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

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Share

A common misconception is that quick and affordable healthcare careers come with low earning potential—but that’s not the case in Sacramento. Believing this often steers recent high school graduates away from roles like medical billing and coding, which actually combine short training timelines with solid income and growth potential.

In Sacramento, certified billers and coders can earn between $40,000 and $51,200 annually, and programs often take less than a year to complete. This expert-backed guide breaks down the real steps, credentials, and smart decisions needed to start your career in 2025—minus the confusion and costly mistakes.

Key Things to Know About Becoming a Medical Biller & Coder in Sacramento, CA

• Sacramento training programs range from fast-track certificates (as short as 11 weeks) to 2-year associate degrees, with certifications like CPC, CBCS, and CCA boosting employability and earnings potential.
• Average annual pay for medical billers and coders in Sacramento is $48,716, with specialty coders (e.g., inpatient or oncology) earning up to $70,950 or $50/hour respectively.
• Local job boards list between 70 and 94 active openings, with projected national growth of 7% by 2032 and remote roles increasingly available for certified professionals.

Table of Contents

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

What education is needed to become a medical biller and coder in Sacramento, CA?

To start a career in medical billing and coding in Sacramento, CA, you'll need to complete a post-secondary training program that covers healthcare documentation, coding systems, and billing practices. While the state doesn’t require a license, most employers expect job candidates to hold a formal certificate or associate degree and a recognized certification.

Education Pathways

The most common educational options include:

• Certificate or Diploma Programs: These take less than a year and focus on essential skills.
• Associate Degree Programs: Typically two years, these provide broader healthcare knowledge and are offered at community colleges. They can lead to more advancement opportunities in roles like medical records analyst or health information technician.

Common Coursework

Expect to study:

• Medical terminology
• Anatomy and physiology
• Health insurance and claims
• ICD-10, CPT, and HCPCS coding systems
• Electronic health records (EHR)
• Healthcare law and ethics

Maximize externship opportunities as they offer real-world practice and job connections. Use local networks like the Sacramento AHIMA chapter for study help and industry updates. Make sure to also stay current with coding updates and guidelines to stay competitive in the job market.

How do I get certified as a medical biller and coder in Sacramento, CA?

Certification isn't required by the state of California, but it's strongly preferred by employers, and often essential for getting hired. Here’s a practical path to becoming certified in Sacramento:

1. Enroll in a Medical Billing and Coding Program

Local schools like Campus (formerly MTI College), UEI College, and University of the Pacific offer short-term programs (typically 9–12 months) covering CPT, ICD-10, HCPCS coding, billing systems, and insurance processes. Many include externships in Sacramento-area clinics or billing offices.

2. Gain Hands-On Experience

Participate in externships or internships to apply classroom knowledge in real-world settings. This experience not only strengthens your resume but can help satisfy prerequisites for some certifications.

3. Choose a Certification Exam

Recognized options include:

• Certified Medical Reimbursement Specialist (CMRS) – AMBA
• Certified Billing and Coding Specialist (CBCS) – NHA
• Certified Coding Associate (CCA) – AHIMA

4. Prepare and Register for the Exam

Use school-provided prep courses, online practice exams, and local study groups. Some programs include exam fees or vouchers as part of tuition. Staying engaged with professional groups in the Sacramento region—like local AHIMA chapters—can also support long-term career growth.

How much do medical billers and coders make in Sacramento, CA?

Medical billers and coders in Sacramento typically earn between $19 and $25 per hour, which translates to about $3,333 to $4,266 per month, or an annual salary of $40,000 to $51,200.

The average yearly wage in the area is approximately $48,716, or $23 per hour. Entry-level professionals at the lower end (10th percentile) make around $30,410 per year, while experienced coders with certifications like CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) can earn up to $58,132 annually.

Compared to the California state median of $45,074 per year, Sacramento offers slightly higher-than-average pay for this profession.

What medical billing and coding specialties pay the most in Sacramento, CA?

