Medical Coding Hub |  AHIMA (2024)

Plan Your Career

Quality healthcare depends on the accurate and timely capture of medical data. Medical coding professionals abstract clinical data from health records and assign the relevant codes that are used for vital healthcare industry functions. Coders play a key role in protecting every patient’s health story.

Medical coding offers diverse entry opportunities for new professionals and a variety of advancement options once you are in the field. As a medical coder you make an impact by being the essential link between health information and healthcare triumphs.

Medical Coders Are...

Medical Coding Hub |  AHIMA (1)

Medical Coding Hub |  AHIMA (2)

Megan O'Boyle BA
Principal Investigator

Medical Coders Impact Health and Healthcare

Medical codes are the health data building blocks that have the power to change lives. Without a code for a disease, critical tasks such as collecting data for the purpose of developing treatments and cures becomes extremely difficult.

Read the story of medical coder Megan OʼBoyle and her arduous quest in pursuit of reliable and actionable health data to help individuals facing the same rare genetic disease as her daughter in the article Deliverance in the Data.

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Medical Coding Hub |  AHIMA (3)

Careers in Medical Coding

Coding professionals play a vital role in ensuring healthcare providers and researchers have high-quality and timely data. A career in medical coding offers many benefits.

  • Quick Turnaround from Education to Certification: Start your career without spending years in higher education or accumulating loans.
  • Make an Impact: Save lives by ensuring that data is prompt and accurate - a core part of work that improves patient outcomes.
  • Provides Job Flexibility: Work a nine-to-five position at a doctor’s office, an overnight shift in a hospital, or earn a living remotely from the comfort of your own home.
  • Job Stability: The Bureau of Labor Statistics projects that employment for medical coders will grow 13% by 2026, far outpacing the average for all occupations, which is just 7%.

Career Planning

Planning and preparation are key to navigating your path to becoming a medical coder. To help guide you, we have created the Career Prep Workbook. Download the Workbook below.

Download Prep Workbook

What do coding professionals need to know?

Coding professionals must possess key competencies and knowledge to successfully perform, including:

  • Expertise in coding systems such as ICD-10-CM/PCS, CPT, and HCPCS
  • Knowledge in medical terminology, disease processes, and pharmacology
  • Expertise in health information documentation, data integrity, and data quality
Training for Medical Coders

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What job titles do coding professionals have?

Just as there is great variety in healthcare settings, there are a variety of titles and positions for medical coding professionals throughout the healthcare industry.

Typical entry-level medical coding job titles include:
  • Hospital Outpatient Coder
  • Hospital Inpatient Coder
  • Medical Coder
  • Medical Billing/Coding Specialist
More advanced job titles include:
  • Hospital Coding Manager
  • Coding Educator
  • Professional Fee (“ProFee”) coder
  • Coding Supervisor
  • Coding Auditor
Typical job titles for roles related to coding include:
  • Clinical Data Specialist
  • Data Quality Manager
  • Compliance Specialist
  • Clinical Documentation Integrity Specialist

How do I become a coding professional?

Get Certified. There are many ways to enter the medical coding industry. Some enter the coding profession immediately after they leave school. For others, coding is a fulfilling second career. Once you have earned your high-school diploma, you can:

  • Complete a certification program
  • Complete an associate degree
  • Complete a bachelor’s degree

It is recommended for students who complete an associate degree to also obtain the RHIT® credential, and for students who complete a bachelor’s degree to obtain the RHIA® credential. These certification paths, while more involved, open more avenues immediately once certified.

Prepare for the job search

Participating in mentorship programs such as AHIMA M2M Connect, downloading the Career Prep Workbook, volunteering with local healthcare providers, and joining an association like AHIMA can help expand your professional network when it’s time to land your first medical coding job.

Learn more about the knowledge and skills needed to be successful in different roles using our Career Map

View Career Map

Training for Medical Coders

Coding professionals play a vital role in ensuring healthcare providers and researchers have high-quality and timely data. A career in medical coding offers many benefits.

Whether you're a practicing medical coder or a seasoned coding professional looking to showcase your expertise, The American Health Information Management Association®(AHIMA®) offers:

  • Annual code updates training
  • Certification programs (CCA®, CCS®, and CCS-P® credentials)
  • Microcredentials

Medical Coder Training

Medical Coding Hub |  AHIMA (4)

Free, On-demand Webinar Series

Explore the future of medical coding and build your knowledge of ICD-11 during this free, on-demand webinar series.

