How to Become a Medical Biller & Coder in San Antonio, TX: Education Requirements & Certification for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Texas, in terms of job opportunities, is an ideal state for medical records specialists, including billers and coders, to practice. According to the United States Bureau of Labor Statistics (BLS), the Lone Star State employs the most medical coders and billers among all US states and has notable demand for these professionals. As such, aspirants in San Antonio will not have trouble finding opportunities for gainful employment.

In this guide, prospective students will learn the academic and certification requirements to become a medical biller and coder in San Antonio. The article also presents key facts that aspirants will need to know, such as potential salaries, relevant tech skills, market demand, and opportunities for remote work. Upon reading the guide, a learner can determine if being a medical biller and coder is a viable career.

Key Things to Know About Becoming a Medical Biller & Coder in San Antonio, TX

• The job outlook for medical billers and coders in San Antonio is strong, with steady growth driven by healthcare industry expansion and demand for accurate patient billing.
• The average salary for a medical biller and coder in San Antonio is approximately $43,000 to $50,000 annually, varying by experience and certification.
• Certification through organizations like AAPC or AHIMA enhances job prospects and credibility in San Antonio’s competitive healthcare market.
• Local community colleges and online programs in San Antonio offer accessible training options, often including hands-on coding practice and billing software experience.

Table of Contents

1. What education is needed to become a medical biller and coder in San Antonio, TX?
2. How do I get certified as a medical biller and coder in San Antonio, TX?
3. How much do medical billers and coders make in San Antonio, TX?
4. What medical billing and coding specialties pay the most in San Antonio, TX?
5. Is there a high demand for medical billers and coders in San Antonio, TX?
6. How long does it take to become certified in medical billing and coding in San Antonio, TX?
7. What are the career advancement opportunities for medical billers and coders in San Antonio, TX?
8. What’s the average cost of a medical billing and coding program in San Antonio, TX?
9. How can combining medical billing with mental health counseling certification enhance career opportunities in San Antonio, TX?
10. What does a medical biller and coder in San Antonio, TX do on a daily basis?
11. What are the most in-demand tech skills for medical billers and coders in San Antonio, TX?
12. Can medical billers and coders work from home in San Antonio, TX?
13. What soft skills are essential for success as a medical biller and coder in San Antonio, TX?
14. Other Things You Should Know About Becoming a Medical Biller & Coder in San Antonio, TX

What education is needed to become a medical biller and coder in San Antonio, TX?

Aspiring medical billers and coders in San Antonio typically begin their journey by enrolling in postsecondary certificate programs or associate degrees focused on medical billing and coding or related health information fields. While Texas does not mandate a specific education level, most employers prefer candidates who have completed formal training and hold industry-recognized certifications. 

Certificate programs are the most common and fastest route, lasting from a few months up to a year. These programs provide foundational knowledge and practical skills, preparing students to enter the workforce quickly. Alternatively, some choose a two-year associate degree in healthcare administration or health information management, which broadens career options and may lead to higher earning potential.

Core courses in these programs typically include medical terminology, anatomy and physiology, ICD-10, CPT, and HCPCS coding systems, healthcare laws and ethics, and health insurance procedures. Mastery of these subjects ensures graduates are well-equipped to handle the complexities of medical billing and coding.

Top medical billing and coding programs in San Antonio include the Alamo Colleges District, which offers a hybrid program designed to prepare students for the Certified Professional Coder (CPC) exam. The University of Texas at San Antonio (UTSA) Professional and Continuing Education (PaCE) provides comprehensive training tailored to industry demands. CALRegional is known for its affordable, accelerated 11-week program, making it an excellent option for fast-track learning.

To succeed, prioritize accredited programs to meet industry standards and enhance job prospects. Take advantage of local resources such as the Alamo Colleges Career Services and UTSA’s student support, which offer tutoring, resume assistance, and job placement support.

Engaging with professional organizations like the San Antonio chapter of the American Academy of Professional Coders (AAPC) can provide valuable networking and continuing education opportunities.

How do I get certified as a medical biller and coder in San Antonio, TX?

Aspiring medical billers and coders in San Antonio start by completing a reputable training program in health information technology. While Texas does not legally require formal education, most employers prefer candidates who have earned a notable certificate or associate degree.

Local institutions like Alamo Colleges, the University of Texas at San Antonio (UTSA), and the College of Health Care Professions offer programs that range from 11 to 38 weeks. These programs cover essential topics such as medical terminology, anatomy, healthcare law, insurance procedures, and coding systems like ICD-10, CPT, and HCPCS.

