How to Become a Medical Biller & Coder in New York City: Education Requirements & Certification for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Share

Medical records can get plagued with inaccuracies without the proper personnel and equipment to manage them, with 60% of Gen Z and 52% of millennials finding errors in them. This underscores the need for skilled medical billers and coders, professionals who are currently in demand. Aspirants from New York City can pursue the profession and find many employment opportunities in their area.

This guide helps aspiring medical billers and coders understand the steps to enter the field, including education paths and certification options. It also provides key insights into salary projections, job demand, training costs, and essential skills for success. By reading this article, readers can determine whether a career in medical billing or coding is a worthwhile pursuit.

Key Things to Know About Becoming a Medical Biller & Coder in New York City

• New York City offers a strong job outlook for medical billers and coders, with demand growing due to expanding healthcare services and administrative needs.
• The average salary for a medical biller and coder in New York City is approximately $52,000 to $60,000 annually, higher than the national average due to cost of living.
• Certification from organizations like AAPC or AHIMA is highly recommended and often required by NYC employers to validate coding expertise and compliance knowledge.
• Medical billers and coders in NYC must stay current with frequent updates to coding standards, insurance regulations, and electronic health record systems used locally.

Table of Contents

1. What education is needed to become a medical biller and coder in New York City?
2. How do I get certified as a medical biller and coder in New York City?
3. How much do medical billers and coders make in New York City?
4. What medical billing and coding specialties pay the most in New York City?
5. Is there a high demand for medical billers and coders in New York City?
6. How long does it take to become certified in medical billing and coding in New York City?
7. What’s the average cost of a medical billing and coding program in New York City?
8. What are the emerging regulatory challenges for medical billers and coders in New York City?
9. Can interdisciplinary certifications enhance my medical billing and coding career in New York City?
10. What does a medical biller and coder in New York City do on a daily basis?
11. What are the most in-demand tech skills for medical billers and coders in New York City?
12. Can medical billers and coders work from home in New York City?
13. How can I advance my career as a medical biller and coder in New York City?
14. Other Things You Should Know About Becoming a Medical Biller & Coder in New York City

What education is needed to become a medical biller and coder in New York City?

Aspiring medical billers and coders in New York City usually begin their journey by enrolling in either a postsecondary certificate program or an associate degree in medical billing and coding. While certification is not legally required in New York, employers highly favor candidates who have completed formal training and earned credentials from recognized bodies like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

Postsecondary certificate programs are often the fastest route, typically taking several months to a year. These programs focus on foundational topics such as medical terminology, anatomy, ICD-10, CPT, and HCPCS coding systems, health insurance, legal and ethical standards, and billing software. 

On the other hand, associate degree programs, usually lasting about two years and offered by community colleges, provide a broader healthcare education alongside specialized billing and coding skills, positioning graduates for future advancement.

Core courses you can expect in these programs include Medical Terminology, Anatomy and Physiology, Coding Systems (ICD-10-CM, CPT, HCPCS), Health Insurance and Reimbursement, Revenue Cycle Management, Legal Aspects of Health Insurance, and Clinical Documentation Improvement. Mastering these subjects is essential as they form the backbone of your expertise in the field.

Among the top medical billing and coding programs in NYC are Borough of Manhattan Community College (BMCC), known for its comprehensive online courses and real-world billing software training; Lehman College, which offers a rigorous Medical Biller & Coder Certificate Program; and Dreambound, a leading platform for comparing vocational training options tailored to your goals.

To excel, dedicate yourself to thoroughly understanding medical terminology and coding guidelines. Seek out externships and hands-on training to gain practical experience. Engage with local professional organizations, such as the NYC chapters of AAPC and AHIMA, to build your network and stay updated on industry trends. Additionally, leverage study groups and online resources to prepare effectively for certification exams and continuous learning.

The chart below shows that most medical billers and coders work in hospitals and the offices of doctors. 

How do I get certified as a medical biller and coder in New York City?

After finishing coursework, candidates focus on preparing for certification exams. The primary credentials sought by employers include the Certified Professional Coder (CPC) from the AAPC, Certified Coding Associate (CCA) from AHIMA, and Certified Billing and Coding Specialist (CBCS) from the NHA.

Unlike some healthcare certifications, clinical hours are not required, but a deep understanding of coding guidelines, insurance regulations, and healthcare documentation is critical.

