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

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Starting a career in medical billing and coding in Winston-Salem can feel overwhelming. Training options vary widely, certification paths aren't always clear, and it's easy to get lost comparing costs, timelines, and job requirements. Misinformation—like thinking a college degree or clinical experience is required—often delays progress.

Yet the average salary for medical billers and coders in North Carolina is $47,820, and many positions can be secured with less than a year of training. This article outlines the education and certification process for 2025, with guidance from career planning experts to help simplify the journey and support a confident first step.

Key Things You Should Know About Becoming a Medical Biller & Coder in Winston-Salem, NC

• Winston-Salem offers growing opportunities for medical billers and coders due to expanding healthcare facilities and aging populations increasing demand for medical billing services.
• The average salary for medical billers and coders in Winston-Salem is approximately $43,000 per year, slightly higher than the national average.
• Certification from recognized organizations like AAPC or AHIMA is highly recommended to improve job prospects and credibility in the local healthcare market.

Table of Contents

1. What education is needed to become a medical biller and coder in Winston-Salem, NC?
2. How do I get certified as a medical biller and coder in Winston-Salem, NC?
3. How much do medical billers and coders make in Winston-Salem, NC?
4. What medical billing and coding specialties pay the most in Winston-Salem, NC?
5. Is there a high demand for medical billers and coders in Winston-Salem, NC?
6. How long does it take to become certified in medical billing and coding in Winston-Salem, NC?
7. What are the career advancement opportunities for medical billers and coders in Winston-Salem, NC?
8. What’s the average cost of a medical billing and coding program in Winston-Salem, NC?
9. What does a medical biller and coder in Winston-Salem, NC, do on a daily basis?
10. What are the most in-demand tech skills for medical billers and coders in Winston-Salem, NC?
11. Can medical billers and coders work from home in Winston-Salem, NC?
12. How can I transition from medical billing and coding to a clinical career in Winston-Salem, NC?
13. What challenges do you face in an evolving healthcare landscape?
14. Other Things You Should Know About Becoming a Medical Biller & Coder in Winston-Salem, NC

What education is needed to become a medical biller and coder in Winston-Salem, NC?

To become a medical biller and coder in Winston-Salem, NC, you need a high school diploma or GED, followed by postsecondary training in billing and coding.

You can choose from local programs like those at Forsyth Technical Community College, which offers certificates, diplomas, and associate degrees in medical office administration with a focus on billing and coding. Certificate programs usually take 6–12 months, while associate degrees take about two years to complete.

Education Options

• Certificate or Diploma: Short-term programs that prepare you for entry-level jobs.
• Associate Degree: A more in-depth option that can lead to better job opportunities.
• Online Training: Self-paced programs are also available for flexibility.

After finishing your education, it’s recommended to earn a national certification such as the CPC (Certified Professional Coder) or CCA (Certified Coding Associate). These credentials make you more competitive in the job market.

This chart shows the different types of workplaces where medical records specialists are most commonly employed, highlighting the variety of settings available in this career.

How do I get certified as a medical biller and coder in Winston-Salem, NC?

To get certified as a medical biller and coder in Winston-Salem, NC, you’ll need to complete a training program and pass a national certification exam.

Start by earning a high school diploma or GED. Then, enroll in a medical billing and coding program—offered by schools like Forsyth Technical Community College—which may be completed as a certificate, diploma, or associate degree. Certificate programs typically take less than a year, while associate degrees take about two years and offer broader training in healthcare office administration.

Once you complete your education, you can pursue nationally recognized certifications such as:

• Certified Professional Coder (CPC) – offered by AAPC
• Certified Coding Associate (CCA) – offered by AHIMA
• Certified Coding Specialist (CCS) – also through AHIMA

While certification isn’t required by law, most employers in Winston-Salem strongly prefer certified applicants. Getting certified improves your chances of being hired and may lead to higher pay.