Watch Now

Medical Coding Hub |  AHIMA (5)

Medical Coding Certifications

What are Certifications?

Certifications, such as those offered by AHIMA, assess established knowledge, skills, and competencies. When you complete the rigorous certification process, you earn a credential (represented with letters listed after your name, such as “CCS” or “RHIA”) that validates your expertise in a specific area, such as coding. Earning a credential sets you apart from the crowd when it’s time to apply for roles and gives employers confidence they can count on your commitment and knowledge.

Already know the credential for you? Get started on our Certifications overview page to learn more about the AHIMA certification exams.

Should I Pursue Certification?

If you are just starting your careers or are new to healthcare, earning an AHIMA credential demonstrates to employers that you have achieved proficiency in important competencies and knowledge areas in coding.

If you have been working in healthcare but are new to medical coding, earning a credential will bolster your existing experience and show that you are ready and committed to excel in this new role. If you are already working as a coding professional, earning a credential from AHIMA helps you stand out in an industry that values education and experience by demonstrating your commitment to the ongoing education necessary to remain relevant and lead in the complex and evolving healthcare landscape. You never know where your career might take you. AHIMA credentials can give you a leg up when looking for advancement opportunities or roles in unfamiliar organizations.

Which AHIMA Coding Credential is Right for Me?

AHIMA offers multiple options for those interested in earning a coding credential:

Certified Coding Associate (CCA®):

CCA credential holders have demonstrated coding competency across all healthcare settings.

Certified Coding Specialist (CCS®):

CCS credential holders have demonstrated skills in data quality and accuracy as well as coding proficiency.

Certified Coding Specialist – Physician-based (CCS-P®):

CCS-P credential holders have the distinction of earning a comprehensive physician’s office coding certification.

Resources

Journal of AHIMA is the official publication of the American Health Information Management Association. Coding articles from the Journal cover a wide range of coding-related issues, from important skills for coding professionals to tips on tricky coding situations. Recent titles include:

  • “What’s Next for Coding Professionals: The Importance of a Flexible Skill Set”
  • “Leveraging RCM and Coding to Help Address the Health Equity Gap”
  • “The Coder’s Role in Preventing Claim Denials”

Coding is an important part of the reimbursem*nt cycle, and it is advantageous for coding professionals to understand the basics of the revenue cycle relevant to their role or area of interest. AHIMA offers several courses, including:

  • Revenue Cycle
  • Revenue Cycle: DRG Reimbursem*nt and Case Mix
  • Revenue Cycle: Introduction to Claim Denials
  • Revenue Cycle: Introduction to the Charge Description Master
  • Revenue Cycle: Hospital Outpatient
  • Revenue Cycle: Professional Services

AHIMA invites you to explore the future of medical coding and begin building your ICD-11 knowledge today with “The Evolution of ICD-11,” a free webinar series.

The exercises in the Clinical Coding Workout book challenge coding students and professionals alike to develop and maintain the expert skills they need to stay at the top of their coding accuracy game. The book includes over 1,500 practice coding scenarios and exercises.

Build your familiarity with the terminology, structure, and format of the ICD-10-PCS code set with full-color flash cards. The ICD-10-PCS Flash Cards include 55 cards that define the 31 Medical and Surgical Root Operations, the 7 Approaches, and the 17 character values of each of the sections of ICD-10-PCS.

Build Your Coding Community

Connect on Social Media

Reach out to others beginning their careers in coding to compare notes and share tips. Ask a coding professional with years of experience that you admire if they would be willing to meet with you for an informational interview.

Connect with AHIMA on LinkedIn, Facebook, Twitter, and YouTube to keep up with the latest news and engage with fellow health information and coding professionals.

For Members: AHIMA Access

Meet and interact with your fellow health information professionals, our member-only digital community platform. On Access, you can take part in communities centered around your specific interests.

The Coding and Classification community provides updates on coding guidance, and explores innovations and advancements in the coding field.

Not a Member?

Join NOW!

Time to Network

Landing that first job can be a challenge. A robust networking strategy can help set you up for success when it’s time to take the step of finding your first official role as a coding professional. For more ideas, check out the Journal of AHIMA article “Navigating Today’s HIM Job Market.”

Medical Coding Hub |  AHIMA (2024)

FAQs

What is the most recognized medical coding certification? ›

The Certified Professional Coder (CPC) certification offered by the American Academy of Professional Coders (AAPC) is the most popular medical billing and coding certification students pursue.