Preparation often involves taking exam prep classes, participating in mock tests, and completing externships to simulate real-world scenarios. Local institutions like BMCC and ABC Training Center offer valuable resources, including study groups and exam support.

Joining professional organizations such as the AAPC’s New York City chapter can provide networking opportunities and access to continuing education, which is vital for staying updated with coding changes.

Popular specializations include outpatient and inpatient coding, risk adjustment, and auditing, each offering distinct career advantages and growth potential.

A medical biller and coder from New York City shared their journey: “Balancing daytime classes at a local training center with night shifts at a hospital was challenging but rewarding. The toughest part was navigating Medicaid and commercial insurance claims because of the city’s diverse patient base. However, the support from local study groups and hands-on externship experiences made all the difference. Certification opened doors to remote work and specialized coding roles that are increasingly in demand here. My advice is to embrace the learning curve and leverage every local resource you can find—you’ll build confidence and invaluable skills along the way.”

How much do medical billers and coders make in New York City?

Medical billers and coders in New York City enjoy some of the highest salaries in the state, reflecting the city’s competitive healthcare market and elevated living costs. On average, medical billers earn about $24.18 per hour, which translates to an annual salary close to $50,300 for full-time work.

Entry-level positions typically start between $19 and $25 per hour, offering a solid foundation for those new to the field. Experienced billers can expect to see salaries ranging from $60,000 up to $90,000 annually in full-time roles, demonstrating strong potential for growth.

Medical coders in New York City earn slightly higher wages, with an average hourly rate of $24.53. Salary ranges for coders generally fall between $19.71 and $26.30 per hour, depending on experience and certifications. The median annual salary for coders is estimated at $57,487, while total compensation—including bonuses and incentives—can reach a median of $64,936.

Industry reports highlight that combined medical biller and coder salaries in New York City average around $72,523 per year, or approximately $34.87 per hour, positioning this profession among the better-paid healthcare administrative roles nationwide.

When comparing these wages to other areas in New York State, those working in New York City earn noticeably more. This reflects the city’s unique economic environment, higher costs of living, and increased demand for skilled professionals.

Entry-level wages remain competitive statewide, but New York City provides greater opportunity for salary progression, especially with experience, advanced credentials, or specialization in complex coding areas like inpatient or outpatient hospital coding.

To increase earnings, medical billers and coders should consider pursuing advanced certifications such as CPC or Certified Coding Specialist (CCS). Specializing in challenging coding systems or transitioning into supervisory, auditing, or managerial roles can also significantly boost income. Staying engaged with professional organizations like AAPC or AHIMA and investing in ongoing education will open doors to higher-paying positions and career advancement in this dynamic field.

What medical billing and coding specialties pay the most in New York City?

Medical coding offers a variety of specialties that cater to different interests and career goals. One popular path is the inpatient coding specialist, who focuses on coding patient records for hospital stays. This role requires expertise in ICD-10-CM and ICD-10-PCS codes and a deep understanding of complex diagnoses. These specialists can earn upwards of $65,000 annually in the city, depending on experience and certifications.

Another popular specialty is the outpatient coding specialist, who handles coding for services that don’t require hospital admission, such as clinic visits or emergency room procedures. They primarily use CPT, HCPCS, and ICD-10-CM codes to accurately document physician services and minor surgeries. Outpatient coders in New York City typically earn around $65,000 per year, with chances for growth into supervisory roles.

Risk adjustment coding specialists, also a common career path, specialize in analyzing patient records related to chronic illnesses and conditions that influence insurance risk scores. Their work demands identifying hierarchical condition categories (HCCs) and ensuring thorough documentation for federal compliance. These professionals can expect salaries ranging from $75,000 to $85,000 annually.

The role of a coding and reimbursement specialist bridges coding accuracy with insurance payments, often managing denied claims and working with payers directly. This specialty requires a strong grasp of payer policies and appeals processes to secure proper reimbursement for providers. It’s a vital position for resolving billing challenges. Salaries in New York City range broadly from $59,000 to $97,000 per year based on experience and employer.

Coding managers lead teams of coders, oversee quality assurance, and implement coding policies. They combine deep coding experience with leadership skills to enhance compliance and productivity across healthcare organizations. Coding managers are instrumental in shaping the revenue cycle and regulatory adherence. They earn between $52,000 and $83,000 annually, with higher wages at large institutions.

Is there a high demand for medical billers and coders in New York City?