A medical biller and coder from Winston-Salem shared their experience, highlighting the challenge of balancing online coursework at Forsyth Tech with a part-time job, especially managing weekly deadlines. Mastery of coding software initially felt overwhelming, but participation in local study groups and access to practice tests boosted confidence. Passing the national exam on the first attempt was a significant achievement. They noted that the competitive job market was the greatest limitation, with employers strongly favoring certified candidates—a factor that ultimately helped secure their first hospital billing position.

How much do medical billers and coders make in Winston-Salem, NC?

Medical billers and coders in Winston-Salem, NC, earn competitive wages that reflect both local demand and broader industry standards. As of June 2025, the average annual salary for a medical coder in this area is approximately $53,579. This breaks down to about $26 per hour, $1,030 weekly, or $4,465 monthly. These figures align closely with the median salary in the region, which is reported at $54,500 per year.

For medical billers specifically, the estimated annual salary is around $39,813, with total compensation potentially increasing to $42,571 when bonuses and additional benefits are included. Hourly wages for billing and coding professionals average $20.26, with most workers earning between $16.63 and $21.30 per hour. Entry-level positions start near $12.64 per hour, while top earners can make up to $26.84 per hour.

Comparing Winston-Salem to other metropolitan areas in North Carolina, salaries here are among the highest in the state. For example, average salaries in Raleigh-Cary and Fayetteville are $51,760 and $49,710 respectively, both below Winston-Salem’s figures. Across North Carolina, typical hourly wages for medical coders range from $14.42 to $31.24, with an average near $20.38.

Entry-level wages in Winston-Salem tend to be on the lower end but increase with experience, certifications, and specialization. Senior-level roles or supervisory positions can command salaries up to $79,250 annually in the state.

Medical billers and coders in Winston-Salem can boost their earning potential by obtaining advanced certifications such as CPC or CCS, gaining experience in high-demand specialties, and seeking employment in larger healthcare systems or specialty clinics.

The local job market remains active, offering continued opportunities for wage growth and career advancement for both new and experienced professionals in medical billing and coding.

What medical billing and coding specialties pay the most in Winston-Salem, NC?

In Winston-Salem, NC, the highest-paying medical billing and coding specialties are typically those that require advanced knowledge, certifications, and experience in complex areas of healthcare. Here are some of the top-paying specialties.

Inpatient Hospital Coding (DRG Coding)

Inpatient coders handle more complex cases, usually in hospital settings. These roles often pay significantly more than outpatient coding positions. Experienced coders in this area can earn up to $80,000 or more per year, especially when paired with certifications like the CCS.

Interventional Radiology, Cardiology, and Anesthesia Coding

These specialties involve highly detailed coding and are in demand due to their complexity. Salaries in these areas often range from $50,000 to $60,000 annually, with room to grow as you gain experience and credentials.

Auditing and Compliance (CPMA, CPCO)

Medical coding auditors and compliance officers who hold certifications such as CPMA (Certified Professional Medical Auditor) or CPCO (Certified Professional Compliance Officer) can earn between $70,000 and $85,000 annually.

Specializing in complex fields and earning advanced credentials—like CPC, CCS, CPMA, or CRC—can help professionals in Winston-Salem maximize their income and access higher-level roles.

Is there a high demand for medical billers and coders in Winston-Salem, NC?

The demand for medical coders and billers in Winston-Salem, NC, remains notably high, supported by current employment data and regional healthcare growth. As of mid-2025, job listings reveal 49 open medical coding positions and 44 medical billing and coding roles specific to Winston-Salem, according to Indeed.

Additionally, ZipRecruiter reports around 93 certified medical coder job openings in the area, underscoring sustained employer demand for qualified professionals in this field. This concentration of opportunities highlights Winston-Salem as a competitive market for those seeking medical coding jobs in Winston-Salem NC.

Compared to other similarly sized cities in North Carolina, Winston-Salem exhibits a strong healthcare employment presence. While larger urban centers like Charlotte and Raleigh may list more total openings, Winston-Salem’s role as a regional medical hub with major healthcare systems such as Atrium Health Wake Forest Baptist, Novant Health, and Cone Health ensures a steady flow of job opportunities. This local market is bolstered by private practices and third-party billing companies that also contribute to the demand for certified medical coders in Winston-Salem.