After completing education, preparing for certification exams is the next critical step. The primary certifications include the Certified Professional Coder (CPC) from AAPC, Certified Billing and Coding Specialist (CBCS) from NHA, and Certified Coding Associate (CCA) from AHIMA. Many programs in San Antonio are tailored to help students succeed in these exams.

Unlike some healthcare professions, medical billing and coding certification does not usually require clinical hours. However, gaining practical experience through internships or hands-on coursework can boost a student's job readiness. Upon passing the certification exam, candidates become eligible for entry-level positions in the field.

Specializing further in inpatient or outpatient coding or compliance can enhance career prospects. Continuing education is important to maintain certifications and stay updated with industry changes.

San Antonio offers valuable resources such as affordable tuition options and flexible programs through CALRegional and Alamo Colleges, alongside UTSA’s specialized certification courses. These provide strong local support for aspiring professionals.

A medical biller and coder from San Antonio shared their journey, reflecting on the challenges of balancing coding coursework with a part-time job. They emphasized the difficulty of mastering multiple coding systems simultaneously while adapting to ever-changing insurance regulations. Despite these hurdles, the encouragement from local instructors and networking at healthcare job fairs were pivotal. Passing the CPC exam was described as an empowering moment. 

How much do medical billers and coders make in San Antonio, TX?

One of the primary questions asked by prospective students is "What is medical billing and coding salary in San Antonio?"  On average, medical records specialists in San Antonio earn about $19.81 per hour, which translates to approximately $3,430 per month and an annual salary near $41,200, assuming a full-time 40-hour workweek. This provides a solid foundation for individuals entering or advancing in the field.

For medical coders specifically, the average annual salary tends to be higher, reported at around $53,614, with typical salaries ranging from $47,280 up to $61,306. Some sources estimate the average total pay closer to $51,861, with base salaries near $45,307 per year. These figures show that specialized coding roles or experienced coders with certifications can command salaries well above the citywide average.

Entry-level medical billers and coders typically start at about $16.25 per hour or roughly $33,800 annually. Top earners at the 90th percentile can make up to $26.24 per hour, translating to around $54,600 per year. This highlights growth, as professionals gain increases in income with more experience and certifications.

When compared to the broader Texas market, San Antonio’s median annual salary of medical billers and coders is slightly below the state average of $47,750. However, considering San Antonio’s cost of living, this wage remains attractive and competitive within the region. It also compensates for that with the high number of job openings regularly posted in the city and state. 

Medical billers and coders can increase their earnings by pursuing certifications such as CPC, CCA, or CCS, specializing in high-demand medical fields like oncology or cardiology, or moving into supervisory and auditing roles. Employment with larger healthcare organizations often offers higher pay scales and enhanced benefits. 

Texas offers a wealth of professional opportunities since it is the state with the highest employment level for medical coders and billers, as shown by the chart below. 

What medical billing and coding specialties pay the most in San Antonio, TX?

Medical billing and coding professionals in San Antonio can specialize in various fields that enhance income potential and deepen their knowledge of managing medical records. The highest paying specializations include the following: 

• Certified Medical Records Coders specialize in translating patient records into standardized codes essential for billing and insurance claims. These coders ensure compliance and accuracy, playing a vital role in healthcare reimbursement processes. They earn an impressive average annual salary of $58,269 in the city.
• Certified Professional Coder (CPC) experts focus on coding outpatient services and physician office procedures using CPT, ICD-10, and HCPCS Level II codes. Their work prevents claim denials and supports smooth billing operations in outpatient settings. In San Antonio, CPCs make about $54,949 annually, placing them among the top earners in the field.
• Clinical Coders specialize in converting detailed clinical diagnoses and procedures into universal codes for billing, statistics, and research. They work primarily in hospitals and specialty clinics, managing complex cases with precision. Analytical skills and coding knowledge are crucial in this role. They earn approximately $49,546 per year.
• Inpatient Coders concentrate on coding hospital admissions, surgeries, and lengthy treatments, requiring a deep understanding of DRG systems and compliance. Their expertise ensures hospitals receive appropriate reimbursements from insurers and government programs. Inpatient coders earn about $28.01 per hour in the city.
• Outpatient Coders handle coding for procedures outside hospital admissions, such as clinic visits and diagnostic tests, staying current with regulatory changes. Their accuracy supports proper billing for a wide range of outpatient services. Outpatient coders in San Antonio typically earn between $21.16 and $28.92 per hour.
• Online Medical Billing and Coding Specialists enjoy the flexibility of remote work, coding and billing for healthcare providers via secure platforms. This growing specialty suits self-disciplined professionals who keep up with technology and privacy laws. These specialists earn around $44,446 annually.