The demand for medical coders in New York City is exceptionally strong in 2025, driven by the city's vast healthcare system. While exact employment numbers for medical billers and coders in New York City are not publicly detailed, the city consistently ranks among the top US metropolitan areas for these roles, alongside Los Angeles and Chicago.

This is due to New York’s large, diverse population and its concentration of world-renowned hospitals and clinics, which create a steady need for skilled coding professionals.

When considering medical coding job opportunities in New York City, it is important to recognize the positive employment outlook. Nationwide, the Bureau of Labor Statistics projects a 9% growth rate for medical records specialists—including medical billers and coders—from 2023 to 2033, which is faster than average for all occupations. This growth is even more pronounced in major cities like New York, where healthcare complexity and volume fuel ongoing hiring demands.

Aspirants who want to find jobs as medical billers or coders as soon as possible can explore the 4 week online course for medical coding and billing cost and offerings. These certificate programs can be completed faster than undergraduate degrees and are far more affordable.

How long does it take to become certified in medical billing and coding in New York City?

Becoming certified in medical coding and billing in New York City generally takes between two months and one year, depending on the program format and individual schedule.

Many certificate programs, such as those with 60 to 90 instructional hours, can be completed in as little as 2 to 4 months when attending full-time or on an accelerated schedule. For example, some in-person courses prepare students to sit for national certification exams immediately after completion, offering a fast track to entry-level certification.

Longer programs, like the 175-hour Certified Billing and Coding Specialist course offered online by institutions such as The City College of New York, may require around 5 to 7 months to finish. More comprehensive associate degree tracks, while beneficial, can take up to three years, which might be too long and expensive for some aspirants.

Several factors influence how long certification takes, including course load, prior healthcare knowledge, and exam preparation time. Scheduling flexibility also plays a role—online and hybrid programs allow self-paced learning, which can speed up or slow down progress. To accelerate your journey, consider enrolling in accelerated or intensive courses and consistently dedicate study time each week.

If you're looking for added flexibility, explore a medical coding bootcamp online that fits your pace and schedule. It can help you quickly learn and develop the skills that you need to excel in the field.

What’s the average cost of a medical billing and coding program in New York City?

Tuition for certificate programs in New York City generally falls between $1,500 and $3,700. For instance, some local schools offer in-person courses near the lower end of this spectrum, while others with more comprehensive services or longer durations may charge higher fees. Online programs offer even more flexibility, with monthly fees as low as $79, which can be a budget-friendly choice if you prefer pacing yourself.

Several factors influence the total expense beyond tuition. The length of the program, which can vary from five months to almost a year, affects cost and commitment. Additionally, students should budget for registration fees, textbooks, and essential certification exams such as the National Healthcareer Association’s Certified Billing and Coding Specialist exam. Some programs may include internships or hands-on training, adding value but potentially increasing costs.

Living in New York City naturally brings higher costs, but the city’s wide array of accredited programs and online alternatives helps keep education affordable. As such, the top accredited online medical billing and coding schools may command higher fees than standard institutions, but their programs are designed to help learners achieve the most desirable outcomes.

Interestingly, New York is one of the largest employers of medical records specialists in the country, as shown in the visual below.

What are the emerging regulatory challenges for medical billers and coders in New York City?

Medical billing and coding professionals must continuously adapt to regulatory changes that affect documentation, reimbursement, and data privacy. Staying updated on modifications to HIPAA standards, CMS policies, and periodic revisions to ICD-10 and CPT guidelines is essential for maintaining compliance and ensuring accurate billing. Professionals should monitor updates from federal and state regulatory bodies and participate in targeted continuing education courses to mitigate risks associated with non-compliance. Joining industry-specific seminars and local professional groups can further provide practical insights on navigating complex regulatory landscapes. For those interested in expanding their healthcare expertise, consider learning how to become a nurse practitioner in New York City.

Can interdisciplinary certifications enhance my medical billing and coding career in New York City?

Expanding your expertise beyond traditional billing and coding skills is a strategic move for professionals aiming to stand out in New York City’s competitive healthcare market. By pursuing interdisciplinary certifications, you gain insights that complement your technical proficiency and enable you to navigate increasingly integrated care environments. For instance, obtaining your New York City mental health counselor certification can offer a deeper understanding of behavioral health documentation and patient interactions, which is highly valued by employers. This cross-disciplinary approach can lead to improved collaboration with clinical teams, enhanced problem-solving capabilities, and expanded opportunities in settings that emphasize holistic care management.

What does a medical biller and coder in New York City do on a daily basis?

