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Best medical claims processor certifications
Medical claims processor certifications allow job seekers to demonstrate their competency as an medical claims processor to employers. However, not all medical claims processor certifications provide the same value for job seekers.
The best certifications for a medical claims processor are Medical Assistant, Certified Billing and Coding Specialist (CBCS), and Certified Medical Administrative Assistant (CMAA).
Below is a list of the best medical claims processor certifications. Obtaining an medical claims processor certification will give you a leg up when you apply for jobs and increase your potential salary.
9 best certifications for medical claims processors
| Rank | Medical claims processor certification | Organization |
|---|---|---|
| 1 | Medical Assistant | ASPT |
| 2 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 3 | Certified Medical Administrative Assistant (CMAA) | NHA |
| 4 | Certified Coding Specialist (CCS) | AHIMA |
| 5 | Certified Medical Office Manager (CMOM) | PMI |
| 6 | Certified Medical Insurance Specialist (CMIS) | PMI |
| 7 | Certified Clinical Medical Assistant (NHA) | NHA |
| 8 | Basic Life Support for Healthcare and Public Safety (BLS) | American Red ... |
| 9 | Certified Professional Coder (CPC) | AAPC |
9 best medical claims processor certifications
1. 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.
- 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)
2. 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)
3. 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)
4. 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)
5. 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.
- 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?
6. 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?
7. 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)
8. Basic Life Support for Healthcare and Public Safety (BLS)
Basic Life Support for Healthcare Providers (BLS) uses a scenario-based approach to develop the critical thinking and problem solving skills that drive better patient outcomes. Consistent with AHA Guidelines for CPR/ECC. Covers breathing and cardiac emergencies - including CPR, AED, and obstructed airway - for adult, child, and infant patients. Free, two-year digital "Basic Life Support for Healthcare Providers" certificate upon course completion..
- 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?
9. 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.
- 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)
What is the best certification for a medical claims processor?
The best medical claims processor certification is Medical Assistant. The Medical Assistant is awarded by the American Society of Phlebotomy Technicians. 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 processor certification:
- To become a certified Medical Assistant, you need to pass the exam.
- Lucky you - certification doesn't require more than two years of work experience.
- Renew certification every 1 year.
What certifications can impact a medical claims processor career and salary?
The Medical Assistant certification will help you to secure a medical assistant position, which will increase your pay and career trajectory. A medical assistant's average salary is $32,314 whereas medical claims processors make an average salary of $36,777.
The most common combination of medical claims processor certifications include: Medical Assistant, Certified Billing and Coding Specialist (CBCS), and Certified Medical Administrative Assistant (CMAA).
Online courses for medical claims processors to earn certifications
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