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

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Becoming a medical biller and coder in Seattle, WA presents a compelling career opportunity in a rapidly expanding sector. The demand for skilled professionals in this field has surged, fueled by Seattle’s growing healthcare industry and the increasing need for precise medical record management.

As of 2023, medical billers and coders in the region earn a median annual salary of around $52,000, outpacing the national average. This higher wage reflects both the city’s competitive job market and its elevated cost of living.

In this guide, I will explain, based on my team’s extensive research, what it takes to become a medical biller and coder in Seattle. I’ll cover the educational and certification requirements, salary expectations, potential career paths, and other key insights to help you navigate this rewarding profession.

Key Things to Know About Becoming a Medical Biller & Coder in Seattle, WA

• Seattle offers a strong job outlook for medical billers and coders, with steady growth driven by expanding healthcare services and increasing demand for accurate medical records.
• The average salary for medical billers and coders in Seattle is approximately $50,000 to $60,000 annually, higher than the national average due to the city’s cost of living.
• Certification through organizations like AAPC or AHIMA enhances job prospects and is often required by Seattle healthcare employers for billing and coding roles.
• Local training programs and community colleges in Seattle provide specialized courses that prepare students for certification exams and real-world billing and coding tasks.

Table of Contents

1. What education is needed to become a medical biller and coder in Seattle, WA?
2. How do I get certified as a medical biller and coder in Seattle, WA?
3. How much do medical billers and coders make in Seattle, WA?
4. What medical billing and coding specialties pay the most in Seattle, WA?
5. Is there a high demand for medical billers and coders in Seattle, WA?
6. How long does it take to become certified in medical billing and coding in Seattle, WA?
7. What’s the average cost of a medical billing and coding program in Seattle, WA?
8. Can continuous education and career diversification accelerate advancement?
9. What are the common challenges faced by medical billers and coders in Seattle, WA?
10. Can dual-specialization in medical billing and mental health counseling improve career prospects?
11. What does a medical biller and coder in Seattle, WA do on a daily basis?
12. What are the most in-demand tech skills for medical billers and coders in Seattle, WA?
13. Can medical billers and coders work from home in Seattle, WA?
14. Other Things to Know About Becoming a Medical Biller & Coder in Seattle, WA

What education is needed to become a medical biller and coder in Seattle, WA?

Aspiring medical billers and coders in Seattle, WA typically pursue certificate or associate degree programs. Certificate programs, which take less than a year, focus on core billing and coding skills, while associate degrees, lasting up to three years, provide a broader healthcare education with specialized coding knowledge. Both options are available at community colleges, technical schools, and online, offering flexibility for students.

Coursework includes medical terminology, anatomy, healthcare documentation, and coding systems such as CPT, ICD-10-CM, and HCPCS. Students also learn insurance claims processing and compliance with HIPAA regulations, along with practical coding software training. Externships provide hands-on experience that is vital for employment readiness.

In Seattle, many students begin with a Certificate of Achievement, such as the 51-credit program at Bellevue College, which takes four to five quarters. Others pursue an Associate Degree in Health Information Technology. Success depends on mastering foundational topics like medical terminology, engaging with professional organizations, and completing externships to build practical skills.

How do I get certified as a medical biller and coder in Seattle, WA?

Becoming a certified medical biller and coder in Seattle, WA involves several clear steps designed to build both knowledge and practical skills. Initially, candidates enroll in a formal Medical Billing and Coding program, offered locally by institutions such as Bellevue College or through online providers like Pierce College and Washington Technology Institute. These programs typically cover essential subjects including medical terminology, major coding systems (CPT, ICD-10-CM, HCPCS Level II), and billing procedures, often spanning about a year.

Preparation for national certification exams is a critical next step. The most recognized credentials include the Certified Professional Coder (CPC) from AAPC, Certified Coding Associate (CCA) from AHIMA, and Certified Billing and Coding Specialist (CBCS) from NHA. These exams test comprehensive knowledge of coding standards and billing practices.

Practical experience plays an important role in the certification journey. While not mandatory in every program, externships or hands-on practice opportunities offered by many Seattle-area programs provide valuable real-world exposure. For example, certification exams such as the CPC require either two years of relevant work experience or completion of an approved training program.

To navigate the certification process successfully, aspiring medical billers and coders should leverage local college resources for exam preparation and job placement, consider online platforms like Dreambound for program comparisons, and join regional chapters of professional organizations such as AAPC. These resources provide networking, continuing education, and job leads that are particularly valuable in Seattle’s competitive market.

How much do medical billers and coders make in Seattle, WA?