The employment outlook for medical billers and coders in Winston-Salem is positive, mirroring national trends. The Bureau of Labor Statistics projects an 8% growth rate for medical records and health information specialists from 2022 to 2032, driven by factors like an aging population and increasingly complex billing requirements.

Though specific city-level projections are limited, the volume of current job postings and ongoing workforce turnover suggest that local growth will likely match or exceed these national figures. 

Professional certification such as the Certified Professional Coder (CPC) is often a prerequisite. For those exploring educational pathways, there is there a 4 week online course for medical coding and billing? that can accelerate readiness for certification and employment.

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

The time to become certified in medical coding and billing in Winston-Salem, NC, typically ranges from 6 to 12 months for certificate programs, enabling many students to enter the workforce relatively quickly. For example, Forsyth Tech Community College offers a Medical Coding Program consisting of four online courses, each requiring about 64 hours to complete.

Winston-Salem State University provides an ICD-10 Medical Coding course that can be finished in six months. These focused programs are ideal for those aiming to qualify swiftly for medical coding jobs in Winston-Salem NC.

For a more extensive education, an Associate Degree in Applied Science with a Billing and Coding track at Forsyth Tech generally takes two years of full-time study. Nearby colleges, like Piedmont Community College, offer online foundational courses that can be completed in as little as 12 weeks, though the full credential timeline depends on prerequisites and student pacing.

Duration varies based on factors such as full-time versus part-time study, balancing work or family obligations, and the need to retake courses. Accelerated programs and online formats can shorten the process. To optimize study time and expedite certification, students should stay organized, focus on exam preparation for national certifications like AHIMA or AAPC, and seek prerequisite exemptions if eligible.

Understanding the demand for medical billing and coding professionals in Winston-Salem can motivate students to remain diligent. For insight into how challenging the coursework might be, it helps to explore how hard is medical billing and coding school.

This chart presents how wages for medical records specialists vary across different percentiles, offering insight into typical earnings at entry-level, median, and top-tier positions.

What are the career advancement opportunities for medical billers and coders in Winston-Salem, NC?

Experienced professionals can further enhance their careers by pursuing specialized certifications, managerial training, and leadership development opportunities that align with evolving industry standards. Networking with healthcare organizations, joining professional associations, and attending targeted workshops contribute to skill diversification and open doors to supervisory roles and specialized departments, such as compliance or auditing. In addition to traditional pathways, professionals may benefit from cross-training initiatives in related healthcare fields—for instance, discovering career parallels and learning complementary practices on how to become a pharmacist in Winston-Salem can inspire innovative approaches to problem solving and strategic decision making.

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

The medical billing and coding program cost in Winston-Salem NC varies based on the type of credential pursued and program length. Certificate programs, such as those offered by Forsyth Tech Community College, charge approximately $190 per course. A full certificate sequence of four courses costs around $760, making it an affordable option for foundational training in medical billing and coding.

For students seeking more extensive education, an Associate Degree in Applied Science with a billing and coding focus typically requires two years of study. Tuition for community colleges in North Carolina generally ranges from $2,500 to $3,000 per year for in-state students, excluding additional expenses like textbooks and fees. This longer duration and higher tuition contribute to increased overall costs compared to certificate programs.

Online, self-paced certificate programs present another alternative, often charging monthly rates—such as $79 per month at some institutions—with total costs between $2,400 and $2,500 for completion over 4 to 16 months. Additional factors influencing expenses include certification exam fees, textbooks, and technology needs for online learning. These components can raise the total cost beyond tuition alone.

The tuition for medical coding classes in Winston-Salem NC is competitive compared to national averages, benefiting from local community college offerings and accessible online programs. Prospective students should also consider career outcomes, such as medical coding salary, when evaluating investment in education and training.

What does a medical biller and coder in Winston-Salem, NC do on a daily basis?