Is medical coding from home legitimate? ›

Remember, there are legitimate home-based medical billing jobs available, but you'll need to get the appropriate certification training from an accredited school first. In addition, you will need to gain necessary work experience at a doctor's office or other health care facility setting, like a hospital.

What is the easiest medical coding to learn? ›

Mental health services present a seamless, straightforward coding and billing process in outpatient care. In the outpatient office setting, mental health services can be efficiently and effectively provided by skilled psychologists who are well-versed in diagnosis, treatment, and support.

What is the fastest way to become a medical coder? ›

A Medical Coding and Billing Program at SJVC can be completed with a certificate online in as few as 7 months or an Associate of Science Degree in as few as 15 months. Other program lengths may vary depending on the institution and the type of degree awarded.

What medical coder gets paid most? ›

Summary Of Annual Average Salaries For Each Certification In 2024
CertificationAverage Annual Salary
Certified Professional Medical Auditor (CPMA)$72,320
Certified Outpatient Coder (COC)$79,057
Certified Risk Adjustment Coder (CRC)$65,000
Certified Professional Biller (CPB)$57,000
6 more rows

Which pays more, CPC or CCS? ›

CCS certification often provides higher earning potential due to its specialization in inpatient coding. CPC-certified professionals typically earn between $40,000 and $60,000 annually, whereas CCS-certified coders can command salaries ranging from $45,000 to $65,000.

Can medical coding be self taught? ›

Becoming a certified medical coder can be a great career move for those looking to enter the healthcare industry. However, preparing for the certification exam can be daunting. Self-studying is an option for those who may not have access to a formal education program or who want to learn at their own pace.

How much do home health coders make in the US? ›

Home Health Coding Salary
Annual SalaryHourly Wage
Top Earners$88,000$42
75th Percentile$79,000$38
Average$64,004$31
25th Percentile$44,000$21

Is medical coding hard? ›

Medical coding and billing is technical, requires great attention to detail and demands sharp communication and problem-solving skills. This may prove challenging for some, while others might find it fits right into their natural working style.

Do medical coders have to memorize codes? ›

Fortunately, coders and billers do not have to memorize all the codes. With thousands to deal with, a coder or biller sometimes needs to look them up.

What is the hardest part of medical coding? ›

Complexity of Medical Records: Medical coders encounter a wide range of medical records with varying levels of complexity. Deciphering handwritten medical notes, illegible documentation and inconsistent terminology can lead to errors and delays in coding.

Is it hard to pass medical coding test? ›

The certification exam for medical coding and billing can be challenging, but certainly not impossible—over 70% of examinees passed in 2022. However, preparation and practice are vital for passing the exam, which is why MedCerts offers the Medical Coder & Biller Certification Course to help you succeed.

Is there a shortage of medical coders? ›

The medical coder shortage is a critical concern, with the American Medical Association reporting a 30% gap in this vital workforce. This shortfall extends beyond clinical roles, significantly hindering the revenue cycle and finance capabilities in a health system.

Is a medical coding certificate worth it? ›

Many professionals often ask, "Is Medical Billing and Coding Certification Important?" The answer lies in the competitive edge it provides in the healthcare job market. Healthcare employers depend on a high level of accuracy in medical coding and billing, as well as the patients, and insurance providers.

Can you make a good living as a medical coder? ›

At the entry level, you will start at about $45,000 a year. But as you gain more experience, your income will substantially increase. A top-level medical biller and coder can earn more than $70,000 per year, which is a pretty good income by any standard.

Should I go for ahima or AAPC? ›

If you're interested in working in a hospital setting, employers are more likely to prefer an AHIMA certification; for outpatient settings, like doctor's offices or health clinics, employers are more likely to prefer a certification from the AAPC.

Which is better, coc or cpc? ›

Career Advancement: CPC-certified coders have more flexibility in terms of career advancement. They can pursue specialized coding roles, become coding auditors and educators, or move into managerial positions in various healthcare settings.

Which medical coding exam is best? ›

Here are 11 billing and coding certifications to consider to help advance your career:
  • Certified Medical Coder (CMC) ...
  • Certified Outpatient Coder (COC) ...
  • Certified Professional Biller (CPB) ...
  • Certified Professional Coder (CPC) ...
  • Certified Professional Medical Auditor (CPMA) ...
  • Certified Risk Adjustment Coder (CRC)
4 days ago

Why is AAPC not accredited? ›

As we are not a traditional school or university, AAPC is not accredited by the Department of Education, and therefore not eligible to participate in federally funded financial aid or grant programs.

References

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