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Medical coder certifications allow job seekers to demonstrate their competency as an medical coder to employers. However, not all medical coder certifications provide the same value for job seekers.
The best certifications for a medical coder are Certified Billing and Coding Specialist (CBCS), Certified Coding Specialist (CCS), and Certified Professional Coder (CPC).
Below is a list of the best medical coder certifications. Obtaining an medical 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.
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.
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.
With experience, the RHIT credential holds solid potential for advancement to management positions, especially when combined with a bachelor's degree. Although most RHITs work in hospitals, they are also found in other healthcare settings including office-based physician practices, nursing homes, home health agencies, mental health facilities, and public health agencies. In fact, RHITs may be employed in any organization that uses patient data or health information, such as pharmaceutical companies, law and insurance firms, and health product vendors.
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 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 Code Specialist is an inspector that specializes in code inspection.
Job opportunities for RHIAs exist in multiple settings throughout the healthcare industry. These include the continuum of care delivery organizations, including hospitals, multispecialty clinics and physician practices, long-term care, mental health, and other ambulatory care settings. The profession has seen significant expansion in nonpatient care settings, with careers in managed care and insurance companies, software vendors, consulting services, government agencies, education, and pharmaceutical companies.
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.
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.
The employment outlook for CCS-Ps is highly favorable, considering the growth of managed care and the movement of health services delivery beyond the hospital setting. Professionals performing coding in a doctor's office, clinic, or similar setting should consider obtaining the CCS-P certification to testify to their capabilities. The CCS-P certification exam assesses mastery-level proficiency in coding rather than entry-level skills.
A Certified Medical Administrative Assistant (CMAA) performs routine administrative and clinical tasks to keep the offices and clinics of physicians running smoothly.
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.
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 Certified Evaluation and Management Coder exam was developed by a team of leading E/M coding professionals. Those coders with sufficient experience and expertise in E/M coding are encouraged to sit for the CEMC exam.
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.
If you're a home health care coder, you can become certified with the Home Care Coding Specialist-Diagnosis (HCS-D) exam. This credential is designed for home care coders with two years of coding experience.
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.
The best medical 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 coder certification:
The most in-demand medical coder certification is Certified Coding Specialist based on all active job postings. Having this medical coder certification will give you access to more medical coder jobs with higher salaries.
The Registered Health Information Technician certification will help you to secure a consultant position, which will increase your pay and career trajectory. A consultant's average salary is $74,668 whereas medical coders make an average salary of $51,563.
The most common combination of medical coder certifications include: Certified Billing and Coding Specialist (CBCS), Certified Coding Specialist (CCS), and Certified Professional Coder (CPC).
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