Some specialties within medical billing and coding offer higher earning potential due to their complexity, specialized knowledge, and growing demand. Below are the top-paying options in Sacramento:

• Inpatient Hospital Coding: Work with medical records for patients admitted to hospitals and must have advanced knowledge of ICD-10-CM and ICD-10-PCS coding systems, along with a strong understanding of federal and state healthcare regulations. In Sacramento, inpatient hospital coders typically earn around $70,950 per year.
• Outpatient/Ambulatory Coding: This specialty involves coding for procedures performed in clinics or ambulatory surgical centers where patients are not admitted overnight. It requires proficiency in CPT, HCPCS, and ICD-10 coding and the ability to work quickly in a fast-paced environment. Salaries in Sacramento generally range from $54,837 to $62,051 annually.
• Surgical Coding: Surgical coders are responsible for assigning codes to surgical procedures carried out in hospitals or outpatient surgery centers. They must be highly familiar with CPT and ICD-10-PCS codes and stay updated on new surgical techniques. Depending on experience, surgical coders in Sacramento earn between $40,512 and $70,950 per year.
• Oncology Coding: Handle coding for cancer diagnoses and treatments, which requires understanding of highly specific medical terminology and treatment protocols. Due to the complexity and volume of oncology cases, coders in this field in Sacramento often earn $45 to $50 per hour.
• Physician Practice Coding: These coders work directly with physician offices and are responsible for coding office visits, procedures, and diagnostic tests across a range of specialties such as family medicine or cardiology. In Sacramento, physician practice coders make about $40,522 annually, with opportunities to increase income through experience and certification.
• Remote/In-House Coding Specialist: This role offers flexibility by allowing professionals to work from home or in traditional settings while handling inpatient, outpatient, or specialty coding. It typically requires multiple certifications and strong self-management skills. In California, remote coders earn approximately $51,674 per year, with Sacramento salaries aligning with local demand and cost of living.

Is there a high demand for medical billers and coders in Sacramento, CA?

The demand for medical billers and coders in Sacramento, CA remains strong, with local job boards consistently listing between 70 and 90 openings. Major employers include UC Davis Health, Mercy Healthcare, and various hospitals, clinics, and private practices across the region—offering roles for both entry-level and experienced professionals.

Based on current data, Indeed lists about 71 jobs, AAPC’s Healthcare Careers lists 15, and ZipRecruiter features around 94 openings in the Sacramento area. The Bureau of Labor Statistics (BLS) anticipates a 7% job growth in the field between 2022 and 2032, reflecting a consistent need for skilled billing and coding specialists.

If you’re also interested in what is medical coding salary and how it fits into your career path, there are plenty of resources to help you get started.

How long does it take to become certified in medical billing and coding in Sacramento, CA?

The time it takes to get certified in medical billing and coding in Sacramento, CA varies based on the type of program and your schedule. Fast-track certificate programs are available, with some designed to prepare you for entry-level work in just a few months.

For those pursuing a more comprehensive education, associate degree programs can take up to two to three years, especially if you're studying part-time. This path may be better suited for those looking to qualify for more advanced roles or long-term career growth. Preparing for certifications such as the CPC (Certified Professional Coder) or CBCS (Certified Billing & Coding Specialist) may also require additional time depending on your familiarity with the material.

To finish faster, you might look into self-paced online programs, which allow you to move ahead more quickly if you can commit extra time each week.

If you’re wondering about the workload, check out this detailed take on is medical billing and coding a hard job to get a better idea of what you’re signing up for.

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

Short-term online options like CALRegional typically cost under $2,000 and are designed to be completed in about 11 weeks. At the lower end, self-paced programs such as the U.S. Career Institute charge around $79 per month, which totals approximately $395 if completed in five months—but stretching out the timeline increases the overall cost.

Community-based programs are usually more budget-friendly. These programs work well for students who want to enter the job market quickly without taking on significant tuition costs.

Additional expenses—such as textbooks, coding reference materials, and certification exam fees—can raise the total price. However, many training providers offer payment plans or financial aid options to help keep the program affordable.

For a clear idea of your options, checking out medical coding accredited programs can be a smart move.

What does a medical biller and coder in Sacramento, CA do on a daily basis?

Medical billers and coders in Sacramento play a key administrative role that ensures accurate documentation, insurance processing, and billing within the healthcare system. Here's a breakdown of their typical daily tasks:

• Review medical records and provider notes to assign appropriate codes using systems like ICD-10, CPT, and HCPCS.
• Submit insurance claims based on coded documentation to ensure timely and accurate reimbursement.
• Correct and resubmit denied claims, communicating with insurance companies or patients to resolve errors or incomplete information.
• Track and update billing records, maintaining logs of payments, outstanding balances, and patient inquiries.
• Verify insurance coverage and obtain pre-authorizations when needed to prevent coverage issues or denials.

