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Best medical claims analyst certifications

Medical claims analyst certifications allow job seekers to demonstrate their competency as an medical claims analyst to employers. However, not all medical claims analyst certifications provide the same value for job seekers.

The best certifications for a medical claims analyst are Certified Billing and Coding Specialist (CBCS), Medical Assistant, and Certified Medical Office Manager (CMOM).

Below is a list of the best medical claims analyst certifications. Obtaining an medical claims analyst certification will give you a leg up when you apply for jobs and increase your potential salary.

7 best medical claims analyst 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.

Certification details
  • 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. Medical Assistant

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.

Certification details
  • 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)
Certifying organization
American Society of Phlebotomy...

3. Certified Medical Office Manager (CMOM)

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.

Certification details
  • 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? 
Certifying organization
Practice Management Institute

4. Nationally Certified Insurance and Coding Specialist (NCICS)

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.

Certification details
  • 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)

5. Certified Professional Coder (CPC)

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.

Certification details
  • 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 2 year(s)

6. 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.

Certification details
  • 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
Certifying organization
Health Insurance Association of...

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.

Certification details
  • 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)

What is the best certification for a medical claims analyst?

The best medical claims analyst 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 claims analyst 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 medical claims analysts?

The most in-demand medical claims analyst certification is Certified Professional Coder based on all active job postings. Having this medical claims analyst certification will give you access to more medical claims analyst jobs with higher salaries.

Best certifications

The most common combination of medical claims analyst certifications include: Certified Billing and Coding Specialist (CBCS), Medical Assistant, and Certified Medical Office Manager (CMOM).

Online courses for medical claims analysts to earn certifications

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