Medical billers and coders in Seattle, WA earn higher than the national average for this profession. The average annual salary for a medical coder is $63,643 ($31 per hour, $1,224 weekly, or $5,304 monthly), reflecting the city's cost of living and demand for skilled professionals.

Salaries typically range from $54,537 to $71,230 annually, with experienced coders earning up to $79,628. Medical billing specialists earn between $47,000 and $49,000 annually, based on hourly rates of $23.02 to $23.71.

The average hourly pay for combined billing and coding specialists is $24.99, close to the national median of $24.16, with an annual median of $50,250. Entry-level positions start around $47,736 annually, with room for growth.

Professionals can increase earnings with certifications, specialized experience, or moving into supervisory roles, potentially exceeding $70,000 annually. Salary growth is influenced by education, certifications, and employer policies.

What medical billing and coding specialties pay the most in Seattle, WA?

Specializing in specific areas of medical billing and coding can significantly enhance earning potential in Seattle's competitive healthcare job market. Here are some of the highest-paying medical billing and coding specialities: 

• Inpatient Hospital Coding: This specialization involves coding diagnoses and procedures for patients admitted to hospitals, requiring thorough knowledge of ICD-10-CM and PCS coding systems. Professionals in this specialty must navigate complex medical records and often handle cases related to surgeries and extended treatments. Seattle’s major medical centers show high demand for inpatient coders due to the complexity and volume of cases. Salaries typically range from $5,749 to $8,228 per month, which equates to roughly $69,000 to $98,700 annually, making it one of the highest-paying specialties locally.
• Outpatient/Provider Coding: It focuses on coding for patients receiving care without overnight hospitalization, such as doctor visits and same-day procedures. Coders apply CPT, HCPCS, and ICD-10 codes to diverse clinical encounters, requiring versatility in outpatient settings. This specialty is prevalent in large group practices and outpatient clinics throughout Seattle. The average annual salary is approximately $62,290, with total compensation potentially reaching $69,539 per year.
• Certified Professional Coder (CPC): It allows coders to work across multiple healthcare settings, including physician practices and outpatient facilities. CPCs must demonstrate strong expertise in medical terminology, anatomy, and coding guidelines, which makes them valuable assets in various organizations. In Seattle, CPCs are sought for their adaptability and comprehensive knowledge. The average annual salary for CPC coders is about $51,964, with room for growth as experience accumulates.
• Certified Coding Specialist (CCS): These credential holders manage both inpatient and outpatient coding, often employed by hospitals or integrated health systems. Their ability to accurately code complex procedures and diagnoses is crucial for large healthcare providers. Employers like Virginia Mason Franciscan Health and University of Washington frequently recruit CCS-certified professionals. Salaries in this specialty can exceed $70,000 annually, reflecting the advanced skills required.
• Medical Encoder: Their roles involve using specialized software to transform clinical data into standardized codes, blending technical proficiency with healthcare knowledge. This specialty intersects with healthcare informatics and demands attention to detail and accuracy. Medical encoders in Washington can achieve some of the highest earnings in the coding field. Top earners in this role make up to $179,282 annually, significantly above typical coding salaries.

The chart below shows that the majority of Medical Records Specialists have at least a high school diploma, with 30% reporting this as their highest level of education. A significant portion (22%) has some college education, but no degree, while 22% hold a bachelor's degree.

Only 1% of these specialists have completed doctoral or professional degrees, with smaller proportions holding master's degrees, associate's degrees, or less than a high school diploma. Specializing in one area of medical billing, such as coding or insurance verification, can provide professionals with deeper expertise, leading to greater job opportunities and higher pay in a competitive field.

Is there a high demand for medical billers and coders in Seattle, WA?

The medical coder job demand in Seattle, WA, remains notably strong, with active job listings for medical billers and coders typically ranging from 36 to over 80 positions at any time. These roles include titles such as Inpatient Hospital Coder, Outpatient Surgery Coder, and Medical Insurance Billing Specialist, frequently posted by major healthcare providers like Virginia Mason Medical Center.

Compared to other cities and smaller metropolitan areas in Washington State, Seattle offers a significantly higher number of opportunities, reflecting its status as a major healthcare hub within the Pacific Northwest.

Statewide, there are approximately 41 open positions for medical coders at a given moment, but Seattle alone accounts for a substantial portion of these listings. This concentration is driven by the city's large healthcare systems, which often seek candidates skilled in ICD, CPT, and HCPCS coding systems. These specialized skills have become increasingly important in meeting the needs of complex billing and regulatory environments.

