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Best credentialing specialist certifications
The best certifications for a credentialing specialist are Certified Billing and Coding Specialist (CBCS), Certified Provider Credentialing Specialist (CPCS), and Certified Nurse Assistant (CNA).
Credentialing specialist certifications demonstrate your competency as a credentialing specialist to employers. However, not all credentialing specialist certifications provide the same value.
Below is a list of the best credentialing specialist certifications. Obtaining a credentialing specialist certification will give you a leg up when you apply for jobs and increase your potential salary.
14 best certifications for credentialing specialists
| Rank | Credentialing specialist certification | Organization |
|---|---|---|
| 1 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 2 | Certified Provider Credentialing Specialist (CPCS) | NAMSS |
| 3 | Certified Nurse Assistant (CNA) | American Red ... |
| 4 | Certified Medical Administrative Assistant (CMAA) | NHA |
| 5 | Managed Healthcare Professional (MHP) | HIAA |
| 6 | Certified Professional Medical Services Management (CPMSM) | NAMSS |
| 7 | Certified Coding Specialist (CCS) | AHIMA |
| 8 | Dental Assistant (RDA) | AMT |
| 9 | HIPAA Professional (HIPAAP) | HIAA |
| 10 | Nationally Certified Medical Office Assistant (NCMOA) | NCCT |
| 11 | Certified Information Technology Professional (CITP) | AICPA |
| 12 | Certified Clinical Medical Assistant (NHA) | NHA |
| 13 | Certified Medical Insurance Specialist (CMIS) | PMI |
| 14 | Certified Medical Interpreter - Spanish (CMI) | National Boar... |
14 best credentialing specialist certifications
1. Certified Billing and Coding Specialist (CBCS)
A Certified Billing and Coding Specialist (CBCS) primarily focuses on converting a medical procedure, diagnosis, or symptom into specific codes to submit a claim for reimbursement.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
2. Certified Provider Credentialing Specialist (CPCS)
The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).A CPCS is an integral part of a credentialing team and may be responsible for maintaining compliance with regulatory and accrediting bodies, participating in the development and implementation of credentialing processes and procedures, governance bylaws, department rules and regulations, medical staff, organizational, and/or practitioner/provider policies, maintaining an accurate practitioner database, and collecting and analyzing verification information.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
3. Certified Nurse Assistant (CNA)
Train to be a certified nurse assistant working with other health care professionals to provide quality care for elderly or sick individuals in nursing homes and hospitals and at home.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required?
4. Certified Medical Administrative Assistant (CMAA)
A Certified Medical Administrative Assistant (CMAA) performs routine administrative and clinical tasks to keep the offices and clinics of physicians running smoothly.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
5. Managed Healthcare Professional (MHP)
Earning the Center's MHP designation means that you've acquired the knowledge and skills to pursue a management position in the health insurance industry. You'll learn about management roles and organizational structures of managed care, as well as its operation and administration. And, you'll understand the unique developments and trends that have shaped managed care, as well as the policies and processes of the regulatory arena and evaluation measurements that determine the quality of managed care plans.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? No
6. Certified Professional Medical Services Management (CPMSM)
The Certified Professional Medical Services Management (CPMSM) is typically employed or contracted by a health care organization including, but not limited to, health plans, group practices, credentialing verification organizations or hospitals (health systems).A CPMSM is an integral part of the team that manages key systems and is responsible for maintaining compliance with regulatory and accrediting bodies, developing and implementing credentialing processes and procedures, and overseeing development of and adherence to governance bylaws, department rules and regulations, and medical staff, organizational, and/or practitioner/provider policies. The CPMSM may also be responsible for overall management of medical services functions (i.e. staffing, budgets, database administration, etc.), continuing medical education, and provider recruitment/relations.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
7. Certified Coding Specialist (CCS)
Coding accuracy is highly important to healthcare organizations, and has an impact on revenues and describing health outcomes. In fact, certification has become an implicit industry standard. Accordingly, the CCS credential demonstrates a practitioner's tested data quality and integrity skills, and mastery of coding proficiency. Professionals experienced in coding inpatient and outpatient records should consider obtaining this certification.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
