How to Become a Medical Biller & Coder in Durham, NC: Education Requirements & Certification for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Durham, North Carolina is more than a hub for healthcare innovation—it’s also a launchpad for careers behind the scenes. If you’re detail-oriented, tech-savvy, and looking for a stable role with room to grow, medical billing and coding might be the perfect fit.

As healthcare systems continue to digitize and expand, the demand for certified billers and coders is on the rise—both nationally and right here in Durham. With an average salary of around $45,000 and increasing opportunities for remote or flexible work, this field offers strong earning potential and job security. 

In this guide, I will walk you through everything you need to know to become a medical biller and coder in Durham. From choosing the right training program and earning your certification to understanding local salary trends and job prospects, you’ll get a clear roadmap for launching your career.

Key Things to Know About Becoming a Medical Biller & Coder in Durham, NC

• Durham offers a growing healthcare sector, increasing demand for skilled medical billers and coders in hospitals, clinics, and private practices.
• The average salary for a medical biller and coder in Durham is approximately $45,027 annually, depending on experience and certification.
• Certification from recognized bodies like AAPC or AHIMA significantly improves job prospects and earning potential in the Durham healthcare market.
• Strong attention to detail and knowledge of medical coding systems, such as ICD-10 and CPT, are essential skills for success in this field in Durham.

Table of Contents

1. What education is needed to become a medical biller and coder in Durham, NC?
2. How do I get certified as a medical biller and coder in Durham, NC?
3. How much do medical billers and coders make in Durham, NC?
4. What medical billing and coding specialties pay the most in Durham, NC?
5. Is there a high demand for medical billers and coders in Durham, NC?
6. How long does it take to become certified in medical billing and coding in Durham, NC?
7. What’s the average cost of a medical billing and coding program in Durham, NC?
8. What does a medical biller and coder in Durham, NC do on a daily basis?
9. What are the future career growth opportunities for medical billers and coders in Durham, NC?
10. What additional career development strategies can help me stand out in Durham, NC?
11. What are the most in-demand tech skills for medical billers and coders in Durham, NC?
12. Can medical billers and coders work from home in Durham, NC?
13. How Do Regulatory and Compliance Requirements Affect Careers in Durham, NC?
14. Other Things You Need to Know About Becoming a Medical Biller and Coer in Durham, NC

What education is needed to become a medical biller and coder in Durham, NC?

If you’re planning to enter the medical billing and coding field in Durham, your educational journey starts with building a strong foundation in healthcare administration and medical terminology. While this career doesn’t require a four-year degree, completing the right training is essential for certification and job readiness.

Here's what you need to know:

• High School Diploma or GED: This is the minimum requirement to enroll in certificate or degree programs and begin training in the field.
• Certificate Programs: These programs typically take 6 to 12 months to complete and focus on essential skills like insurance processing, healthcare reimbursement, medical coding procedures, and office technology. They’re ideal for those looking to enter the workforce quickly.
• Associate Degree Programs: Taking about two years to complete, these programs offer more in-depth education. In addition to core billing and coding skills, students learn anatomy, physiology, medical terminology, healthcare ethics, and information management.
• Core Subjects: Regardless of the program you choose, you can expect coursework in Medical Terminology, Anatomy and Physiology, ICD-10-CM and CPT Coding, Health Insurance and Reimbursement, Medical Office Procedures, and Healthcare Law and Ethics.

Additionally Durham offers several excellent programs to prepare for a career in medical billing and coding:

• Durham Technical Community College: Provides continuing education with prerequisites including Medical Coding I-ICD-10-CM and Medical Terminology for Anatomy & Physiology.

• North Carolina Central University (NCCU): Features a fully online program designed to prepare students for national certification exams while offering practical software experience.

• The U.S. Career Institute: Offers a self-paced online certificate program that can be completed in as little as five months, specifically for North Carolina students.

Success in these programs often depends on strong keyboarding and computer skills, given the reliance on electronic health records. Students should utilize resources like coding manuals, interactive exercises, and practice exams to deepen their understanding. 

How do I get certified as a medical biller and coder in Durham, NC?

Certification is the key credential that can set you apart in the competitive field of medical billing and coding. In Durham, NC, once you've completed your training, the next step is passing a nationally recognized certification exam. These certifications not only validate your knowledge but also improve your job prospects and earning potential.

