Top Medical Reimbursement Specialist Certifications For Your Career In 2021

Certifications can be a powerful tool to show employers you know your stuff. However, not all certifications are created equal.

We've compiled a list of the most common certifications for medical reimbursement specialists. Not only will obtaining these certifications give you a leg up for job hunting, they will also increase your overall value.

Most Common Certifications For Medical Reimbursement Specialist

We have compiled a detailed list of certifications for medical reimbursement specialists, along with certification requirements and information on how to earn them. This list is based on how often medical reimbursement specialists earned these certifications and how they typically list them in their resumes.

1. Certified Medical Reimbursement Specialist (CMRS)

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.

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.

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)
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.

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)
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.

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. 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.

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)

Medical Reimbursement Specialist Jobs You Might Like

Medical Reimbursement Specialist Jobs

What is the best certification for a Medical Reimbursement Specialist?

The Certified Medical Reimbursement Specialist (CMRS) certification is most common among medical reimbursement specialists. This certification is awarded by the American Medical Billing 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. To become a certified medical reimbursement specialist with Certified Medical Reimbursement Specialist (CMRS), 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 are Some of the Most In-Demand Certifications For Medical Reimbursement Specialists?

We analyzed online job postings to determine the most commonly asked-for certifications. The most popular certification requirement is Certified Medical Reimbursement Specialist. By holding this certification, you will gain a more-competitive resume that will look impressive to potential employers.

Medical reimbursement specialists are most likely to hold a combination of the following certifications: Certified Medical Reimbursement Specialist (CMRS), Certified Billing and Coding Specialist (CBCS), and Certified Medical Office Manager (CMOM).

Senior And Mid Level Jobs For Medical Reimbursement Specialist

online courses for Medical Reimbursement Specialists that you may like

If you are not ready to pass the certification program but still want to improve your skills, these online courses may help.

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Updated September 9, 2021