Medical Biller & Coder in TX

How to Become a Medical Billing and Coding Specialist in Texas

Due to changes in healthcare regulations and an aging population, the demand for skilled medical billers and coders continues to grow!

Educational and Training Requirements

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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    Arizona College of Nursing
    7 month diploma program with morning and evening classes. No GED required.

    • Dallas

    Austin Career Institute
    ACI’s Medical Assistant School Training Program spans 771 hours over 8 months (32 weeks) and provides flexible class schedules to accommodate students. The program offers hands-on training in a real clinic setting, preparing students for entry-level roles in ambulatory health care settings. Students learn to perform both administrative and clinical tasks, working with physicians and other healthcare professionals. The curriculum includes training in EKGs, phlebotomy, and measuring vitals, and graduates can earn up to four certifications such as NRCMA, NRCEKG and NRCAHA.

    • Austin

    DeVry University
    DeVry University offers two online medical billing and coding certificate programs designed to prepare students for industry certifications like CCS or CPC. These programs emphasize essential skills in health information technology, medical terminology, and coding systems such as ICD-10 and CPT. Students can choose between a more comprehensive Health Information Coding program, ideal for roles in large healthcare systems, or a standard Medical Billing and Coding program, tailored for smaller healthcare settings. Both programs are offered entirely online, providing flexibility for students to study at their own pace, with new classes starting every 8 weeks.

    • Irving

    FORTIS College
    For students seeking entry level positions in healthcare.

    • Grand Prairie, Houston

    Houston Community College
    The Comprehensive Coding Certificate program teaches medical coding skills to assign diagnostic and procedure codes in electronic medical records. Covering ICD-9, ICD-10, CPT coding, anatomy, physiology, and medical terminology.

    • Houston, Missouri City, Stafford

    Interactive College of Technology
    The Medical Office Administration program preps students for Certified Medical Administrative Assistant and Certified Electronic Health Records Specialist certifications by the National Health Association (NHA).

    • Pasadena, Houston

    North Central Texas College
    The Medical Coding & Insurance program at North Central Texas College provides an Occupational Skills Award and covers medical terminology, health data content, and coding classification systems. Students will learn about surgical and diagnostic procedures, documentation requirements, and medical coding for reimbursement. The program includes 192 lecture/lab contact hours, with tuition covering all textbooks. Courses required are Health Data Content and Structure (HITT 1001), Coding and Classification Systems (HITT 1041), and Coding and Insurance (HITT 1013).

    • Denton

    Pima Medical Institute
    9 month on campus certificate program.

    • El Paso, Houston, San Antonio

    Remington College
    Train in records management, and study the industry-standard coding systems and rules (CPT, HCPCS) in a 9 month fast track program.

    • Forth Worth, Garland, Houston, Webster

    South Texas Vocational Technical Institute 
    STVT’s Medical Billing and Coding Program prepares students for careers in healthcare information, teaching skills needed for medical and insurance administrative roles. The program emphasizes medical procedure coding for billing and includes an externship for real-world experience. The 72-credit hour program spans 15 months and is offered at the McAllen campus.

    • Arlington, San Antonio, Brownsville, Corpus Christi, McAllen

    Southern Careers Institute
    36 week hybrid program. Prep for these certifications: Certified Billing and Coding Specialist (CBCS), Medical Administrative Assistant (CMAA), and Electronic Health Records Specialist (EHRS).

    • Austin, Brownsville, Corpus Christi, Harlingen, Pharr, San Antonio, Waco

    Temple College

    • Hutto

    The College of Health Care Professions
    38 week Medical Coding and Billing Certificate Program in a blended-learning format. Learn CPT, HCPCS, and ICD coding sets.

    • Austin, Dallas, Fort Worth, Houston, McAllen, San Antonio

    Vista College

    • El Paso, Killeen, Beaumont, College Station, Longview, Lubbock

Read more about what to consider when choosing to become a medical biller and coder for your career.


Texas provides wonderful opportunities in the medical billing and coding field as it is home to of the most renowned medical centers in the country.

The table below provides the median salary ranges in major metro areas.

Area Name Hourly mean wage Annual mean wage
Abilene $19.73 $41,040.00
Amarillo $19.75 $41,080.00
Austin-Round Rock $21.88 $45,500.00
Beaumont-Port Arthur $19.68 $40,940.00
Big Thicket $16.75 $34,850.00
Border Region $18.42 $38,320.00
Brownsville-Harlingen $17.87 $37,170.00
Coastal Plains $17.83 $37,090.00
College Station-Bryan $20.68 $43,010.00
Corpus Christi $19.69 $40,950.00
Dallas-Fort Worth-Arlington $22.64 $47,090.00
El Paso $18.87 $39,240.00
Hill Country $18.17 $37,800.00
Houston-The Woodlands-Sugar Land $22.40 $46,590.00
Killeen-Temple $22.59 $46,980.00
Laredo $16.97 $35,290.00
Longview $21.87 $45,480.00
Lubbock $20.78 $43,220.00
McAllen-Edinburg-Mission $16.37 $34,050.00
Midland $21.48 $44,680.00
North Texas $18.42 $38,310.00
Odessa $20.28 $42,180.00
San Angelo $17.98 $37,390.00
San Antonio-New Braunfels $21.83 $45,400.00
Sherman-Denison $23.71 $49,320.00
Texarkana $16.43 $34,180.00
Tyler $21.09 $43,870.00
Victoria $20.06 $41,730.00
Waco $19.95 $41,490.00
West Texas $18.04 $37,510.00
Wichita Falls $21.42 $44,540.00