8. Dental Assistant (RDA)
A Dental Assistant is an integral member of the dental health team, competent via education, experience, and understanding of patient welfare. The Dental Assistant is qualified to provide support in administrative duties: chairside, laboratory, and radiological procedures, as defined by existing state laws. As an agent of the Dentist, the Dental Assistant strives to cultivate good will and confidence within the dental practice.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
9. HIPAA Professional (HIPAAP)
The Center's HIPAAP designation imparts the knowledge you'll need to attain the goal of becoming a HIPAA privacy officer-focusing in on the administrative simplification provisions, particularly the policies and procedures that providers and organizations need in place to comply with privacy and security standards. This program will provide you with a solid grounding in HIPAA terminology, as well as the implications of HIPAA for the insurance industry.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
10. Nationally Certified Medical Office Assistant (NCMOA)
Medical Office Assistants typically perform administrative duties for health care providers in office settings, although some may also perform basic clinical tasks (as allowed by state laws). Their responsibilities will vary by employer, but may include answering telephones, greeting patients, updating and filing medical records, completing insurance forms, handling correspondence, scheduling appointments, and handling billing or bookkeeping.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 1 year(s)
11. Certified Information Technology Professional (CITP)
A Certified Information Technology Professional (CITP) is a Certified Public Accountant recognized for his or her unique ability to provide business insight by leveraging knowledge of information relationships and supporting technologies.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
12. Certified Clinical Medical Assistant (NHA)
A Certified Clinical Medical Assistant is an unlicensed multi-skilled healthcare practitioner who is competent in both a wide variety of clinical and laboratory procedures, as well as many administrative roles. A CCMA may perform some or all of the following duties. However, they are not limited to just these responsibilities:Interviews patients and measures vitals signsPrepares treatment roomsGives injections or treatments and performs venipuncture and laboratory testsCleans and sterilizes equipment.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
13. Certified Medical Insurance Specialist (CMIS)
Experienced medical office professionals with exceptional coding, reimbursement and claims management skills are eligible to sit for the Certified Medical Insurance Specialist (CMIS) exam. Practice Management Institute® has helped raise the bar of knowledge with its CMIS credential, designed to demonstrate outstanding skill in outpatient claims and reimbursement.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required?
14. Certified Medical Interpreter - Spanish (CMI)
The mission of the National Board is to foster improved healthcare outcomes, patient safety and patient/provider communication, by elevating the standards for and quality of medical interpreting through a nationally recognized and accredited certification for medical interpreters.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 5 year(s)
What is the best certification for a credentialing specialist?
The best credentialing specialist certification is Certified Billing and Coding Specialist (CBCS). The Certified Billing and Coding Specialist (CBCS) is awarded by the National Healthcareer Association. This certification is great to have as it shows an improvement in your competency to perform your role. You can earn this certification at the beginning of your career, as it often doesn't require a minimum education level and work experience.
Here's a bit more background on how to obtain this credentialing specialist certification:
- To become a certified Certified Billing and Coding Specialist (CBCS), you need to pass the exam.
- This certificate requires more than two years of work experience.
- Renew certification every 2 year.
What are some of the most in-demand certifications for credentialing specialists?
The most in-demand credentialing specialist certification is Certified Provider Credentialing Specialist based on all active job postings. Having this credentialing specialist certification will give you access to more credentialing specialist jobs with higher salaries.
What certifications can impact a credentialing specialist career and salary?
The Certified Provider Credentialing Specialist certification will help you to secure a medical staff coordinator position, which will increase your pay and career trajectory. A medical staff coordinator's average salary is $55,932 whereas credentialing specialists make an average salary of $40,899.
The most common combination of credentialing specialist certifications include: Certified Billing and Coding Specialist (CBCS), Certified Provider Credentialing Specialist (CPCS), and Certified Nurse Assistant (CNA).
Online courses for credentialing specialists to earn certifications
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