Here's how the certification process works:

• National Certification Exams: After completing your coursework, you can sit for exams such as the Certified Professional Coder (CPC) from AAPC, or the Certified Coding Associate (CCA) and Certified Coding Specialist (CCS) from AHIMA—three of the most respected credentials in the field.
• State Licensure: North Carolina does not require a separate state license for medical billers and coders, but national certification is considered essential by most employers.
• Certification Prep Resources: Schools like Durham Tech and Wake Tech offer continuing education and dedicated CPC prep courses that include online practice exams, study materials, and exam strategies.
• Hands-On Experience: While clinical hours aren’t typically required, many programs include simulations, real-world coding software training, and externship opportunities to build practical skills.
• Specialization Options: You can choose to specialize in areas such as outpatient, inpatient, or physician-based coding. These paths can help you stand out to employers and command higher salaries.

A medical biller and coder from Durham, NC, shared their experience: “Studying for the CPC exam was both daunting and rewarding. The constant updates to coding guidelines made staying current a challenge, but joining a local study group was a game-changer."

They continued: "Meeting weekly at the public library allowed us to quiz each other and exchange job leads, which kept motivation high. Even post-certification, the journey continues—networking opened doors for job shadowing and temp positions, which were crucial for gaining real-world experience.”

How much do medical billers and coders make in Durham, NC?

Durham’s strong healthcare presence—bolstered by research hospitals, specialty clinics, and telehealth providers—makes it a solid place to build a career in medical billing and coding. Compensation in this field reflects both the growing demand for skilled administrative support and the experience level of each professional.

Here's how medical billing salary typically breaks down:

• Top Earners: $59,376 – Professionals in the highest tier often have advanced certifications, years of experience, and may hold specialized or supervisory roles.
• 75th Percentile: $48,300 – These earners usually have multiple years of experience and possibly a specialization in areas like inpatient coding or auditing.
• Average: $45,027 – This reflects the typical annual salary for most medical billers and coders in Durham, especially those with certification and 1–3 years of experience.
• 25th Percentile: $36,200 – Entry-level professionals or those still working toward certification may fall into this range, especially in smaller clinics or part-time roles.

Salaries for medical billers and coders in Durham tend to grow with experience, additional certifications such as the CPC, and specialization in high-demand coding areas. Professionals who pursue advanced credentials or take on supervisory and auditing roles often see significant increases in their earning potential.

While the figures above reflect average earnings in Durham, it's also helpful to see how salaries vary by industry nationwide—some sectors offer significantly higher wages for medical records specialists across the US. Here's a visual breakdown for your reference:

What medical billing and coding specialties pay the most in Durham, NC?

Specializing within the medical billing and coding field can significantly increase your earning potential—especially in a healthcare-rich market like Durham. Employers often pay a premium for coders with focused expertise, advanced certifications, or experience in high-demand settings like surgical departments or insurance review.

Here’s a breakdown of some of the top-paying roles in the area:

• Medical Coding Reviewer: $84,535 – This high-paying role involves auditing medical records and coding work for accuracy and compliance, often requiring several years of experience and in-depth knowledge of coding guidelines.
• CCS Medical Coding: $60,275 – Coders with the Certified Coding Specialist (CCS) credential are qualified to handle more complex cases, including inpatient hospital coding, which often commands higher pay.
• Part-Time CPC Coder: $58,867 – Even part-time certified coders can earn competitive wages, especially when working remotely for national providers or handling specialized claims.
• CPC Coder: $45,576 – Certified Professional Coders (CPCs) earn solid mid-range salaries, especially with outpatient or physician-based coding responsibilities.
• Surgery Coder: $38,686 – Coders specializing in surgical procedures play a vital role in revenue cycle management, and while the salary is lower than other specialties, it often comes with strong job stability.

Aspiring medical billers and coders in Durham, NC have excellent resources to help them pursue these rewarding specialties. Durham Technical Community College offers accredited certificate and associate degree programs designed to prepare students for certification and real-world coding challenges.

Additionally, professional organizations such as the North Carolina Health Information Management Association (NCHIMA) and the American Academy of Professional Coders (AAPC) offer networking, certification support, and continuing education to help you thrive in this evolving field.

Is there a high demand for medical billers and coders in Durham, NC?

Yes—demand for medical billing and coding professionals in Durham is not only steady, it’s growing. As healthcare systems continue to expand and shift toward digital recordkeeping, trained coders and billers are playing a critical role in ensuring accurate documentation and timely reimbursement.

Here’s what the numbers show:

• Employment (2022): 5,370 employees – This represents the current workforce of billers and coders in Durham and the surrounding region.
• Projected Employment (2032): 6,230 employees – The field is expected to add hundreds of new roles over the next decade.
• Projected Growth (2022–2032): 16% – This rate outpaces many other administrative healthcare jobs, showing strong future stability and opportunity.
• Projected Annual Job Openings (2022–2032): 470 – Each year, hundreds of positions are expected to open due to growth, retirements, and career transitions.