The daily responsibilities of medical billers and coders in New York City involve a variety of critical tasks that ensure healthcare providers receive proper reimbursement while maintaining compliance with regulations. Their key duties include the following:

• Reviewing and analyzing patient records to extract accurate information from medical documents and physician notes.
• Assigning diagnostic and procedural codes using standardized systems like ICD-10 and CPT to translate treatments and diagnoses into billable formats.
• Preparing and submitting claims to insurance companies and patients, verifying each claim’s accuracy to prevent payment delays or denials.
• Following up on unpaid or denied claims by tracking outstanding payments, investigating denials, and initiating appeals to secure rightful reimbursement.
• Providing patient communication and billing support by addressing billing questions, explaining insurance coverage, and setting up payment plans when needed.
• Maintaining and updating electronic health records (EHR) to ensure billing information and insurance details are current and audit-ready.
• Ensuring regulatory compliance by adhering to HIPAA and other privacy standards, safeguarding patient confidentiality at all times.

So, is medical billing and coding a good paying job? Although many other healthcare careers offer higher salaries, medical billers and coders usually have a faster, less strenuous education process, and their national median annual salary is slightly higher than the collective median annual pay of all jobs in the country.

What are the most in-demand tech skills for medical billers and coders in New York City?

The field of medical billing and coding in New York City is rapidly changing due to technological advancements that reshape how healthcare data is managed and processed. Staying ahead of these trends is crucial for anyone aiming to excel in this competitive industry. 

One key area to master is medical billing software skills. Proficiency with platforms like Imagine and ADS streamlines billing workflows and helps maintain compliance with evolving regulations. Alongside this, strong EHR systems proficiency is essential, as electronic health records have become the backbone of patient data management, allowing seamless communication across healthcare providers.

Advanced knowledge of the Microsoft Office Suite is another vital skill. Excel, Word, and PowerPoint are indispensable for analyzing billing data, generating reports, and documenting processes clearly. Equally important is expertise in coding systems such as CPT, ICD-10, and HCPCS, which ensure accurate translation of medical services into standardized codes necessary for reimbursement.

Understanding healthcare compliance and security protocols, including HIPAA regulations, protects patient data and fosters trust in your professional handling of sensitive information. Finally, healthcare data analytics skills empower medical billers and coders to identify billing trends and optimize revenue cycles, a growing focus in the digitized healthcare environment.

Aspirants who are not near any accredited medical school can pursue online medical and billing programs, which enable them to take courses anywhere with a stable connection and graduate to become medical records specialists. 

Can medical billers and coders work from home in New York City?

Medical billers and coders in New York City are indeed allowed to work from home, and this option is rapidly gaining traction among healthcare employers. There has been a notable increase in remote and hybrid job opportunities for professionals in this field.

Major job platforms report dozens of current work-from-home positions specifically within New York City, with thousands more available statewide. This growth reflects the healthcare sector’s evolving needs and the broader digital transformation of medical records and billing systems.

Employers are increasingly open to offering fully remote or hybrid roles, often requiring only occasional in-person visits. This benefits both healthcare providers and employees by enabling efficient workflows without compromising data security or compliance.

To thrive in a remote medical billing and coding position, you must be equipped with the right tools and environment. Essential equipment includes a reliable computer featuring up-to-date security measures and a high-speed internet connection. Access to specialized medical billing and coding software, such as electronic health record systems, is crucial.

Additionally, secure remote access tools are necessary to protect patient information and ensure HIPAA compliance. Creating a quiet, organized workspace is equally important to maintain focus and confidentiality.

Success in this setup demands strong self-discipline and meticulous attention to detail. It’s vital to stay current with coding updates and maintain your professional certifications. Establishing a clear work schedule helps minimize distractions and fosters productivity. Proactive communication with supervisors and colleagues ensures alignment with team goals and quality standards.

How can I advance my career as a medical biller and coder in New York City?

Advanced career progression in the field relies on targeted professional development and strategic networking. Pursuing additional credentials beyond the initial certification—such as specialized auditing, compliance management, or leadership training—can prepare you for supervisory and management roles. Engaging in ongoing education through workshops, seminars, and industry conferences enables you to stay current with evolving regulations and emerging technologies. Establishing mentorship relationships with seasoned professionals and participating in local professional associations further enhances learning opportunities and career mobility. Explore our guide on how to become a pharmacist in New York City for insights on transitioning to or integrating related healthcare roles.

