Medical Billing Courses and Certification Programs

Find information about the courses you'll take in a medical billing and coding education program. Learn about professional certification options in this field. Schools offering Insurance Billing & Coding Specialist degrees can also be found in these popular choices.

What You Need to Know

For better or for worse, medical bills in our country still have to be paid by someone. The medical biller might often be a thankless job but it's a necessary one nonetheless that requires a keen attention to detail.

Responsibilities Process medical claims to the proper payee; communicate with insurance companies, government agencies and individuals
Certification American Medical Billing Association for Certified Medical Reimbursement Specialist credentials
Courses Record and billing analysis, computer programs, medical terminology, healthcare regulations, anatomy and physiology

What Is Medical Billing?

Medical billing, often paired with medical coding, is a profession where you process all medical claims to the proper payee. The United States medical system includes a number of ways medical services are paid for; this ensures that medical facilities receive proper reimbursement for services rendered. To have the bills processed, a medical biller must communicate with insurance agencies, government offices or patients concerning unpaid bills or co-pays.

What Are the Courses Needed for this Career?

Courses held at community colleges or continuing education programs provide enough training for a medical billing career. The courses detail the computer programs, billing analysis and communication skills to discuss bills and billing information with payees. Notable courses for such programs include:

  • Medical terminology
  • Record analysis
  • Anatomy and physiology
  • Healthcare regulations
  • Physician office skills
  • Computer skills

Several courses that are important in the programs include ICD-9 Coding, CPT-4 Coding and HCPCS Coding. The courses are often needed as pre-requisites to take higher level courses in degree programs. The classes detail the coding that is used to communicate with health insurance companies and government agencies. The codes are data-sets that detail all pertinent information concerning a patient, treatment received and medical doctor or facility that treated the patient. Coding is a crucial piece of information to learn in any of the programs.

Are Certification Programs Available?

Not only is certification available for graduates of medical billing programs, but training courses may be taken within the certification organization. The American Medical Billing Association (AMBA) provides a certification exam to earn the Certified Medical Reimbursement Specialist (CMRS) credential. A CMRS exam is voluntary and not required for entry-level jobs typically. There are several webinars and study aids that can help you prepare for the exam.

To continue researching, browse degree options below for course curriculum, prerequisites and financial aid information. Or, learn more about the subject by reading the related articles below:

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