevent fraudulent medical claims or errors in payment.
Skills Required for Medical Coding:

Medical coders need to work well with numbers, and also should have a great attention to detail. While much of the job entails administrative tasks such as reviewing, processing, and submitting medical claims, some interpersonal skills are necessary. At times the medical coder may have to obtain additional information from a physician or other medical provider in the office. Also, the medical coder may have to contact insurance companies regarding questions about claims.Medical coders should also be comfortable working with computers and various types of medical coding and billing software programs.
Educational Requirements and Professional Certifications for Medical Coders:
To become a medical biller or coder, you must have a high school diploma and pass an accredited program in medical coding. TheÂ
American Academy of Professional Coders (AAPC) offers accredited certification courses to achieve a CPC certification (Certified Professional Coder), and other related certifications for medical coders. Courses are offered in a classroom setting, or online. Therefore, students often complete the coursework while employed elsewhere full-time. An accredited course should cost between $1,000 and $2,000.
The academy recommends completion of a medical terminology course and anatomy course prior to taking the medical coding course for certification.
Compensation for Certified Professional Coders:
According to Payscale Salary Calculation the average hourly rate for medical coders is $15.00, which equates to about $30,000 per year for a full-time employee. The average ranges from $13.49 to $17.19, or about $34,000 annually.
Whatâs to Like:
Medical coders should continue to be in high-demand. Even though software has been developed to assist with the role, a qualified person is needed to enter the data, and follow up on any discrepancies between the health care provider (physician), the hospital, and the insurance company. An effective and efficient coder is essential to the financial success of a practice. The coders help the physicians to get reimbursed accurately and on time. The hours for medical coders are fairly set and standard â" coders donât have to take call or work nights or weekends. A 40-hour work week, Monday through Friday, is standard.
Additionally, medical coding can be an excellent stepping stone into a more lucrative, higher-level career in medical office management, or medical office operations, if you wish to earn more or do more in the long-term, beyond medical coding.
Whatâs Not to Like:
Medical coders do not have much interaction with patients. If you like a lot of regular interaction with patients then this role may not be for you. Additionally, medical coding can be a fairly routine job, so if youâre looking for a lot of variety and excitement, or if youâre not seeking a desk job, medical coding may not be for you.
Medical Billing and Coding Certification Program Length

Depending on the number of online medical billing classes and medical coding classes you take per quarter, the certificate program can be completed within one year. At the same time, the program can prepare you to sit for the certification exams after successful completion of Parts II of any of the billing and coding courses. As a result, you can achieve national certification even before completing Drexelâs Medical Billing and Coding Certificate Program. Moreover, since the tuition for the program is based on the number of credits taken and not on the entire program, you are under no obligation to complete every medical billing and coding class.
Completion of this certificate program allows you to enter a profession that stands at the crossroads of healthcare and technology. As a medical billing or coding professional, you are the expert on patient data that doctors, nurses, and other providers rely on to perform their jobs. By maintaining, collecting, and analyzing health information, your work makes an important contribution to the delivery of quality care. You are also the first line of defense against noncompliance and down-coding for any medical provider. You will help prevent legal difficulties and ensure that providers receive full reimbursement in a timely manner.
Key program features and benefits of the Certificate in Medical Billing and Coding program:
- Quality:Â All medical billing courses and medical coding courses are fully accredited by Middle States Association of Colleges and Secondary Schools â" add the Drexel name to your resume.
- Flexible: Totally online â" you never have to come to campus; you can complete your online medical billing and coding classes online at your own pace.
- Career-oriented: Learn the three main billing and coding manuals - CPT, ICD-9-CM, and HCPCS; and prepare to sit for the national exams.
- Affordable:Â Special tuition for online students. Special tuition rates apply for employees of partnering corporations and members of partner professional associations.