Is there a high demand for medical billers and coders in San Antonio, TX?

San Antonio exhibits a strong and growing demand for medical billers and coders, making it an excellent location for those seeking a career in this field. Current employment numbers highlight the demand, with over 70 medical coder positions listed on Indeed and 129 openings reported by Glassdoor. These roles span from entry-level opportunities to senior positions.

Additionally, there are 369 openings for combined medical billing and coding roles. This reflects the robust job market and the increasing importance of medical coding expertise in the region. 

According to national projections, medical records and health information technician roles are expected to grow by 9% from 2023 to 2033, outpacing the average for all occupations. This ensures ongoing opportunities and job security for certified medical coders and billers. Like Houston and Dallas, San Antonio has a competitive market with a steady pace of growth.

So, is medical billing a good career in San Antonio? Overall, the city's employment landscape offers an abundance of opportunities with decent salaries and career growth potential.

How long does it take to become certified in medical billing and coding in San Antonio, TX?

Many certificate programs in San Antonio can be completed in under a year, with some accelerated options allowing certification in as little as 11 weeks. For instance, CALRegional’s Medical Billing & Coding Specialist Program offers a 144-hour online curriculum that combines live instructor-led sessions with self-paced assignments, enabling fast completion.

Other local programs, such as those at the University of the Incarnate Word or the University of Texas at San Antonio, offer flexible pacing, typically finishing within six to twelve months.

While some students complete training quickly, earning an associate degree in this field may take up to three years. Factors influencing the duration include studying full-time or part-time, prior healthcare experience, and familiarity with medical terminology and technology. Those aiming to accelerate their progress should choose programs with flexible or accelerated formats, set consistent weekly study hours, and utilize live instructor support and externships for practical experience.

The question now is, "Is being a medical biller and coder hard?" Like any other profession, the discipline presents its own set of challenges, but they can be hurdled with a healthy study habit and ample amounts of determination.

What are the career advancement opportunities for medical billers and coders in San Antonio, TX?

Medical billers and coders can progress beyond entry-level positions by expanding their expertise and assuming leadership or specialized roles. Professionals may advance into supervisory positions, auditing roles, or managerial functions that involve overseeing billing departments and ensuring compliance with evolving regulations. Networking through local industry associations and targeted continuing education courses can pave the way for taking on responsibilities in process optimization and quality assurance. Additionally, exploring interdisciplinary opportunities—for example, from learning how to become a pharmacist in San Antonio — may open alternative career paths that enrich professional growth within the broader healthcare sector.

What’s the average cost of a medical billing and coding program in San Antonio, TX?

The average cost for a medical billing and coding program falls between $2,000 and $5,000, depending on the program's format and duration. Certificate programs, which are the most common, are generally more affordable and shorter—often lasting four to six months. On the other hand, associate degree programs may span up to two years and come with higher tuition fees. 

Several factors influence the overall cost of enrollment. Delivery methods play a key role; online programs often provide a more budget-friendly and convenient option compared to traditional classroom settings.

Additionally, some programs bundle essential materials such as textbooks, coding manuals, and the certification exam fee into their tuition, while others require these expenses separately. It’s also important to consider extra costs like exam retake fees, professional memberships, and internships that offer valuable hands-on experience.

Financial aid options like payment plans and Workforce Solutions funding can considerably lower a student's education expenses. 

How can combining medical billing with mental health counseling certification enhance career opportunities in San Antonio, TX?

Expanding expertise into mental health services offers medical billing professionals a competitive edge by targeting specialized areas of healthcare reimbursement. Integrating focused training in mental health billing practices can improve accuracy in processing claims that involve behavioral health services, which follow unique guidelines and regulatory requirements. This cross-training not only enhances technical proficiency but also bolsters marketability in an evolving healthcare landscape. Professionals who pursue dual competencies are often rewarded with improved job security and advanced career pathways, aligning well with local industry demands. For those interested in complementing their medical billing skill set, exploring the San Antonio mental health counselor certification can be a strategic step toward a more versatile career.

What does a medical biller and coder in San Antonio, TX do on a daily basis?

