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How to Become a Medical Biller and Coder in New York

Pursuing a career as a medical biller and coder in New York offers numerous opportunities; obtaining certification enhances job prospects and provides pathways into various health care settings.
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How to Become a Medical Biller and Coder in New York

The health care industry continues to expand, offering a range of promising career paths. One essential role within this field is medical billing and coding, a profession vital for maintaining accurate health records and ensuring proper billing practices. If you’re thinking about becoming a medical biller and coder in New York, this guide will walk you through the steps to begin your journey. From training requirements to certification options and job prospects, understanding what it takes to enter this career can help you make informed decisions as you start on this path.

What is Medical Billing and Coding?

Medical billing and coding are essential processes in the health care system that ensure health care providers are accurately reimbursed for their services. These tasks involve translating health care services into standardized codes and submitting claims to insurance companies.

Medical Coding

Medical coding is the process of converting health care diagnoses, procedures, and services into universal medical alphanumeric codes. The coding systems used are integral to this process.

Coding System Description
ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification
CPT Current Procedural Terminology
HCPCS Healthcare Common Procedure Coding System

Medical Billing

Medical billing involves the preparation and submission of claims to insurance companies to receive payment for services provided by health care professionals. It requires a thorough understanding of insurance policies, billing regulations, and coding systems.

Do I Need a Medical Billing and Coding License in New York?

In New York, there is no state-mandated license required to work as a medical biller or coder. However, obtaining certification can enhance your job prospects and demonstrate your expertise to potential employers.

Becoming a Certified Medical Billing and Coding Professional in New York

Step 1: Enroll in a Certification Prep Course

While it's not technically required to take a course, enrolling in a certificate program can help you prepare for certification exams such as the CPC (Certified Professional Coder), CPB (Certified Professional Biller), and CCS (Certified Coding Specialist).

Here are a few medical coding and billing programs in New York:

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Step 2: Get Certified (CPC, CCS or Equivalent)

Certification is a significant step in becoming a recognized professional in the field. It validates your skills and knowledge, making you a more competitive candidate in the job market.

Step 3: Find a Medical Billing Job in New York (Or Remote)

Once certified, you can begin your job search. The four biggest health care providers in New York, based on the number of employees, are:

  1. Northwell Health: With 54,000 employees, Northwell Health is the largest private employer in New York State.
  2. Montefiore Health System: Ranking second with 32,000 employees.
  3. Mount Sinai Health System: With 29,000 employees, it ranks third among the largest health care providers in New York State.
  4. NYU Langone Medical Center: Employing 27,000 people, it rounds out the fourth spot among the largest employers in the state.

These figures are based on a 2017 ranking by CGR, an independent research firm.

Step 4: Maintain Your Certification

Continuing education is required to maintain your certification. This ensures you stay updated with the latest changes in coding and billing standards.

Frequently Asked Questions

How Much Do Medical Billers and Coders Earn in New York?

According to the Bureau of Labor Statistics, medical records specialists in New York earn an average annual salary of $60,510, with an hourly mean wage of $29.09. There are approximately 7,860 employed in this field.

The AAPC Salary Survey for New York provides more nuanced information:

