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The best certifications for a medical biller coder are Certified Billing and Coding Specialist (CBCS), Medical Assistant, and Certified Professional Coder (CPC).
Medical biller coder certifications demonstrate your competency as a medical biller coder to employers. However, not all medical biller coder certifications provide the same value.
Below is a list of the best medical biller coder certifications. Obtaining a medical biller coder certification will give you a leg up when you apply for jobs and increase your potential salary.
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.
The medical assistant job description varies depending on the employer's needs. A medical assistant is a multi-skilled professional and an asset to a physician.
A Certified Professional Coder (CPC) is an individual of high professional integrity who has passed a coding certification examination sponsored by the American Academy of Professional Coders (the AAPC). The examination consists of questions regarding the correct application of CPT, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies.
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.
Experienced medical office professionals with exceptional coding skills are eligible to sit for the Certified Medical Coder (CMC) exam. Practice Management Institute has helped raise the bar of knowledge with its CMC credential, designed to help physicians and their staff ensure ample training in outpatient coding.
The Certified Professional Biller (CPB™) credential prepares medical billers with skills to maintain all aspects of the revenue cycle. Without expertise in medical billing and the nuances of payer requirements, reimbursement may be compromised.
A Certified Medical Administrative Assistant (CMAA) performs routine administrative and clinical tasks to keep the offices and clinics of physicians running smoothly.
The Insurance and Coding Specialist can find a rewarding position as a health insurance claims processor or coder in a medical office practice. The Examination content areas include medical billing procedures, insurance claims processing, medical terminology, CPT coding, ICD-9-CM Coding, and HCPCS Level II coding.
Experienced medical office professionals with exceptional administrative skills are eligible to sit for the Certified Medical Office Manager (CMOM) exam. To attain CMOM certification, all candidates must demonstrate a high level of knowledge in financial management, managed care contracting, personnel, and time management. Risk management, medical record keeping and facility management issues should also be mastered.
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.
The CMA (Certified Management Accountant) is the advanced professional certification specifically designed to measure the accounting and financial management skills that drive business performance.
Medical auditing is a critical piece to compliant and profitable physician practices. As a Certified Professional Medical Auditor, you will be able to use your proven knowledge of coding and documentation guidelines to improve your or another practice's revenue cycle.
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.
A Certified Professional Coder-Hospital (CPC-H) is an individual of high professional integrity who has passed a coding certification examination sponsored by the American Academy of Professional Coders (the AAPC). The examination consists of questions regarding the correct application of CPT, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing facility services to insurance companies.
Certified Medical Reimbursement Specialists (CMRS) are skilled in facilitating the claims paying process from the time a service is rendered by a health care provider until the balance is paid. The CMRS is knowledgeable in ICD9, CPT4 and HCPCS Coding, Medical Terminology, Insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG Compliance, information and web technology, reimbursement, and much more. CMRS Billers play a critical role in a health care provider's daily business operations.
A Certified Code Specialist is an inspector that specializes in code inspection.
American Health Information Management Association (AHIMA) recognizes that the demand for coders has never been greater, and this need is expected to continue for some years to come. By creating an entry-level coding credential based on job analysis standards and state-of-the-art test construction, AHIMA aims to increase the number of qualified new coders. The result? A larger pool of qualified coders for employers to choose from; certified coders doing a better job managing health information; and recognition for AHIMA members as industry experts and leaders in clinical coding.New coders who earn the CCA will immediately demonstrate their competency in the field, even if they don't have much job experience. Earning a CCA demonstrates a commitment to coding even for those who are new in the field. CCA holders will also distinguish themselves from non-credentialed coders and those who hold credentials from other organizations that do not require the higher level of expertise necessary to earn AHIMA certification.
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.
ACAT seeks to ensure that all accredited individuals possess both the theoretical knowledge and the practical knowledge necessary to be successful practitioners. For that reason, candidates for accreditation must satisfy an experience requirement before becoming fully credentialed: three years of related work experience, up to two of which may be satisfied through college credit. Related work experience includes verifiable experience in accounting, financial services, or other field requiring a practical and theoretical knowledge of the subject matter covered on the ACAT Comprehensive Examination for the International Accredited Business Accountant. Those who pass the exam but who have not met the experience requirement may market themselves as having passed the ACAT Comprehensive Examination for International Accredited Business Accountant, but are not entitled to use the IABA designation.
The best medical biller coder 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 medical biller coder certification:
The most in-demand medical biller coder certification is Certified Professional Coder based on all active job postings. Having this medical biller coder certification will give you access to more medical biller coder jobs with higher salaries.
The Certified Coding Specialist--Physician-based certification will help you to secure a medical coder position, which will increase your pay and career trajectory. A medical coder's average salary is $41,657 whereas medical biller coders make an average salary of $38,756.
The most common combination of medical biller coder certifications include: Certified Billing and Coding Specialist (CBCS), Medical Assistant, and Certified Professional Coder (CPC).
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