Regarding employment outlook, projections align with national trends that anticipate an 8% growth rate from 2022 to 2032 for medical records and health information specialists, including coders and billers. Given Seattle’s expanding population and healthcare infrastructure, local growth may surpass this average. However, as with any job market, fluctuations can occur based on healthcare policy changes, technological advancements, and economic factors.

Employers in Seattle commonly require candidates to have at least one year of experience in inpatient or outpatient facility coding. Credentials like the Certified Professional Coder (CPC) certification are often preferred or mandated. While an associate degree is not always mandatory, it is increasingly listed as a desirable qualification. In addition to technical skills, candidates must demonstrate strong attention to detail, medical terminology knowledge, and familiarity with insurance billing procedures.

For those considering training, options such as a medical billing and coding certification online fast can provide a pathway into this competitive field. Understanding both the requirements and the employment landscape in Seattle is crucial for prospective professionals navigating this growing job market.

How long does it take to become certified in medical billing and coding in Seattle, WA?

The time required to become certified in medical coding and billing in Seattle, WA, typically ranges from four months to one year. Certificate and diploma programs offer the quickest path, with some accelerated online options completing in as little as four months.

Local community colleges like Edmonds and Tacoma Community College generally require between 44 and 65 credits, translating to about nine months to a year of full-time study. However, certain accelerated programs may claim completion in as few as four weeks, though these demand intense, full-time commitment and are less common.

After completing coursework, candidates must prepare for and schedule national certification exams such as those from AAPC or AHIMA, which can add a few weeks to several months, depending on exam availability and individual readiness. Factors influencing the overall duration include prior experience, the program’s format (full-time, part-time, or accelerated), and personal commitments.

Students aiming to shorten the process should consider accelerated or intensive programs, utilize opportunities to test out of courses when knowledgeable, stay organized, and begin exam preparation promptly after coursework.

For those balancing work or family, flexible online and evening classes allow pacing according to personal schedules. For those exploring options, Seattle offers a variety of choices, including online certificate medical billing and coding programs that can accommodate different timelines.

Given Seattle’s active healthcare sector, understanding how to navigate medical coder jobs in Seattle, WA involves recognizing that timely certification often correlates with better job prospects. Awareness of the medical coding job outlook in Seattle can help candidates make informed decisions about their educational path and career timeline.

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

The average cost of a medical billing and coding program in Seattle, WA varies based on factors like the type of institution and program format. Online certificate programs tend to be more affordable, with self-paced courses costing around $79 per month, totaling approximately $395 for a five-month completion.

In contrast, community college or in-person programs can be more expensive, sometimes exceeding a thousand dollars, especially when including exam vouchers and additional resources. 

Additional costs include textbooks, certification exam fees, and optional coding manuals. The choice between full-time and part-time attendance, as well as the inclusion of internships or accelerated options, can also affect total costs.

The cost of medical billing and coding school in Seattle, WA is influenced by its status as the state’s highest-paying region for these professionals, with an average annual wage of $47,890 as of 2023.

This earning potential can justify the upfront educational expenses. Prospective students looking for comprehensive options may find value in exploring medical billing schools online accredited, which offer flexible pathways tailored to diverse needs and budgets.

Can continuous education and career diversification accelerate advancement?

Medical billing and coding professionals seeking long-term growth in Seattle can benefit from pursuing advanced credentials and specialized training. Enrolling in targeted continuing education courses, attending industry workshops, and acquiring additional certifications allows professionals to deepen their expertise, adapt to evolving regulatory requirements, and enhance their technical proficiency. Exploring adjacent healthcare roles can further expand one’s understanding of patient care and administrative processes, thereby increasing career versatility. For instance, learning how to become a pharmacist in Seattle provides insight into a complementary healthcare pathway that reinforces interdisciplinary expertise.

What are the common challenges faced by medical billers and coders in Seattle, WA?

Medical billers and coders in Seattle encounter challenges that demand constant adaptation to regulatory updates and evolving coding standards. Frequent changes in compliance requirements and insurance policies require professionals to continuously refine their knowledge and technical skills, ensuring error-free documentation and billing accuracy. Technological advancements also bring workflow adjustments, where system updates or integration issues can disrupt routine tasks. Moreover, managing high-volume workloads under tight deadlines contributes to workplace pressure, making proficiency in time management and stress mitigation essential. Exploring cross-disciplinary roles, such as how to become a nurse practitioner in Seattle, can offer alternative career pathways and long-term professional resilience.

Can dual-specialization in medical billing and mental health counseling improve career prospects?