Medical billers and coders in Winston-Salem, NC play a crucial role in the healthcare system by ensuring that patient information is accurately translated into standardized codes and billed correctly. Their daily responsibilities involve several key tasks that maintain the financial integrity of healthcare providers and support efficient patient care. These tasks include:

• Reviewing Patient Records: Coders meticulously analyze patient charts and clinical notes to identify all relevant diagnoses, procedures, and services to be billed, ensuring that nothing billable is overlooked.
• Assigning Codes: Using coding manuals such as ICD-10-CM, CPT, and HCPCS, they assign precise codes to each diagnosis and procedure, which is essential for insurance claims processing and regulatory compliance.
• Preparing and Submitting Claims: Billers compile the coded information and submit claims electronically or on paper to insurers, striving for accuracy to avoid delays in payment or claim denials.
• Managing Denials and Corrections: When claims are rejected, billers investigate and resolve coding errors, then resubmit claims, often coordinating with healthcare providers and insurance companies to clarify discrepancies.
• Patient Billing and Inquiries: Billers generate invoices for patients’ outstanding balances and respond to patient questions regarding their bills, insurance coverage, and available payment options.
• Maintaining Compliance and Confidentiality: Staying current with healthcare regulations and coding standards, billers and coders ensure HIPAA compliance and protect sensitive patient information.

The daily responsibilities of medical billers and coders in Winston-Salem NC are vital to the smooth operation of healthcare administration, reducing errors and facilitating timely reimbursements. However, their scope is limited strictly to administrative and financial functions; they do not provide clinical care or make medical decisions but must refer clinical questions to licensed healthcare providers.

Common work environments include hospitals, large health systems such as Atrium Health Wake Forest Baptist and Novant Health, independent clinics, dental offices, and insurance companies. Increasingly, remote and hybrid positions are available, reflecting evolving industry trends. For those interested in pursuing this career, exploring medical billing online courses accredited can be a practical first step toward certification and employment.

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

The medical billing and coding field in Winston-Salem, NC, is rapidly adapting to technological advancements that streamline healthcare administration. With nearly 50 open positions for medical billers and coders in the region, the need for professionals skilled in healthcare technology skills for billers and coders Winston-Salem NC is clear.

Local healthcare providers increasingly rely on electronic health records (EHRs) and digital claims management systems, making tech proficiency essential for accuracy and efficiency.

Keeping up with evolving technology helps medical billers and coders avoid costly coding errors and delays in insurance reimbursements. This is crucial not only for provider revenue cycles but also for patient care continuity. Those who stay current with digital tools and compliance standards enhance their employability and job performance.

Key in-demand medical coding skills in Winston-Salem NC include:

• Electronic Health Record (EHR) and Practice Management Software Proficiency: Mastery of EHR platforms is fundamental for reviewing patient charts and accurately entering diagnostic and procedural codes.
• ICD-10, CPT, and HCPCS Coding Systems: Expertise in these coding standards ensures precise documentation for diagnoses, procedures, and medical supplies, vital for claims processing.
• Medical Billing Software Skills: Familiarity with billing applications enhances claims submission, payment posting, and denial management workflows.
• Data Security and HIPAA Compliance: Understanding digital security measures and privacy regulations safeguards sensitive patient information in electronic transactions.
• Keyboarding and Word Processing: Efficient typing and document preparation skills support effective communication and record-keeping in healthcare offices.
• Remote Work and Online Collaboration Tools: Competence with virtual platforms like Blackboard and Moodle supports flexible work environments and team coordination.

For those interested in the certification process, understanding how much does a medical coder make can provide valuable context for career planning and motivation in this growing field.

Can medical billers and coders work from home in Winston-Salem, NC?

Medical billers and coders in Winston-Salem, NC, are increasingly permitted to work from home, reflecting a broader shift toward remote work in the healthcare administration sector. As of 2025, over 50 remote billing and coding positions have been advertised in the region, indicating a growing acceptance of flexible work arrangements by both large healthcare providers and smaller practices.

This trend aligns with national data showing rising demand for remote medical billing and coding roles, driven by advances in electronic health records (EHR) systems and secure cloud-based software. Employers in Winston-Salem now frequently offer fully remote or hybrid positions, with many job listings requiring little to no prior remote experience. This lowers entry barriers for new professionals and signals that remote work is becoming a standard option in the local job market.

