Becoming certified is mandatory with some careers, while in others, it is recommended or simply considered voluntary. Even when it is not required, obtaining a certification can give a job seeker the edge with a prospective employer. For those who already have a job, it can increase the chance for promotion. Medical billers and coders sometimes wonder if getting a voluntary medical billing and coding certification is worthwhile.
First, a bit about certification, which is usually obtained after graduation from a formal educational program. Individuals must take and pass a certification exam to demonstrate that they meet a minimum competency level. Several organizations offer certifications in different areas of the medical billing and coding field. Most of them are professional membership-based societies and in nearly all cases, the certification is valued for a certain period, typically one year. To renew the certification, the individual must earn a specified number of continuing education units.
It is important to distinguish this voluntary certification process from a state-mandated licensing requirement. Currently, no U.S. state requires a license to practice as a medical biller or coder. Though certification is also not required, it helps people illustrate their commitment to this profession and increases potential income and advancement opportunities. By holding a certification, individuals have hard evidence that they possess the basic level of knowledge important to performing well within this career.
The American Medical Billing Association, AMBA, offers the Certified Medical Reimbursement Specialist (CMRS) certification. The required exam, which costs $325 plus the cost of AMBA membership, features 16 sections containing 700 questions. The questions cover medical terms, medical coding, insurance reimbursement, federal compliance, and claim appeals. To receive the CMRS designation, a person must score at least 85 percent on the exam.
