Advancing allied health careers through trusted certification Support Verify Credentials Instructor Sign In
AHCA Certification

Medical Billing & Coding

Accurate and timely health data is essential to delivering quality healthcare and receiving proper reimbursement.

Profession Overview

Medical Billing & Coding

Healthcare professionals working with digital medical records and billing data

Medical billing and coding professionals translate clinical documentation into standardized diagnosis and procedure codes, submit and follow up on insurance claims, resolve denials, and support accurate reimbursement and healthcare data.

Core competency areas

Knowledge

Role-specific theory, terminology, safety requirements and professional standards.

Practical Skills

Accurate, safe and efficient performance of essential occupational tasks.

Professional Conduct

Communication, confidentiality, documentation, ethics and patient-centered service.

Certification resources

Knowledge area and skills outline
Exam content outline and recommended reading
Qualification requirements and candidate handbook
Continuing education and credential maintenance
Legacy Program Description

Medical billing and coding in the healthcare team

Medical billing includes submitting and following up on claims with health insurance companies so that healthcare providers can receive payment for services rendered.

A medical coding professional works as part of a team to help achieve quality patient care by translating clinical documentation into standardized codes used for reporting, reimbursement and healthcare records.