Medical billers and coders in San Antonio ensure accuracy in documentation and billing, which aids both providers and patients. Their daily responsibilities include reviewing and interpreting medical records to extract important diagnoses and treatments. The workflow includes assigning standardized codes such as ICD-10, CPT, and HCPCS to each diagnosis and procedure. Billers then prepare and submit insurance claims, attach necessary documentation, and monitor claim statuses to ensure timely payments.

Resolving claim denials is another critical task. Billers typically investigate discrepancies, correct errors, and communicate with insurance companies and healthcare providers. They also handle patient billing by generating invoices for uncovered services and assisting with payment plans or insurance inquiries, providing excellent customer service.

Likewise, medical billers and coders manage patient billing and respond to inquiries. They ensure compliance with HIPAA and coding regulations as well.

Aspirants who want to quickly join the working populace often ask, "Is there a 4 week online course for medical coding and billing?" San Antonio's schools offer short programs that can be completed in weeks. They may not always be as short as four weeks, but they are much quicker to finish than traditional programs.  

What are the most in-demand tech skills for medical billers and coders in San Antonio, TX?

The landscape of medical billing and coding in San Antonio is undergoing a digital transformation, as the practice increasingly incorporates the use of technological solutions in daily operations. As such, the essential tech skills medical records specialists should develop include the following:

• Electronic Health Records (EHR) Management: Expertise in EHR systems like Epic, Cerner, or Meditech is crucial. This skill ensures accurate input and retrieval of patient information, supporting seamless healthcare coordination and compliance.
• Medical Coding Software: Familiarity with coding systems such as ICD-10, CPT, and HCPCS allows billers to convert clinical data into standardized codes efficiently, a fundamental aspect of billing accuracy.
• Claims Processing Systems: Proficiency in claims management software helps submit, track, and resolve insurance claims quickly, reducing errors and speeding up reimbursements.
• Data Security and HIPAA Compliance: Understanding cybersecurity principles and HIPAA regulations safeguards sensitive patient data, protecting both patients and healthcare organizations.
• Basic Data Analytics: The ability to analyze billing data and generate insightful reports supports optimized revenue cycles and improved operational decisions.
• Telehealth Platform Familiarity: With telemedicine’s rise, knowledge of telehealth billing protocols and digital tools is becoming increasingly valuable.

Pursuing a medical coding and billing degree online can provide the essential foundation and skills needed to meet San Antonio’s growing market demands. These include the aforementioned competencies and soft skills that can be leveraged in any profession.

Interestingly, Texas has two of the metropolitan areas in the United States that employ the most medical coders and billers, as shown by the visual below.

Can medical billers and coders work from home in San Antonio, TX?

Medical billers and coders in San Antonio are allowed to work from home, an option that is becoming increasingly popular. The local job market reflects a strong shift toward remote opportunities, with numerous listings for remote medical billing and coding positions available. Employers in San Antonio are embracing flexible work arrangements, recognizing the value of remote and hybrid roles to meet the growing demands of the healthcare sector.

The trend is fueled by the expanding healthcare industry in the region and the ongoing need for skilled professionals who can manage billing and coding efficiently from any location. Both small practices and large healthcare organizations offer remote roles.

To excel in a remote medical billing and coding role, having the right tools and equipment is essential. Professionals should ensure they have a secure, high-speed internet connection and a reliable computer with updated software and antivirus protection. Access to electronic health record (EHR) systems and specialized billing and coding platforms is crucial for managing tasks effectively.

Many remote workers find dual monitors helpful for improving workflow and productivity. Additionally, a quiet, private workspace is necessary to maintain patient confidentiality and focus on detailed tasks.

What soft skills are essential for success as a medical biller and coder in San Antonio, TX?

Effective communication, analytical thinking, and strong organizational abilities are vital in today’s dynamic healthcare environment. Medical billers and coders must clearly articulate coding decisions to insurers and healthcare providers, ensuring accurate claim processing while maintaining patient confidentiality. Critical problem-solving skills enable professionals to promptly address discrepancies or claim denials. Adaptability and proactive learning support a smooth response to evolving compliance standards and technological updates. These interpersonal competencies not only improve day-to-day performance but also lay the groundwork for leadership roles and enhanced career sustainability, much like the skills needed how to become a nurse practitioner in San Antonio.

What do medical billers and coders in San Antonio, TX have to say about their careers?