Job Requirements

According to Josh Berndt, Public Relations Officer with the American Academy of Professional Coders (AAPC) there are no mandated educational requirements to begin a career as a medical biller or coder in Texas, ”although it helps to have some courses in anatomy and physiology.”

However, there are certain skill sets and knowledge specific to the field that can best be learned through an accredited educational program.

Associates Degree

You may earn a 2-year associate degree or 4-year bachelor degree in the field of Medical Billing and Coding. Having an associate’s degree will provide you with a competitive edge over those with only high school diploma in obtaining competitive-wage employment.


Bachelors Degree

Earning a bachelor’s degree in the field will almost guarantee that you will obtain a more lucrative position and be eligible for promotional opportunities, such Health Information Services Manger overseeing the work of medical billers and coders. Those already in possession of an associate or bachelor’s degree may earn a certificate in medical billing and coding.


CCS badgeCertificate programs are generally three to nine months in length depending on whether you attend on a part or full time basis.  Most degree and certificate programs include an externship during which you will gain real-world experience as a medical biller and coder.

Coursework will include the anatomy and physiology, medical terminology, basis office procedures, insurance claims, the use of medical billing software, coding systems and coding terminology.

Certification Requirements

As per Mr. Berndt of AAPC, most states, Texas included, have no mandated certification requirements to work as a Medical Biller and Coder.

However, a 2005 survey by AHIMA showed that over 73% of employers nationwide believe that credentialing is very important for Medical Coding professionals.

Additional Benefits of Certification:

  • Enhance your earning potential
  • Eligibility for promotional opportunities and career development
  • Receive recognition from your peers as a professional in the field.

Below are the two organizations that provide accreditation for medical billing and coding programs.

Each organization will award medical coding certification upon successfully passing an extensive five-and-a-half hour examination.  To sit for either exam, candidates must possess a high school diploma or GED.

American Health Information Management Association

AHIMA logo

AHIMA will confer a Certified Coding Specialist (CCS) credential.

For details on the AHIMA exam, visit:

Steps to take AHIMA CCS exam:

  • Read the Candidate Guide
  • Apply for exam
  • Register online
  • Complete the application
  • Submit transcripts and resume
  • Pay exam fee ($299 AHIMA member; $399 non-members
  • Read authorization test (ATT)
  • Schedule exam online

American Academy of Professional Coders

AAPC logoThe AAPC confers the Certified Professional Coder (CPC) credential. Those will less than two years experience will be given the designation CPC-A (Apprentice).

Once the apprentice has accumulated two years experience, they must provide two letters of recommendation or one letter and show evidence of 80 hours of continuing education to obtain the full CPC designation: CPC.

For details on the AAPC exam, visit

Steps to take the AAPC CPS exam:

  • Complete Application
  • Submit transcripts and resume
  • Pay $300 exam fee – 4 weeks before schedule exam date
  • Be a current AAPC member ($70 for students; $125 for regular membership)
  • Exam sites are located in Dallas, Fort Worth Houston, and Temple

Career Overview

Medical Billers and Coders (now classified under the rubric of Health Information Technicians) assist healthcare providers and insurance companies to accurately code medical diagnoses and procedures to expedite the filing and payment of insurance claims.

How the Medical Billing & Coding Process Works

Information collected by medical coders includes patient health history, medical diagnosis, treatment protocol, and prescribed medications.

Every diagnosis and medical procedure is assigned an alpha-numeric code using specialized classification software. Medical billing and coding professionals must be familiar with several different coding systems depending on whether the patient is privately insured or billed through Medicare and type of setting where services performed (outpatient or hospital-based).


  1. It is the medical biller and coder’s responsibility to input patient information into the patient database using the appropriate codes to create an insurance claim.
  2. This claim is then submitted to the appropriate insurance carrier where it will be either accepted or denied.
    1. If the claim is accepted, the health care provider will reimbursed according to the rates set for the specific code.
    2. If the claim in denied, the medical biller and coder must follow-up with the insurance carrier to determine the reason. They must then notify the health care provider, update the status of the claim in the database, and send a bill to the patient.
  3. Medical billers and coders are also responsible for handling collections and working with insurance companies to investigate possible instances of insurance fraud.

Career Outlook

According to the U.S. Bureau of Labor Statistics, employment of medical billers and coders is expected grow by about 20 percent through 2018 which is faster than the average for all occupations.  Job growth will be due to aging of the population, along with the rise in the number of medical tests and procedures being performed.

Reap the benefits of a career in healthcare (job stability, career advancement opportunities) without managing direct patient care!

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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