What do medical billers and coders in New York City have to say about their careers?

"Completing my medical billing and coding program at Hunter College was a transformative experience. The curriculum was rigorous and deeply connected to the healthcare realities of New York City, which gave me confidence stepping into the workforce. I love how my role directly supports patients and providers, helping to navigate the complex insurance systems. Working in such a fast-paced environment has sharpened my skills and opened doors for career growth I hadn’t anticipated. It’s rewarding to know I contribute to the health of my community every day." - John

"After graduating from New York Medical College, I found the medical billing and coding field to be both challenging and fulfilling. The diversity of NYC’s healthcare landscape means every day brings unique cases and learning opportunities. I appreciate how this career lets me combine my passion for detail with a genuine desire to help people access the care they need. Reflecting on my journey, I’m proud of how much I’ve grown personally and professionally since starting this path. It’s a stable, respected profession that truly fits the dynamic nature of the city." - Jason

"Studying at Borough of Manhattan Community College gave me a strong foundation in medical billing and coding, and the city itself constantly pushes me to improve. The cultural richness and variety of healthcare providers here mean no two days are the same, which keeps me engaged and hungry to learn more. I’ve seen firsthand how my work can impact underserved populations, which drives my passion to excel. The opportunities for advancement are impressive, especially with so many hospitals and clinics nearby. This career has been a perfect blend of professional development and meaningful community contribution." - Ethan

Other Things You Should Know About Becoming a Medical Biller & Coder in New York City

What is the quickest way to become a medical coder in New York City?

The quickest way to become a medical biller and coder in New York City is by enrolling in an accelerated, self-paced online certification program. These programs allow motivated students to complete training in as little as five months, depending on prior knowledge and study commitment. Full-time dedication speeds progress, while part-time study may extend completion time.

Which medical coding certification is best in New York City?

For medical billers and coders in New York City, the CPC stands out as the most respected credential, especially for outpatient coding roles. Hospitals and inpatient facilities often prefer certifications like the CCA and CCS, which focus on those settings. The CBCS from NHA offers a versatile entry point and is accessible through local programs.

How do I find medical billing and coding job openings specifically in the New York City area?

Aspiring medical billers and coders in New York City have a thriving job market to explore, with over 1,800 openings and a median hourly wage notably above the national average. Start your search on major platforms like Indeed, Monster, and ZipRecruiter, which feature numerous entry-level and remote positions tailored to your needs.

Connect locally by engaging with healthcare systems such as Mount Sinai and community organizations that regularly post opportunities. Joining the AAPC New York City Chapter or attending local job fairs can also expand your network and increase your chances of landing a reputable role.

Which major healthcare systems in New York City employ medical billers and coders?

Leading healthcare systems in New York City, such as Mount Sinai, NYU Langone, and NewYork-Presbyterian, actively hire medical billers and coders. Large private practices, billing companies, and specialty clinics also offer opportunities. Employers typically require 1-2 years of experience and familiarity with ICD-10, CPT coding, and electronic health records (EHR) systems.

References:

• Can Medical coders work from home? https://medsitnexus.com/can-medical-coders-work-from-home
• Financial Aid & Scholarships For Medical Billing & Coding https://www.accreditedschoolsonline.org/healthcare/medical-billing-coding/scholarships/
• Health Careers Info https://www.healthcareersinfo.net/medical-billers/
• How to Become a Medical Coder and Biller from Home https://www.uscareerinstitute.edu/online-medical-coding-and-billing-school/medical-coding-and-billing-jobs-from-home
• Is Medical Billing and Coding a Career Where I Can Work from Home? - MedicalBillingandCoding.org https://www.medicalbillingandcoding.org/qnas/is-medical-billing-a-career-where-i-can-work-from-home/
• Medical Assistant & Diagnostic Medical Sonographer Financial Aid School in Queens, Manhattan, New York https://www.nymedtraining.com/financial-aid/
• Medical Billing & Coding Certification in New York https://wsmda.edu/medical-billing-coding-certification-in-new-york-become-a-certified-biller-or-coder/
• Medical Billing & Coding Salary Guide (State-by-State) https://www.allalliedhealthschools.com/medical-billing-coding/medical-billing-and-coding-salary/
• Medical Billing and Coding Salary by State | 2025 https://nurse.org/healthcare/medical-billing-coding-salary/
• Which Coding Certification Pays the Highest Salary? https://certmage.com/which-coding-certification-pays-the-highest-salary/