How to Become a Medical Biller and Coder in North Carolina

To become a medical biller and coder in North Carolina, complete a certification prep course, pass a certification exam, and explore job opportunities with major health care providers.
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How to Become a Medical Biller and Coder in North Carolina

The field of medical billing and coding is an essential component of the health care industry, ensuring that patient data is accurately recorded and that health care providers receive timely payment for services rendered. For those interested in pursuing a career in this field in North Carolina, understanding the steps and requirements is crucial. This article will guide you through the process of becoming a medical biller and coder in the state.

What is Medical Billing and Coding?

Medical billing and coding are two distinct yet interconnected processes that play a vital role in the health care system.

Medical Coding

Medical coding involves translating health care diagnoses, procedures, and equipment into standardized codes. These codes are used to create accurate patient records and facilitate billing processes. Several coding systems are employed in the industry, each serving a specific purpose.

Medical Coding Systems Comparison

System Description Usage
ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification Diagnosis coding
CPT Current Procedural Terminology Procedure coding
HCPCS Healthcare Common Procedure Coding System Supplemental coding for Medicare and other insurers

Medical Billing

Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services provided by a health care provider. It requires a thorough understanding of insurance guidelines and billing protocols.

Do I Need a Medical Billing and Coding License in North Carolina?

In North Carolina, a specific license is not required to work as a medical biller and coder. However, obtaining certification can significantly enhance job prospects and credibility in the field.

Becoming a Certified Medical Billing and Coding Professional in North Carolina

Step 1: Enroll in a Certification Prep Course

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

Here are a few medical coding and billing programs in North Carolina:

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

Certification is a key step in becoming a professional medical biller and coder. It demonstrates your expertise and commitment to the field, making you a more attractive candidate to potential employers.

Step 3: Find a Medical Billing Job in North Carolina (Or Remote)

The four biggest health care providers in North Carolina, based on the information provided, are:

  1. Duke University Health System: Known for its extensive range of medical services and research, it is nationally ranked in 11 adult specialties and 9 pediatric specialties.  
  2. UNC Health: A not-for-profit integrated health care system based in Chapel Hill, it provides a wide array of medical services and has a significant presence in the state.
  3. Atrium Health: One of the largest health care systems in the country, it includes Atrium Health Carolinas Medical Center and has expanded significantly through strategic partnerships, including with Wake Forest Baptist Health.
  4. Novant Health: A four-state integrated network of physician clinics, outpatient centers, and hospitals, it provides comprehensive medical services and has a substantial presence in the state.

These entities are recognized for their state-of-the-art facilities, highly trained medical professionals, and commitment to community outreach and public health.

Step 4: Maintain Your Certification

Continuing education and recertification are necessary to maintain your credentials and stay current with industry standards and regulations.

Frequently Asked Questions

How Much Do Medical Billers and Coders Earn in North Carolina?

According to the Bureau of Labor Statistics (BLS), medical records specialists in North Carolina have an average annual salary of $49,400, with an hourly mean wage of $23.75. The state employs approximately 5,090 individuals in this field.

The AAPC Salary Survey for North Carolina offers more nuanced information:

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Certification Annual Salary
Certified OB/GYN Coder (COBGC) $65,000.00
Certified Inpatient Coder (CIC) $65,416.67
Certified Cardiology Coder (CCC) $60,000.00
Certified Outpatient Coder (COC) $64,274.19
Certified Pediatrics Coder (CPEDC) $65,000.00
Certified Professional Coder (CPC) $62,826.70
Certified Professional Biller (CPB) $58,653.85
Certified Rheumatology Coder (CRHC) $52,500.00
Certified Risk Adjustment Coder (CRC) $62,826.70
Certified Family Practice Coder (CFPC) $95,000.00
Certified General Surgery Coder (CGSC) $80,000.00
Certified Orthopedic Surgery Coder (COSC) $65,000.00
Certified Professional Coder-Payer (CPC-P) $67,500.00
Certified Physician Practice Manager (CPPM) $79,090.91
Certified Professional Medical Auditor (CPMA) $77,700.00
Certified Hematology and Oncology Coder (CHONC) $56,785.71
Certified Professional Coder-Apprentice (CPC-A) $45,833.33
Certified Professional Coder-Instructor (CPC-I) $91,458.33
Certified Documentation Expert Outpatient (CDEO) $75,000.00
Certified Evaluation and Management Coder (CEMC) $71,923.08
Certified Professional Compliance Officer (CPCO) $73,250.00
Certified Ambulatory Surgery Center Coder (CASCC) $75,000.00
Certified Anesthesia and Pain Management Coder (CANPC) $87,500.00
Certified Professional Coder-Payer Apprentice (CPC-P-A) $96,250.00
Certified Cardiovascular and Thoracic Surgery Coder (CCVTC) $60,000.00
Certified Interventional Radiology Cardiovascular Coder (CIRCC) $67,500.00

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 sector, including roles in hospitals, clinics, insurance companies, and even remote positions.

Bottom Line

Becoming a medical biller and coder in North Carolina is a rewarding career path that offers numerous opportunities for growth and specialization. By following the outlined steps, you can position yourself for success in this vital health care field.

CGS Health Information Technology Programs
CGS Billing Service Medical Billing and Coding Certificate Online
Polkton, North Carolina
Learn More
CGS Health Information Technology Programs
CGS Billing Service Medical Billing and Coding Certificate Online
North Carolina
CGS Health Information Technology Programs
CGS Billing Service Medical Billing and Coding Certificate Online
North Carolina
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$4,433
5 months
Award Type
Progam Cost
Certificate
$4,433
Program Length
Delivery Method
5 months
Online
Medical Coding, Billing, & Insurance Certificate, CTE
Lenoir Community College Medical Billing and Coding Associate Online
Kinston, North Carolina
Learn More
Medical Coding, Billing, & Insurance Certificate, CTE
Lenoir Community College Medical Billing and Coding Associate Online
North Carolina
Medical Coding, Billing, & Insurance Certificate, CTE
Lenoir Community College Medical Billing and Coding Associate Online
North Carolina
Award Type
Program Cost
PRogram Length
Delivery Method
Associate
$1,580
16 credits (about 5.33 months)
Award Type
Progam Cost
Associate
$1,580
Program Length
Delivery Method
16 credits (about 5.33 months)
Online
Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.