In Seattle’s competitive healthcare landscape, pursuing a complementary certification alongside medical billing and coding can expand professional opportunities. For example, obtaining a Seattle mental health counselor certification enables professionals to navigate the complex billing requirements of behavioral health services. This dual-specialization bridges technical billing expertise with mental health insights, fostering a versatile skill set that aligns with interdisciplinary trends and meets the evolving documentation needs in healthcare.

What does a medical biller and coder in Seattle, WA do on a daily basis?

Medical billers and coders in Seattle, WA have a range of daily responsibilities that are critical to healthcare operations. The daily responsibilities of medical billers and coders in Seattle, WA typically include:

• Reviewing Clinical Documentation: Interpreting patient records to extract accurate diagnoses, treatments, and procedures.
• Assigning Medical Codes: Using standardized systems like ICD, CPT, and HCPCS to ensure proper coding for diagnoses, treatments, and procedures.
• Submitting Insurance Claims: Compiling and submitting claims to insurance providers, ensuring accuracy and compliance.
• Handling Denied Claims: Following up on rejected claims, correcting codes, or providing additional documentation as needed.
• Communicating with Providers and Insurers: Addressing discrepancies and clarifying coding issues to maintain smooth workflows.
• Maintaining Confidentiality: Ensuring patient data integrity and confidentiality in compliance with regulations such as HIPAA.
• Limitation of Role: Focused on documentation and coding accuracy; do not diagnose or provide direct patient care.

Common work environments for these professionals in Seattle include hospitals, physician offices, outpatient clinics, and billing companies, with some positions offering remote work options. Larger institutions such as the University of Washington employ coders across various settings, reflecting the demand and specialization within the field.

For those considering entering this profession, understanding the medical billing and coding workflow in Seattle is crucial. Prospective students should also be aware of the medical billing and coding certification cost as part of their educational planning.

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

The most in-demand tech skills for medical billers and coders in Seattle, WA include:

• Proficiency with Medical Coding Systems: Mastery of ICD-10-CM/PCS, CPT, and HCPCS Level II codes is essential for accurate billing and insurance claims.
• Electronic Health Record (EHR) Management: Familiarity with EHR platforms to manage and update digital patient records is crucial, as Seattle’s healthcare facilities heavily rely on these systems.
• Medical Billing Software: Knowledge of billing software to streamline claims processing, account management, and reduce administrative tasks.
• Spreadsheet and Data Management Skills: The ability to organize and analyze billing data using tools like Microsoft Excel for compliance and financial tracking.
• Word Processing Abilities: Proficiency in word processing software for clear documentation and reporting, which is vital for audits and meeting regulatory standards.

Given the rise in remote medical coding positions in Seattle, competence with remote communication and collaboration tools has become increasingly valuable. This includes secure email, video conferencing, and team collaboration platforms, which enable seamless interaction despite physical distance.

For those beginning their careers or seeking to enhance their qualifications, exploring medical coding classes for beginners can provide targeted skill development aligned with industry demands.

According to the chart below, the majority of Medical Records Specialists work in hospitals, with 28% of them employed in state, local, and private healthcare settings. Another 19% work in offices of physicians, while smaller percentages are employed in management companies, professional services, and administrative support services. These figures highlight the diverse work environments available for specialists in this field.

Can medical billers and coders work from home in Seattle, WA?

Medical billers and coders in Seattle, WA can work remotely, with increasing opportunities in the local healthcare job market. Major healthcare organizations like Seattle Children’s Hospital and Providence Swedish Medical Center offer remote and hybrid roles, reflecting growing flexibility in the industry. However, some employers may still prefer hybrid models or occasional on-site presence.

Success in remote roles requires specific tools, including reliable high-speed internet, secure computers, dual monitors, specialized billing software, and HIPAA-compliant platforms. Professionals should also have strong self-management skills, a distraction-free workspace, and maintain regular communication with colleagues. Continuous learning through online training or certifications is essential to stay current with coding standards and technology.

What do medical billers and coders in Seattle, WA have to say about their careers?