Certification Annual Salary
Certified OB/GYN Coder (COBGC) $68,750.00
Certified Inpatient Coder (CIC) $81,818.18
Certified Cardiology Coder (CCC) $80,000.00
Certified Outpatient Coder (COC) $85,131.58
Certified Professional Coder (CPC) $73,335.89
Certified Professional Biller (CPB) $65,606.06
Certified Risk Adjustment Coder (CRC) $73,335.89
Certified Family Practice Coder (CFPC) $67,500.00
Certified Orthopedic Surgery Coder (COSC) $110,000.00
Certified Professional Coder-Payer (CPC-P) $77,000.00
Certified Emergency Department Coder (CEDC) $95,000.00
Certified Physician Practice Manager (CPPM) $93,750.00
Certified Outpatient Coder-Apprentice (COC-A) $45,000.00
Certified Professional Medical Auditor (CPMA) $89,905.66
Certified Hematology and Oncology Coder (CHONC) $89,166.67
Certified Professional Coder-Apprentice (CPC-A) $51,875.00
Certified Professional Coder-Instructor (CPC-I) $105,000.00
Certified Documentation Expert Outpatient (CDEO) $74,166.67
Certified Evaluation and Management Coder (CEMC) $82,500.00
Certified Professional Compliance Officer (CPCO) $85,416.67
Certified Ambulatory Surgery Center Coder (CASCC) $76,250.00
Certified Professional Coder-Payer Apprentice (CPC-P-A) $47,500.00
Certified Cardiovascular and Thoracic Surgery Coder (CCVTC) $81,250.00
Certified Interventional Radiology Cardiovascular Coder (CIRCC) $135,000.00

Where Can Medical Billing and Coding Take You?

A career in medical billing and coding can open doors to various opportunities within the health care industry, including positions in hospitals, clinics, and insurance companies. It also offers the flexibility of remote work.

Bottom Line

Medical billing and coding is a rewarding career choice with a positive job outlook. By obtaining certification and gaining experience, you can secure a stable job in New York's thriving health care sector. Whether you're just starting or looking to advance your career, this field offers numerous opportunities for growth and development.

Medical Coding
New York Medical Coding Academy
Freeport, New York
Learn More
Medical Coding
New York Medical Coding Academy Medical Billing and Coding Certificate Freeport, New York
New York
Medical Coding
New York Medical Coding Academy Medical Billing and Coding Certificate Freeport, New York
New York
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,600
1 year
Award Type
Progam Cost
Certificate
$2,600
Program Length
Delivery Method
1 year
Hybrid
Medical Billing Training Courses | Healthcare Certification
Fellow Health Partners
Great River, New York
Learn More
Medical Billing Training Courses | Healthcare Certification
Fellow Health Partners Medical Billing and Coding Certificate Online
New York
Medical Billing Training Courses | Healthcare Certification
Fellow Health Partners Medical Billing and Coding Certificate Online
New York
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,695
16 weeks (about 4 months)
Award Type
Progam Cost
Certificate
$2,695
Program Length
Delivery Method
16 weeks (about 4 months)
Online
Certified Professional Coder
TMJ Coding For Success
Richmond Hill, New York
Learn More
Certified Professional Coder
TMJ Coding For Success Medical Billing and Coding Certificate Online
New York
Certified Professional Coder
TMJ Coding For Success Medical Billing and Coding Certificate Online
New York
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$5,500
16 weeks
Award Type
Progam Cost
Certificate
$5,500
Program Length
Delivery Method
16 weeks
Online
Medical Billing and Coding (Microcredential)
Hudson Valley Community College
Troy, New York
Learn More
Medical Billing and Coding (Microcredential)
Hudson Valley Community College Medical Billing and Coding Certificate Troy, New York
New York
Medical Billing and Coding (Microcredential)
Hudson Valley Community College Medical Billing and Coding Certificate Troy, New York
New York
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,528
21 credits (about 7 months)
Award Type
Progam Cost
Certificate
$2,528
Program Length
Delivery Method
21 credits (about 7 months)
In Person
Certified Medical Administrative Assistant with Medical Billing and Coding
College of Staten Island
Staten Island, New York
Learn More
Certified Medical Administrative Assistant with Medical Billing and Coding
College of Staten Island CUNY Medical Billing and Coding Certificate Online
New York
Certified Medical Administrative Assistant with Medical Billing and Coding
College of Staten Island CUNY Medical Billing and Coding Certificate Online
New York
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$3,695
12 months (self-paced)
Award Type
Progam Cost
Certificate
$3,695
Program Length
Delivery Method
12 months (self-paced)
Online
Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.