The following is a state-by-state report about the different job titles and job qualification requirements that are common in the medical billing and coding field throughout the country. The five states covered here employ the largest amounts of medical billing and coding professionals in the nation. The job qualifications and titles are taken from a random sampling of vacancy announcements from throughout these states.
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All jobs require at least a high school diploma or GED. A glossary of qualification terminology is provided at the end.
Medical Billing and Coding Job Titles and Qualification Requirements
California – 17,290 billing and coding professionals. Average annual salary: $45,380.
Medicare Biller/Collector
- At least two years of Medicare billing experience
- Knowledge of CMS and Medicare programs
- Some college preferred
- Previous experience with the UB04 form
Medical Coder
- 2 years of coding experience
- CPC, CCS-P, or CCS coding certificate
Medical Collections Representative II
- Four years of related experience, or a bachelor’s degree plus two years of related experience
- Knowledge of coding systems like ICD-9/10, HCPCS, CPT, and LCD/NCD
Texas – 16,110 billing and coding professionals. Average annual salary: $37,560.
Inpatient Coder
- CCS, RHIT, or RHIA
- Knowledge of ICD-9/10 CM/PCS and CPT
Medical Records Coder
- CCS, CCS-P, CPC, or CMC
- At least one year of charge entry experience and at least one month of on-the-job training
Billing and Coding Specialist
- Current professional certification
- College degree preferred
- Knowledge of CPT and ICD-9/10
Florida – 9,200 billing and coding professionals. Average annual salary: $37,760.
Coding Specialist
- CPC or certification through another nationally-accredited organization
- At least three years of related work experience
- College degree preferred
Coder
- College degree preferred
- At least two years of related work experience
- CCS or CCA
Coding/Charging Specialist
- CCS
- At least five years of experience working in a medical office
Ohio – 8,800 billing and coding professionals. Average annual salary: $38,230.
Coding Specialist II
- AHIMA or AAPC certification
- At least two years of related work experience preferred
Billing Specialist – Customer Service Representative
- Associate’s degree or equivalent amount of experience
- Knowledge of medical coding practices
- Knowledge of third-party medical coding operating procedures
Medical Records Coding Specialist
- Bachelor’s degree preferred
- AHIMA, RHIT, or other equivalent professional certification
- Two years of related experience preferred
New York – 8,580 billing and coding professionals. Average annual salary: $42,250.
Emergency Department Medical Coder
- Professional credential issued by AHIMA or AAPC
- At least three years of related work experience
- Familiarity with HIM computer systems
AR Representative Denial Biller
- Knowledge of Medicare, Medicaid, and third-party insurance billing procedures
- Knowledge of CPT, DRG, and ICD-9/10
Offsite Billing Coordinator
- Associate’s degree or two years of related work experience
- CPC certification preferred
Glossary
- AAPC – American Academy of Professional Coders
- AHIMA – American Health Information Management Association
- CCS – Certified Coding Specialist, AHIMA Certifications
- CCS-P – Certified Coding Specialist-Physician, AHIMA Certifications
- CMS – Centers for Medicare and Medicaid Services
- CPC – Certified Professional Coder certification, offered through AAPC
- CPT – Current Procedural Terminology
- HCPCS – Healthcare Common Procedure Coding System, discussed in Current Procedural Terminology
- HIM – Healthcare Information Management
- ICD-9/10 CM/PCS – International Classification of Diseases 9th/10th edition, Clinical Modification/Procedural Coding System (CM/PCS is the US-version of the ICD-9/10)
- RHIA – Registered Health Information Administrator, an AHIMA certification
- RHIT – Registered Health Information Technician, an AHIMA certification
- UB04 – A billing form created by the National Uniform Billing Committee
For additional terms readers can search through Medical Billing Coding World’s archive.
Each year Medical Billing Coding World publishes a report on the national job outlook for professionals in this field, which readers may find informative:
- 2014 report – Latest Occupational Outlook for Medical Billing and Coding Professionals
- 2013 report – MB&C by the Numbers