• "Completing my medical billing and coding certificate at Seattle Central College was a game-changer. The hands-on training combined with experienced instructors really prepared me for the fast-paced healthcare environment here. Seattle's thriving healthcare sector offers incredible job stability and growth opportunities, which makes me feel confident about my future. I also love that my work directly supports patient care, allowing me to contribute to the community in a meaningful way. This career has truly sparked my passion for continuous learning and professional development." - Alex

• "Studying medical billing and coding at the University of Washington allowed me to grow not only professionally but personally. The program's emphasis on ethical practices and accuracy resonated with my desire to make a positive community impact. Seattle’s diverse population and focus on healthcare innovation give me unique challenges that keep my daily work engaging and fulfilling. I feel proud knowing that my role helps streamline healthcare processes for patients from all walks of life in this vibrant city." - Maria

• "My experience at Bellevue College was highly professional and enriching. The curriculum was rigorous, pushing me to develop expertise that has opened doors for career advancement within Seattle's healthcare industry. I appreciate the city’s emphasis on technology and sustainability, which influences how we approach medical data management in forward-thinking ways. This career path has given me a solid foundation and the confidence to pursue further certifications and leadership roles." - James

Other Things to Know About Becoming a Medical Biller & Coder in Seattle, WA

What is the quickest way to become a medical coder in Seattle, WA?

The quickest way to become a medical biller and coder in Seattle, WA is through self-paced, online certificate programs that prepare students for national certification exams such as the CPC, CCA, or CBCS. Some accelerated programs, especially those available to Washington residents, can be completed in as little as five months. However, completion times depend on factors like program structure, prior healthcare experience, and a student’s ability to commit full-time to studies.

Medical billers and coders working from home need reliable computers, secure internet connections, and specialized billing software. Success in remote setups often requires strong time management, a dedicated workspace, and ongoing professional development to stay current with coding updates.

Which medical coding certification is best in Seattle, WA?

The Certified Professional Coder (CPC) certification from AAPC is generally considered the leading credential for medical billers and coders in Seattle, WA, due to its focus on physician office coding and strong employer recognition. Other certifications like the Certified Coding Specialist (CCS) from AHIMA and the Certified Billing and Coding Specialist (CBCS) are also valued but less dominant locally.

When selecting a certification, it is important to consider local employer preferences, the curriculum’s coverage of CPT and ICD-10-CM codes, and whether the program waives experience requirements for exam eligibility. Reviewing Seattle-area training options can help align certification choices with job market demands.

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

Aspiring medical billers and coders in Seattle, WA can explore job openings through popular online platforms such as Indeed, ZipRecruiter, and Glassdoor, which list numerous positions from prominent local employers like the University of Washington and Kaiser Permanente. Entry-level roles are accessible, supporting new graduates entering the field. Additionally, local healthcare systems and staffing agencies often post specialized job opportunities reflecting Seattle’s strong healthcare sector.

Networking with local healthcare organizations and joining professional associations can uncover unadvertised openings and provide valuable industry insights, making the job search more effective. Considering multiple resources is crucial, as reliance on a single platform may limit exposure to available opportunities.

Which major healthcare systems in Seattle, WA employ medical billers and coders?

Seattle’s healthcare sector includes major employers like the University of Washington, Providence Swedish Medical Center, and Kaiser Permanente, as well as outpatient and virtual care providers such as Gennev and Feminina Group. These organizations commonly hire for roles such as Coding Specialist and Medical Insurance Billing Specialist.

Most employers prefer candidates with an associate degree or certifications like the Certified Professional Coder (CPC). Salaries typically range from $24.96 to $45.00 per hour, varying by experience and work setting.

To meet requirements, candidates should pursue recognized certifications, master ICD-10 and CPT coding, and develop strong attention to detail. Tailoring applications to specific employer needs and networking can enhance job prospects.

References:

• Bellevue College. (n.d.). Medical billing and coding specialist: Allied health. https://www.bellevuecollege.edu/ahe/certificate-options/mbc/

• Everett Community College. (n.d.). Medical billing and coding. https://www.everettcc.edu/programs/bat/medical-billing-and-coding

• North Seattle College. (n.d.). Online ICD-10 medical coding. https://careertraining.conted.northseattle.edu/training-programs/icd10-medical-coding/

• Pierce College District. (n.d.). Online medical billing and coding training. https://www.pierce.ctc.edu/ce-medical-billing-coding-training

• Preppy. (2021, April 7). How much does it cost to become a medical coder? https://preppy.org/how-much-does-it-cost-to-become-a-medical-coder/

• South Seattle College. (n.d.). Online medical billing and coding (voucher included) from South Seattle College. https://careertraining.ed2go.com/southced/training-programs/medical-billing-coding-voucher-included/

• U.S. Career Institute. (n.d.). Washington online medical coding & billing program | Self-paced course. https://www.uscareerinstitute.edu/online-medical-coding-and-billing-school/washington

• Washington Technology Institute. (n.d.). Medical billing & coding certificate with foundation courses. https://www.washingtontech.edu/medicalbillingcoding.html