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How to Become a Medical Biller and Coder in Virginia

To become a medical biller and coder in Virginia, pursue certification through courses, obtain credentials like CPC or CCS, and explore job opportunities with major health care providers in the state.
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How to Become a Medical Biller and Coder in Virginia

Medical billing and coding are vital components of the health care industry, ensuring that providers are reimbursed for their services and that patient records are accurately maintained. If you're considering a career in this field in Virginia, understanding the pathway to becoming a certified professional is essential. This guide will walk you through the steps from understanding what medical billing and coding entail to obtaining certification and finding a job in Virginia.

What is Medical Billing and Coding?

Medical Coding

Medical coding is the process of transforming health care diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. This system is crucial for maintaining consistent records across the health care industry.

Medical Coding Systems Comparison

Medical coding relies on several standardized systems. Here's a comparison of the primary coding systems used:

Coding System Description
ICD-10-CM International Classification of Diseases, Tenth Revision, Clinical Modification; used for diagnosis coding.
CPT Current Procedural Terminology; used for coding medical procedures and services.
HCPCS Healthcare Common Procedure Coding System; used for coding a variety of health care services and equipment.

Medical Billing

Medical billing involves submitting and following up on claims with health insurance companies to receive payment for services rendered by a health care provider. It is a critical process that ensures the financial health of medical practices.

Do I Need a Medical Billing and Coding License in Virginia?

In Virginia, you do not need a specific license to work as a medical biller or coder. However, obtaining certification can greatly enhance your job prospects and demonstrate your expertise to potential employers.

Becoming a Certified Medical Billing and Coding Professional in Virginia

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 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 Virginia:

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

After completing your prep course, the next step is to obtain certification. The CPC, CCS, or equivalent certifications are widely recognized and can open doors to numerous employment opportunities.

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

Virginia offers a robust health care industry with several major providers:

  1. Sentara Healthcare
  2. Carilion Clinic
  3. Chesapeake Regional Healthcare
  4. Riverside Health System

These organizations not only offer diverse medical services but also contribute significantly to Virginia's health care landscape and economy.

Step 4: Maintain Your Certification

Once certified, it's important to maintain your credentials through continuing education and staying updated with changes in coding standards and health care regulations.

Frequently Asked Questions

How Much Do Medical Billers and Coders Earn in Virginia?

According to the Bureau of Labor Statistics (BLS), medical records specialists in Virginia earn an average annual salary of $54,640, with an hourly mean wage of $26.27. The state employs approximately 4,930 individuals in this field.

The AAPC Salary Survey for Virginia provides more nuanced information:

CertificationAnnual Salary
Certified Inpatient Coder (CIC)$85,000.00
Certified Outpatient Coder (COC)$73,148.15
Certified Pediatrics Coder (CPEDC)$64,166.67
Certified Professional Coder (CPC)$62,005.30
Certified Professional Biller (CPB)$56,339.29
Certified Risk Adjustment Coder (CRC)$62,005.30
Certified Family Practice Coder (CFPC)$47,500.00
Certified General Surgery Coder (CGSC)$77,500.00
Certified Orthopedic Surgery Coder (COSC)$42,500.00
Certified Professional Coder-Payer (CPC-P)$63,333.33
Certified Emergency Department Coder (CEDC)$60,833.33
Certified Physician Practice Manager (CPPM)$77,500.00
Certified Outpatient Coder-Apprentice (COC-A)$47,500.00
Certified Professional Medical Auditor (CPMA)$71,931.82
Certified Hematology and Oncology Coder (CHONC)$65,000.00
Certified Professional Coder-Apprentice (CPC-A)$44,739.58
Certified Professional Coder-Instructor (CPC-I)$89,285.71
Certified Documentation Expert Outpatient (CDEO)$75,277.78
Certified Evaluation and Management Coder (CEMC)$66,785.71
Certified Professional Compliance Officer (CPCO)$79,722.22
Certified Ambulatory Surgery Center Coder (CASCC)$73,750.00
Certified Professional Coder-Payer Apprentice (CPC-P-A)$32,500.00
Certified Interventional Radiology Cardiovascular Coder (CIRCC)$77,500.00

Bottom Line

Becoming a medical biller and coder in Virginia is a promising career choice with a clear pathway to certification and employment. By following these steps and obtaining the necessary credentials, you can secure a rewarding position in this essential field.

Medical Coding Course
Mid Atlantic Coding
Midlothian, Virginia
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Medical Coding Course
Mid Atlantic Coding Medical Billing and Coding Certificate Online
Virginia
Medical Coding Course
Mid Atlantic Coding Medical Billing and Coding Certificate Online
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,150
4 months
Award Type
Progam Cost
Certificate
$2,150
Program Length
Delivery Method
4 months
Online
Medical Coding
Simply Coding, LLC
Chesterfield, Virginia
Learn More
Medical Coding
Simply Coding, LLC Medical Billing and Coding Certificate Online
Virginia
Medical Coding
Simply Coding, LLC Medical Billing and Coding Certificate Online
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,200
16 weeks (about 4 months)
Award Type
Progam Cost
Certificate
$2,200
Program Length
Delivery Method
16 weeks (about 4 months)
Online
Medical Coding
Wytheville Community College
Wytheville, Virginia
Learn More
Medical Coding
Wytheville Community College Medical Billing and Coding Certificate Wytheville, Virginia
Virginia
Medical Coding
Wytheville Community College Medical Billing and Coding Certificate Wytheville, Virginia
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$4,339
2 semesters (about 8 months)
Award Type
Progam Cost
Certificate
$4,339
Program Length
Delivery Method
2 semesters (about 8 months)
Online
Hybrid
Medical Billing Training
A16 Coding Training Institute
Glen Allen, Virginia
Learn More
Medical Billing Training
A16 Coding Training Institute Medical Billing and Coding Certificate Online
Virginia
Medical Billing Training
A16 Coding Training Institute Medical Billing and Coding Certificate Online
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$2,600
12 weeks (about 3 months)
Award Type
Progam Cost
Certificate
$2,600
Program Length
Delivery Method
12 weeks (about 3 months)
Online
Medical Billing and Coding
Laurel Ridge Community College
Middletown, Virginia
Learn More
Medical Billing and Coding
Laurel Ridge Community College Medical Billing and Coding Certificate Middletown, Virginia
Virginia
Medical Billing and Coding
Laurel Ridge Community College Medical Billing and Coding Certificate Middletown, Virginia
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
Not available
1 year (3 semesters)
Award Type
Progam Cost
Certificate
Not available
Program Length
Delivery Method
1 year (3 semesters)
In Person
Certified Billing & Coding Specialist (CBCS)
Northern Virginia Community College
Woodbridge, Virginia
Learn More
Certified Billing & Coding Specialist (CBCS)
Northern Virginia Community College Medical Billing and Coding Certificate Woodbridge, Virginia
Virginia
Certified Billing & Coding Specialist (CBCS)
Northern Virginia Community College Medical Billing and Coding Certificate Woodbridge, Virginia
Virginia
Award Type
Program Cost
PRogram Length
Delivery Method
Certificate
$3,435
27 sessions
Award Type
Progam Cost
Certificate
$3,435
Program Length
Delivery Method
27 sessions
Online
Hybrid
Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.