These professionals do not make clinical decisions but focus strictly on documentation accuracy, claim management, and compliance. In Sacramento, medical billers and coders work across hospitals (like UC Davis Health), private practices, outpatient facilities, insurance companies, or remotely—thanks to growing demand for flexible, hybrid roles.

If you’re interested in pursuing this career, consider checking out medical billing and coding online courses with financial aid to get started on your certification path.

What impact do regulatory changes have on medical billing and coding practices in Sacramento, CA?

Regulatory updates and compliance mandates directly influence billing methodologies and coding accuracy. As state and federal guidelines evolve, professionals must continuously update their operational procedures to avoid claim rejections and ensure patient privacy. Staying informed about policy amendments not only prevents legal complications but also enhances workflow efficiency and reimbursement reliability. Linking regulatory training with advanced certifications can boost career resilience and adaptability in a dynamic healthcare environment. Additionally, exploring complementary fields—such as obtaining a Sacramento mental health counselor certification—can further diversify expertise and create new career entry points for those willing to adapt to industry trends.

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

As Sacramento's healthcare providers adopt more digital tools and platforms, medical billers and coders need solid tech skills to stay competitive. Here are the key tech skills employers are looking for:

• Electronic Health Records (EHR) Management – Proficiency in systems like Epic or Cerner is essential for accessing, updating, and securing patient data in compliance with regulations.
• Medical Coding Software – Strong command of ICD-10, CPT, and HCPCS coding systems to accurately convert diagnoses and procedures into billing codes.
• Billing and Claims Processing Tools – Experience with platforms like Kareo, AdvancedMD, or PracticeSuite helps streamline insurance submissions and reduce errors.
• Accurate Data Entry and Record Management – Fast, detail-oriented input of patient and billing information minimizes mistakes and keeps records current.
• Cybersecurity and HIPAA Compliance Awareness – Understanding how to handle protected health information (PHI) responsibly is critical for maintaining data privacy and avoiding legal issues.
• Telehealth Billing Tools – As virtual care expands, knowing how to bill and code for remote appointments is becoming increasingly valuable.

If you’re curious about how to get certified or want to explore options for a medical coding bachelor's degree online, there are solid programs in Sacramento that prepare you quickly.

Can medical billers and coders work from home in Sacramento, CA?

Many healthcare employers now offer hybrid or fully remote positions, particularly to candidates who are certified and have experience using digital billing tools. Listings for work-from-home roles in medical coding regularly appear on job boards, including openings for entry-level professionals who have completed the right training.

Familiarity with software like Epic, OCHIN, or other billing platforms is a plus, along with a solid understanding of coding systems such as ICD-10, CPT, and HCPCS. Since the job involves handling sensitive medical data, secure email, encrypted communication tools, and adherence to HIPAA guidelines are all essential.

How can medical billers and coders advance their careers in Sacramento, CA?

Medical billers and coders can accelerate career growth by leveraging advanced certifications and specialized training programs that focus on revenue cycle management, auditing, or compliance. Professionals are encouraged to pursue continuing education and industry-specific workshops to qualify for leadership or supervisory roles. Networking with local healthcare organizations and professional groups in Sacramento can further open doors to mentorship and career development opportunities. For professionals considering alternate or complementary paths in healthcare, reviewing our article detailing how to become a pharmacist in Sacramento may provide valuable insights into additional career trajectories.

What challenges and opportunities are shaping the future of medical billing and coding in Sacramento, CA?

Professionals face evolving compliance requirements and rapid technological integration, both of which are redefining daily operations and long-term career prospects. Adapting to improvements in automation and digital record management necessitates a proactive approach to continuous learning and regulatory awareness. Embracing these challenges can also open pathways to specialized roles and cross-disciplinary opportunities within healthcare administration. For those exploring complementary career trajectories, consider reviewing how to become a nurse practitioner in Sacramento as an alternative to further diversify expertise.

What do medical billers and coders in Sacramento, CA have to say about their careers?

