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Choosing the Right Medical Coding Certification

May 12, 2025

Which Medical Coding & Billing Certification Exam Should You Take: CBCS or CPC?

Overview

  • Medical billing and coding certifications are necessary for most jobs in the field.
  • Popular certifications include Certified Billing and Coding Specialist (CBCS), Certified Professional Coder (CPC), and Certified Coding Associate (CCA).
  • No one certification is deemed the best; choice depends on career goals and qualifications.

Certifications Overview

1. Certified Billing and Coding Specialist (CBCS)

  • Provider: National Healthcareer Association (NHA).
  • Focus: Broad, foundational skills in medical coding for various medical settings.
  • Exam: 100 scored questions, 3 hours, offered remotely or at testing centers.
  • Requirements:
    • Must be 18 and have a high school diploma.
    • Completion of a medical billing and coding program or 1 year of supervised work experience.
  • Ideal for: New entrants wanting foundational coding skills.

2. Certified Professional Coder (CPC)

  • Provider: American Academy of Professional Coders (AAPC).
  • Focus: Outpatient coding, including diagnoses and procedures.
  • Exam: 100 multiple choice questions, 4 hours, offered online or at testing centers.
  • Requirements:
    • Must be 18 and have a high school diploma.
    • Active AAPC membership recommended.
    • Relevant education or work experience recommended.
  • Ideal for: Those seeking membership in AAPC and further education opportunities.

3. Certified Coding Associate (CCA)

  • Provider: American Health Information Management Association (AHIMA).
  • Focus: Coding across various medical settings.
  • Exam: 90-115 questions, timed.
  • Requirements:
    • High school diploma.
    • Experience or approved training course recommended but not required.
  • Ideal for: Entry-level coders without extensive training.

Comparison and Considerations

  • Employer Preferences: No strong preference for one certification over another.
  • Understanding similarities and differences can aid decision making.
  • Costs and experience requirements vary.

Career Advancement

  • After CPC certification:
    • Consider advanced certifications like Certified Professional Biller (CPB).
    • Specialize in specific areas like inpatient or outpatient coding.

Salary Insights

  • Average salary for certified specialists: $45,018.
  • Higher earnings potential in specialties like radiology, oncology, and emergency coding.

Educational Pathways

  • Most certifications recommend formal training.
  • Online programs, like Penn Foster’s, prepare students for CBCS, CPC, and CCA exams.

Conclusion

Choosing the right certification depends on personal career goals and existing qualifications. Certifications offer a pathway to job advancement and potentially higher salaries in the medical billing and coding field.