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Best reimbursement specialist certifications

Reimbursement specialist certifications allow job seekers to demonstrate their competency as an reimbursement specialist to employers. However, not all reimbursement specialist certifications provide the same value for job seekers.

The best certifications for a reimbursement specialist are Certified Billing and Coding Specialist (CBCS), Certified Coding Specialist (CCS), and Certified Medical Office Manager (CMOM).

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

12 best reimbursement specialist 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. 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)

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. Certified Professional Biller (CPB)

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.

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? Every 2 year(s)

5. Certified Management Accountant (CMA)

The CMA (Certified Management Accountant) is the advanced professional certification specifically designed to measure the accounting and financial management skills that drive business performance.

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 1 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 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.

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? 

8. Certified Public Accountant (CPA)

Certified Public Accountant candidates must pass a national exam certifiying that they are eligible to be licensed in the state(s) of their choosing. Information about state licensing requirements is made available in the Licensed Occupation tool.

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 website
Certified Public Accountant
Certifying organization
American Institute of Certified...

9. Certified Medical Coder (CMC)

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.

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? 
Certifying website
Certified Medical Coder
Certifying organization
Practice Management Institute

10. 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.

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)

11. International Accredited Business Accountant (IABA)

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.

Certification details
  • More than two years of education or training after high school required? No
  • More than two years of work experience required? Yes
  • Oral or written exam required? Yes
  • Renewal required? No

12. Nationally Certified Medical Office Assistant (NCMOA)

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.

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)

What is the best certification for a reimbursement specialist?

The best reimbursement specialist 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 reimbursement specialist 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 reimbursement specialists?

The most in-demand reimbursement specialist certification is Certified Coding Specialist based on all active job postings. Having this reimbursement specialist certification will give you access to more reimbursement specialist jobs with higher salaries.

What certifications can impact a reimbursement specialist career and salary?

The Certified Billing and Coding Specialist certification will help you to secure a billing specialist position, which will increase your pay and career trajectory. A billing specialist's average salary is $32,389 whereas reimbursement specialists make an average salary of $38,273.

Best certifications

The most common combination of reimbursement specialist certifications include: Certified Billing and Coding Specialist (CBCS), Certified Coding Specialist (CCS), and Certified Medical Office Manager (CMOM).

Online courses for reimbursement specialists to earn certifications

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