How to Become a Medical Biller & Coder in New York

Medical billing & coding is a healthcare specialty that offers job stability without direct patient involvement. And, it often provides the flexibility of remote work.

Education and Training

To get started, you can complete one of the online courses from accredited school below.

Search Medical Billing and Coding Programs

Get information on Medical Billing and Coding programs by entering your zip code and request enrollment information.

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Program Benefits

After graduating, you can take any of three major certification exams below.

Certified Professional Coder offered by AAPC

AAPC logo

Certified Coding Associate offered by AHIMA

AHIMA logo

Certified Billing and Coding Specialist offered by NHA

NHANOW logo

You may enroll at anytime (as opposed to most community college programs)

How Long Does It Take?

It can be completed in 1 year or less, just depends on how often you can study.

What Will You Learn?

Classes cover topics such as:

  • Medical Terminology
  • Revenue Cycle Management
  • Health Insurance and Reimbursement
  • HIPAA Regulatory Standards
  • Clinical Documentation Improvement
  • Medicare, Medicaid, CHIP, TRICARE, and Worker’s Compensation
  • International Classification of Disease, 11th Revision (ICD-11)
  • International Classification of Disease, 10th Revision, Clinical Modification (ICD-10-CM)
  • International Classification of Disease, 10th Revision, Procedure Coding System (ICD-10-PCS)
  • Current Procedural Terminology/Healthcare Common Procedure Coding System (CPT)/(HCPCS)
  • Medical office procedures
  • Pathology and pharmacology
  • Medical records software
  • And more!

Cost

The course above will cost $3,200.  This includes a voucher for the exam of your choice.

Financing is available if you want to pay monthly.

monthly financing chart

Other Local Trade Schools

    Berkeley College
    Medical Insurance Billing and Coding (MIBC) degree program with internship.

    • New York, Brooklyn, White Plains


    Hunter Business School
    3 month Medical Billing Specialist diploma course. Evening classes.

    • Levittown, Medford


Certification

Most employers prefer to hire candidates who have an official certification.

A medical billing and coding license can also make it easier to find higher-paying positions in the industry.

Medical billers and coders in New York usually apply for their licenses through one of the following certifying agencies:

  • The American Health Information Management Association (AHIMA)
  • The New York Health Information Management Association (NYHIMA)
  • The American Academy of Professional Coders (AAPC)
  • National Healthcare Association (NHA)

Exam Requirements

Each of these organizations has its own eligibility requirements that candidates must meet before they can apply to take the certification exam to earn their medical billing and coding credentials.

Generally speaking, applicants must at least have a high school diploma or GED and submit official transcripts from their medical billing and coding trade school program.

Specialized Billing and Coding Licenses

Those looking for specialized or advanced billing or coding credentials can also take exams to obtain the following licenses:

  • Certified Coding Specialist-Physician Based (CCS-P)
  • Certified Inpatient/Outpatient Coder (CIC)/(COC)
  • Registered Health Information Technician (RHIT)
  • Certified Risk Adjustment Coder (CRC)

Salary Range

The Bureau of Labor Statistics refers to the career as  “Medical Records Specialist”  and estimates the yearly pay in the state at $60,510.

According to ZipRecruiter, the annual salary is more like $53,814 while Salary.com has it $64,209

Below are some average salaries and hourly wages for parts of the state, according to the BLS.

Area Hourly Annual
Albany-Schenectady-Troy $27.37 $56,930.00
Binghamton $26.14 $54,370.00
Buffalo-Cheektowaga-Niagara Falls $26.68 $55,490.00
Capital/Northern NY $25.43 $52,890.00
CNY $24.33 $50,600.00
Glens Falls $25.23 $52,470.00
Ithaca $26.46 $55,050.00
Kingston $28.04 $58,320.00
New York-Newark-Jersey City $31.15 $64,790.00
Rochester $25.92 $53,910.00
Southwest NY $24.60 $51,170.00
Syracuse $25.55 $53,140.00
Utica-Rome $22.69 $47,190.00
Watertown-Fort Drum $23.25 $48,370.00

Occupation: Medical Records Specialists(SOC Code292072)
source: data.bls.gov

Private clinics might pay medical billers and coders more than they would make at a hospital or government-funded nursing facility.

Job Description

What Do They Do?

Generally speaking, medical billers and coders are responsible for ensuring that each employee in a medical facility, including the doctors, nurses, EKG technicians, medical and nursing assistants, and even the housekeeping staff and patient transporters, get paid.

Medical Billing vs Coding

Although most facilities hire one person to perform this task, medical billing and coding are actually two separate duties.

Coding Duties

Coders begin the process by analyzing a patient’s medical records, which include the patient’s health history and each test, medication, or procedure they received while at the medical facility.

Using the standardized classification system for their location, coders apply the appropriate diagnosis code, service code, or medical hardware code to each exam, treatment, and medicine the patient received.

Billing Duties

Next, the medical biller views the coder’s data to calculate the cost of the patient’s medical care. Duties for medical billers typically include:

  • Communicating with healthcare providers and insurance companies to get pre-authorization for certain treatments and procedures
  • Going over the coder’s report with the healthcare provider and coder to ensure accuracy and work out any disagreements or discrepancies about the level of care
  • Submit reimbursement claims for the facility’s services
  • Add any uncovered medical costs to the patient’s bill
  • Work with patients to set up affordable payment plans as needed

Career Outlook

According to the federal Bureau of Labor Statistics, the demand for qualified medical billing and coding professionals in the United States is likely to increase by about seven percent over the next ten years. Experts predict that medical billers and coders will have roughly 14,900 job openings per year to become available to choose from between 2021 and 2031.

Search Medical Billing and Coding Programs

Get information on Medical Billing and Coding programs by entering your zip code and request enrollment information.

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