"Completing my medical billing and coding program at St. Philip's College was a game changer for me. The hands-on experience and supportive faculty made learning engaging and practical. San Antonio's growing healthcare sector means I’ve never worried about job stability, and it feels great to contribute to a community that values accessible health services. Every day I’m reminded how important accurate billing is for patient care and hospital efficiency. I’m excited about the career growth opportunities here and can’t wait to see where this path takes me." - Abby

"Studying at the University of Texas at San Antonio opened my eyes to the unique challenges and rewards of working in healthcare administration here. The city's rich cultural diversity means I interact with patients from many backgrounds, which has deepened my empathy and communication skills. I love knowing that my work helps families navigate complex medical bills without added stress. This career has not only been professionally fulfilling but has also allowed me to give back to my community in a meaningful way. It’s a journey of personal growth I truly cherish." - Wilson

"My program at San Antonio College prepared me well for the fast-paced medical billing environment in this city. The local healthcare facilities are diverse and technologically advanced, which has pushed me to continuously improve my skills and stay updated with coding standards. I appreciate the professional development options available here, including workshops and networking events that keep me connected and competitive. Working in San Antonio offers a unique blend of tradition and innovation, making every day at work both challenging and rewarding. I’m proud to be part of this dynamic field." - Celine

Other Things You Should Know About Becoming a Medical Biller & Coder in San Antonio, TX

What is the quickest way to become a medical coder in San Antonio, TX?

The quickest way to become a medical biller and coder in San Antonio is by enrolling in an accelerated certification program, which can be completed in as little as 38 to 48 weeks depending on the format. Completion time varies based on whether the program is accelerated, part-time, or self-paced, as well as the student’s prior experience and availability. These programs focus on essential skills to pass certification exams, opening doors to a growing job market with strong employer demand.

Which medical coding certification is best in San Antonio, TX?

The Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) is the top medical coding certification in San Antonio, widely recognized by employers and highly valued in the local healthcare industry. Other respected certifications include the Certified Billing and Coding Specialist (CBCS), offered through programs at UTSA and the University of the Incarnate Word.

How do I find medical billing and coding job openings specifically in the San Antonio, TX area?

Aspiring medical billers and coders in San Antonio can find numerous job opportunities through trusted platforms like Indeed, which lists over 350 local positions at prominent healthcare institutions such as University Health and UT Health Science Center at San Antonio. Local job boards like ZipRecruiter and Glassdoor also feature more than 100 openings, providing a strong foothold in the job market.

Connecting with organizations like the South Texas Medical Center or attending healthcare job fairs enhances networking opportunities. Tailoring your resume for each application further boosts your chances of landing a rewarding position in this growing field.

Which major healthcare systems in San Antonio, TX employ medical billers and coders?

San Antonio is home to leading healthcare systems like University Health, UT Health San Antonio, and HealthTexas Medical Group, all actively hiring medical billers and coders. These employers seek candidates with a coding certificate, at least one year of experience, and strong office software skills. Salaries typically range from $40,000 to $55,000 annually, reflecting the value of this vital work.

References:

• Are You Ready to Become a Healthcare Professional? CHCP Tuition Costs https://www.chcp.edu/tuition-financial-aid/tuition-and-fees/
• Entry Level Medical Biller/Coder Assistant job in San Antonio, Tx https://entrylevelhealthcare.com/careers/entry-level-medical-biller-coder-assistantsan-antonio/
• How to Become a Medical Biller and Coder in Texas https://www.utsa.edu/pace/news/how-to-become-a-medical-biller-and-coder-in-texas.html
• Medical Billing and Coding | Alamo Colleges https://www.alamo.edu/academics/ContinuingEducation/ed2go/Medical-Billing-and-Coding/
• Medical Billing and Coding | Healthcare | University of the Incarnate Word https://sps.uiw.edu/continuing-education/healthcare/medical-billing-and-coding.html
• Medical Billing and Coding Training Program https://scitexas.edu/medical-billing/
• Online CPC Medical Billing and Coding (Voucher Included) from Alamo Colleges District https://selfpacedonline.alamo.edu/training-programs/medical-billing-coding-voucher-included/
• Online Medical Billing & Coding Program | CALRegional https://calregional.com/program-category/billing-coding-specialist-program/
• Texas Online Medical Coding & Billing Program | Self-Paced Course https://www.uscareerinstitute.edu/online-medical-coding-and-billing-school/texas
• Top Online Medical Billing & Coding Schools in Texas https://www.edumed.org/online-schools/medical-billing-coding/texas-tx/