For those considering a career in this rewarding sector, it is beneficial to enroll in accredited medical coding programs, which equip students with the necessary skills and credentials to succeed in Durham’s competitive job market. 

To better understand where this growing demand is concentrated, here’s a look at the most common work environments for medical records specialists across the country:

How long does it take to become certified in medical billing and coding in Durham, NC?

The time it takes to become certified in medical billing and coding largely depends on the educational route you choose and how quickly you complete your training. In Durham, students can pursue either short-term certificate programs or more in-depth associate degree tracks, each offering a different balance of speed and scope.

Factors like part-time enrollment, transfer credits, and prior experience can also affect the timeline. Here's how long you can expect it to take:

• Certificate Programs (6–12 Months): These fast-track programs, offered at schools like Durham Technical Community College and North Carolina Central University, focus on core coding skills and exam prep for certifications like CPC and CBCS.
• Associate Degree Programs (2–3 Years): A longer, more comprehensive path that includes general education and advanced healthcare coursework. Ideal for those who want broader career options or may pursue management roles in the future.
• Accelerated Timelines: Students with prior healthcare experience or transferable coursework may be able to test out of certain subjects and complete programs more quickly.
• Extended Timelines: Part-time students or those balancing work and family responsibilities may take longer to finish their training, especially in degree programs.

To accelerate progress, consider enrolling in accelerated or online programs. Maintaining consistent study habits, utilizing practice exams, and joining study groups can also enhance success. Exploring medical billing and coding online programs is a practical way to speed up certification efforts while adapting to personal schedules. 

What’s the average cost of a medical billing and coding program in Durham, NC?

Pursuing a career in medical billing and coding in Durham is not only accessible but also relatively affordable compared to other healthcare fields. Community colleges and local training programs offer flexible options for a wide range of budgets, helping students enter the workforce without accumulating major debt.

Costs will vary based on program type, format, and certification goals—but understanding the key expenses can help you plan ahead. Here’s what you can expect:

• Tuition per Course: $125 to $185 – Community colleges like Durham Technical and Piedmont Community College offer courses at this range, making them a cost-effective option for foundational training.
• Textbooks and Codebooks: $500 to $700 – Updated coding manuals (ICD-10, CPT, HCPCS) and other required materials can significantly add to total program costs.
• Certification Exam Fees: $350 to $400 – Exams like the Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS) have separate registration fees that are essential for credentialing.
• Online or Hybrid Program Costs: Up to $2,995 – Some private or online programs may charge flat fees or monthly payments (e.g., $79/month), depending on their structure and length.
• Factors Affecting Total Cost: Program duration, type of credential (certificate vs. degree), and optional extras like externships or supplemental courses can influence your final investment.

Consider programs such as a medical billing associate degree to enhance your qualifications and career prospects. With careful planning and the right program choice, you can manage costs while gaining valuable skills that lead to a stable and rewarding career in medical billing and coding.

What does a medical biller and coder in Durham, NC do on a daily basis?

Medical billers and coders play a behind-the-scenes but essential role in Durham’s healthcare system. From major hospitals like Duke Health to outpatient clinics and private practices, they ensure that every medical service provided is accurately coded, billed, and reimbursed.

Their work keeps revenue cycles flowing, supports compliance with healthcare regulations, and helps patients understand their medical bills. Here's a breakdown of what their typical day looks like:

• Review Medical Records: Analyze physician notes, lab results, and treatment summaries to extract key information needed for accurate coding.
• Assign Medical Codes: Use standardized systems like ICD-10, CPT, and HCPCS to translate medical documentation into billing codes required by insurers.
• Prepare and Submit Claims: Enter data into billing software and submit claims to insurance companies and patients, ensuring accuracy to avoid delays or denials.
• Manage Denials and Appeals: Investigate rejected claims, correct coding errors, and resubmit claims to secure proper reimbursement.
• Verify Insurance Coverage: Check patient eligibility and benefits prior to appointments to prevent unexpected charges and improve billing accuracy.
• Resolve Billing Discrepancies: Work with healthcare staff to clarify documentation issues and correct inconsistencies in patient records or claims.
• Communicate with Patients: Explain billing statements, address payment concerns, and help arrange payment plans when needed—all while maintaining empathy and professionalism.
• Ensure Compliance and Confidentiality: Adhere to HIPAA regulations and healthcare standards to protect patient privacy and maintain data security.

Check out our list of the fastest medical billing and coding program options to help you enter this rewarding field quickly—without sacrificing the quality of your education.

What are the future career growth opportunities for medical billers and coders in Durham, NC?