Sacramento State’s program gave me the foundation I needed to feel confident entering the field. The coursework reflected what I actually use in my job—especially coding systems and insurance procedures. I now work with a network of local clinics, and the range of patient needs I encounter each day keeps the job engaging. There’s always something new to figure out, which makes the work consistently interesting. — Soraya

At American River College, the flexibility of the program made it possible for me to keep up with my family responsibilities without putting my education on hold. The instructors were practical and approachable, and they often shared real-world scenarios that helped connect what we learned in class to what we’d face on the job. Working in Sacramento has introduced me to a healthcare community that’s collaborative and open to professional development. — Aurelian

Cosumnes River College gave me a clear sense of what to expect in a medical billing and coding career. The hands-on experience made a difference, especially during the transition to working full-time. I currently work with nonprofit clinics in the city, where accurate billing plays a crucial role in keeping services available to patients who need them most. I appreciate that my role has both technical challenges and a clear connection to the community. — Inez

Other Things You Should Know About Becoming a Medical Biller & Coder in Sacramento, CA

What is the quickest way to become a medical coder in Sacramento, CA?

The fastest way to become a medical coder in Sacramento, CA is through an accelerated certification program, such as CALRegional’s 11-week course. These short-term programs are designed to prepare you quickly for entry-level roles and national exams like the CBCS. Depending on the schedule and format, you can be job-ready in under three months. Online options with flexible pacing are ideal if you're looking to finish fast and start working as soon as possible.

Which medical coding certification is best in Sacramento, CA?

The best medical coding certifications in Sacramento, CA are the Certified Professional Coder (CPC) from AAPC and the Certified Coding Associate (CCA) from AHIMA. The CPC is preferred for outpatient and physician office roles, while the CCA suits hospital-based positions. Local programs at Campus (formerly MTI College) and UEI College offer training aligned with both exams. Depending on your career goals, the CMRS from AMBA is another respected option in billing-focused positions.

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

To find medical billing and coding jobs in Sacramento, CA, start by checking platforms like Indeed, ZipRecruiter, and the AAPC Healthcare Careers portal for up-to-date listings. You’ll find over 250 openings across hospitals, clinics, and remote positions. Set location-based job alerts and filter by entry-level or certification requirements. For more targeted leads, join the Sacramento AAPC chapter or local healthcare networking groups, which often share openings not listed on public boards.

Which major healthcare systems in Sacramento, CA employ medical billers and coders?

UC Davis Health, Dignity Health, Elica Health Centers, and Sutter Health are among the major healthcare systems in Sacramento, CA that regularly employ medical billers and coders. These organizations hire for roles like Certified Coding Specialist, Billing Coordinator, and Patient Financial Services Representative. Additional opportunities exist with private practices and billing companies like DMSCO Billing Services. Most employers prefer certified candidates with hands-on experience and knowledge of CPT, ICD-10, and payer-specific billing requirements.

References:

• How to become a medical biller and coder in California. (n.d.). https://campus.edu/blog/medical-billng-and-coding/how-to-become-medical-biller-coder-in-california
• Thorpe, J. (2025, May 5). How to become a medical billing and coding specialist in California. CALRegional. https://calregional.com/blog/how-to-become-a-medical-billing-and-coding-specialist-in-california/
• Medical Billing & Coding Online Career Training Program | CHICO State Professional & Continuing Education. (n.d.). https://rce.csuchico.edu/medical-billing-coding
• UEI College. (2025, May 28). Medical Billing and Coding Program in Sacramento | UEI College. https://www.uei.edu/trade-school/california/sacramento/medical-billing-and-insurance-coding-in-sacramento/
• Medical Billing & Coding School Sacramento: What you should know? - Asher College. (2025, February 18). Asher College. https://asher.edu/location/sacramento-3/
• Medical billing and coding. (n.d.). University of the Pacific. https://www.pacific.edu/education/professional-development/certificate-programs/medical-billing-coding
• Writer, S. (2024a, July 13). How to become a medical biller and coder in California 2024. National Career College. https://nccusa.edu/blog/how-to-become-medical-biller-coder-california/
• Elk Grove Adult and Community Education - billing and coding specialist. (n.d.). https://egace.egusd.net/Classes/Career-Training-Institute-CTI/Allied-Health/Billing-and-Coding-Specialist/index.html
• Bastidas, J. (2025, April 15). Medical billing and coding. Carrington College. https://carrington.edu/program/medical-billing-and-coding/
• Medical Coding | Calbright College. (n.d.). Calbright College. https://www.calbright.edu/programs/medical-coding