Medical billing and coding professionals in Durham, NC, can progress toward advanced supervisory roles, auditing positions, and management in healthcare administration. Industry trends indicate that acquiring complementary skills in data analytics and healthcare IT can facilitate these transitions. Targeted professional development, such as specialized training programs and mentorship, helps establish leadership competencies and prepare candidates for branching into adjacent roles. For instance, exploring additional clinical education avenues, like how to become a nurse practitioner in Durham, may provide broader insight into patient care coordination and integrated healthcare services.

What additional career development strategies can help me stand out in Durham, NC?

In a competitive market, enhancing your core competencies with targeted career development strategies can differentiate you from other professionals. Consider supplementing technical expertise with leadership training, advanced analytics, and soft skills development to improve communication and problem-solving capabilities. Engaging in industry-specific workshops, joining professional associations, and pursuing nontraditional certifications can further broaden your professional portfolio. For instance, diversifying your skill set by obtaining complementary credentials such as Durham mental health counselor certification can provide unique insights into patient care and interdisciplinary collaboration, ultimately advancing your career growth.

What are the most in-demand tech skills for medical billers and coders in Durham, NC?

As Durham’s healthcare system becomes more tech-driven, medical billers and coders must keep pace with evolving digital tools and platforms. Employers increasingly seek candidates who can navigate electronic health records, billing software, and data security systems with confidence and precision.

Here are the most in-demand tech skills for today’s medical billing and coding roles in Durham:

• Proficiency in Electronic Health Records (EHR) Systems: Enables fast, accurate access to patient records and smooth integration with healthcare workflows.

• Expertise in Medical Coding Software: Supports accurate ICD-10, CPT, and HCPCS code assignment, ensuring clean claim submissions and timely reimbursements.

• Knowledge of Billing and Claims Management Platforms: Helps streamline insurance processing, benefits verification, and reimbursement tracking.

• Competence in Word Processing and Office Software: Enhances documentation, reporting, and communication through tools like Microsoft Word and Excel.

• Familiarity with HIPAA Compliance Tools: Ensures proper handling and protection of sensitive patient data in accordance with federal regulations.

• Basic Computer Literacy and Digital Communication Skills: Supports efficiency in virtual work environments, including email, cloud-based storage, video conferencing, and online training platforms.

Can medical billers and coders work from home in Durham, NC?

Medical billers and coders in Durham, NC are increasingly able to work from home, reflecting a positive shift in the healthcare industry toward flexible employment options. As of mid-2025, many local employers openly offer remote and hybrid roles, recognizing both the efficiency and cost benefits of allowing staff to work outside traditional office settings.

This trend is supported by major healthcare providers and billing services in the region, including well-known organizations like Duke Health, which routinely list remote positions for medical billing and coding professionals.

With over 400 medical billing and coding job listings in the area, a significant number specifically offer remote opportunities, making this career path especially attractive for those seeking flexibility, autonomy, and a better work-life balance.

To thrive in a home-based setup, medical billers and coders need reliable tools and equipment. Essential items include:

• A secure, fast internet connection
• A dependable computer system
• Dual monitors (optional but recommended) to enhance productivity
• Up-to-date coding manuals such as ICD-10-CM and CPT
• Proficiency with EHR systems, billing software, and encrypted communication platforms to ensure data security and compliance

Success in this environment also depends on creating the right workspace and habits. Establishing a dedicated, distraction-free area fosters concentration and professionalism. Maintaining a consistent daily schedule helps manage workload efficiently, while ongoing education ensures up-to-date knowledge of coding standards. 

These developments make working from home as a medical biller or coder in Durham not only possible but increasingly popular and practical. Embracing this opportunity can lead to a rewarding career with the flexibility to balance professional and personal life effectively.

Here's What Medical Billers and Coders in Durham, NC Have to Say About Their Careers

• "Enrolling in the medical billing and coding program at Durham Tech was a turning point in my career. The practical, hands-on approach and support from instructors gave me the confidence to step into the field fully prepared. With Durham’s healthcare sector expanding, I’ve found consistent job opportunities and real potential for growth. What motivates me most is knowing my work helps local clinics provide vital services to a diverse patient population. It’s incredibly rewarding to play a behind-the-scenes role in improving community health while building a secure future for myself." - Joel

• "My path into medical billing and coding began at North Carolina Central University, where I not only built a strong foundation in healthcare systems but also gained insight into the critical role admin professionals play in patient access. Living in Durham has shaped my perspective—its deep community roots and cultural diversity have pushed me to be both more precise and more compassionate in my work. Tackling the complexities of insurance and billing here has challenged me to grow, and I take pride in knowing that my efforts help make healthcare more accessible across the city." - Benjie

• "Getting certified through Duke University’s continuing education program opened doors I never imagined. Durham’s fast-paced healthcare scene and top-tier medical institutions have pushed me to constantly improve, whether it’s learning new coding practices or adapting to the latest compliance updates. What I love most is the balance—this field offers both professional stability and room for advancement. Being part of a city that values progress and education has kept me energized, and I’m proud to be part of a profession that supports patient care while offering long-term career growth." - Cameron

How Do Regulatory and Compliance Requirements Affect Careers in Durham, NC?

Medical billers and coders in Durham operate under strict regulatory standards aimed at ensuring accurate financial processing and patient privacy. Mastery of compliance requirements—such as HIPAA, state-specific guidelines, and regular coding updates—is essential to safeguard sensitive data and avoid costly errors. Staying informed about evolving regulations not only mitigates risk but also enhances professional credibility and opens avenues for career advancement. For those looking to broaden their understanding of compliance within the broader healthcare industry, explore our guide on how to become a pharmacist in Durham.

Other Things You Need to Know About Becoming a Medical Biller and Coder in Durham, NC

What is the quickest way to become a medical coder in Durham, NC?

The quickest way to become a medical biller and coder in Durham, NC is by enrolling in an accelerated, fully online certification program. These programs, often self-paced and asynchronous, allow students to progress at their own speed, sometimes completing the course in as little as five months. Factors like prior experience and personal scheduling also influence completion time.

Medical billers and coders working from home need reliable equipment such as a computer, secure internet connection, and specialized coding software. Staying organized, setting a consistent routine, and creating a dedicated workspace are key tips to succeed and thrive in this flexible, in-demand career.

Which medical coding certification is best in Durham, NC?

For medical billers and coders in Durham, NC, the Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) is widely recognized as the top choice. It is especially valued for entry-level roles in physician practices and professional fee coding.

Other notable certifications include the Certified Coding Associate (CCA) from AHIMA, respected across diverse healthcare environments, and the Certified Billing and Coding Specialist (CBCS) from the National Healthcareer Association, which focuses on billing in physician offices.

When selecting the best certification, consider local employer preferences, course flexibility, and exam content to align your goals with regional demand.

How do I find medical billing and coding job openings specifically in the Durham, NC area?

Aspiring medical billers and coders in Durham, NC have a wealth of job opportunities available through various local resources. Online job boards like Indeed and Glassdoor list over 400 positions, including roles at prestigious employers such as Duke University, known for competitive pay and bonuses for certified coders.

The North Carolina Professional Group connects candidates with healthcare organizations offering full-time jobs with benefits, especially for entry-level assistants. To make your job search more effective, focus on local hospitals, healthcare networks, and specialized staffing agencies.

Also, consider remote work options, which are growing in this region, to expand your opportunities and find the perfect fit.

Which major healthcare systems in Durham, NC employ medical billers and coders?

Durham, NC, is home to leading healthcare employers like Duke Health, Avance Care, and UNC Health, all actively hiring medical billers and coders. These organizations value certified professionals skilled in ICD-10-CM and CPT-4 coding systems, with advanced roles often requiring several years of experience.

Entry-level salaries typically range from $18 to $24.25 per hour, and some positions offer generous commitment bonuses up to $10,000, highlighting the rewarding potential of this career path.

To succeed, aspiring billers and coders should pursue accredited certification programs such as CPC or CCS and seek hands-on experience through internships or entry-level roles, setting a strong foundation for growth and opportunity.

References:

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• AAPC. (n.d.). What is medical coding? Aapc.com. Retrieved 20 June 2025.

• Bureau of Labor Statistics. (2024). Medical records and health information specialists: Job outlook. Bls.gov. Retrieved 20 June 2025.

• Durham Technical Community College. (n.d.). Medical coding continuing education. Durhamtech.edu. Retrieved 20 June 2025

• North Carolina Central University. (n.d.). Online medical billing and coding. Nccu.edu. Retrieved 20 June 2025.

• O*NET OnLine. (n.d.). Summary report for: 29-2072.00 – Medical records specialists: Local trends in North Carolina. Onetonline.org. Retrieved 20 June 2025.

• ZipRecruiter. (n.d.). Medical billing and coding specialist salary in Durham, NC. Ziprecruiter.com. Retrieved 20 June 2025.

• U.S. Career Institute. (n.d.). Online medical coding and billing school. Uscareerinstitute.edu. Retrieved 20 June 2025.

• U.S. Career Institute. (n.d.). Online medical assistant school: North Carolina. Uscareerinstitute.edu. Retrieved 20 June 2025.