Successful remote work for medical billers and coders requires specific equipment and tools. Professionals need a secure and reliable internet connection, a computer capable of running industry-standard billing and coding software, and access to encrypted communication platforms to maintain HIPAA compliance.

Proficiency with EHR systems, billing platforms, and current coding manuals such as ICD-10 and CPT is essential. While some employers provide software, familiarity with widely used platforms enhances employability.

These best practices support both professional success and work-life balance, meeting evolving industry needs while offering competitive  billing and coding salary and flexibility for workers in Winston-Salem.

How can I transition from medical billing and coding to a clinical career in Winston-Salem, NC?

For professionals considering a shift from administrative roles to direct patient care, mapping a structured transition pathway is key. This pivot involves identifying transferrable skills from billing and coding, then seeking targeted clinical education and hands-on training. Explore bridge programs or joint degree options that leverage your background while addressing additional licensure and clinical competencies. For detailed guidance on building a new career in healthcare, consult how to become a nurse practitioner in Winston-Salem.

What challenges do you face in an evolving healthcare landscape?

Medical billers and coders in Winston-Salem, NC, must navigate an environment characterized by frequent updates to coding regulations and evolving digital solutions. Staying current with software advancements, compliance standards, and regulatory changes demands ongoing professional development. Balancing workload with the rigorous attention to detail required for accurate documentation and billing is critical, particularly when remote work setups call for enhanced cybersecurity and HIPAA adherence. Additionally, addressing work-related stress while pursuing further qualifications—such as exploring Winston Salem mental health counselor certification—can support long-term career sustainability and overall job satisfaction.

What do medical billers and coders in Winston-Salem, NC have to say about their careers?

Completing my medical billing and coding program at Wake Forest University was a turning point in my life. The curriculum was rigorous but rewarding, and it prepared me well for the demands of the healthcare industry in Winston-Salem. I appreciate how this career allows me to contribute directly to patient care by ensuring accurate billing and compliance. Tyler

Training at Forsyth Technical Community College gave me the skills I needed, but what truly stands out is the personal growth I experienced along the way. Winston-Salem’s strong sense of community motivated me to use my knowledge to help underserved populations navigate complex medical billing issues. Marvin

What I find unique about working as a medical biller and coder in Winston-Salem is the blend of tradition and innovation in healthcare here. My program at Salem College emphasized professional development, and I’ve had the chance to advance quickly because of the city’s growing healthcare sector. Ivy

Other Things You Should Know About Becoming a Medical Biller & Coder in Winston-Salem, NC

What is the quickest way to become a medical coder in Winston-Salem, NC?

The quickest way to become a medical biller and coder in Winston-Salem, NC is through accelerated certificate or diploma programs, many of which are fully online and can be completed in as little as five months. Completion time varies based on whether students choose asynchronous self-paced courses or synchronous scheduled classes, prior academic background, and weekly time commitment.

Programs like those at Forsyth Tech provide fast-track options designed to quickly develop job-ready skills. Medical billers and coders working from home typically require a reliable computer, high-speed internet, coding software, and secure access to healthcare databases. Success in this setup depends on strong time management, disciplined study habits, and maintaining a distraction-free workspace.

Which medical coding certification is best in Winston-Salem, NC?

The Certified Professional Coder (CPC) credential from the AAPC is the most recognized and sought-after certification for medical billers and coders in Winston-Salem, NC. Local institutions like Forsyth Tech and Winston-Salem State University design their programs specifically to prepare students for the CPC exam, covering ICD-10-CM, CPT, and HCPCS Level II coding systems.

Other certifications exist but lack the same level of local demand and employer recognition. Major healthcare employers such as Novant Health prefer candidates with CPC credentials.

When selecting a certification, prioritize programs offering comprehensive exam preparation, flexibility, and alignment with local industry needs to maximize employment prospects.

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

Job seekers in medical billing and coding in Winston-Salem, NC should begin by exploring reputable job boards like Indeed, which currently lists over 40 openings from employers such as Atrium Health Wake Forest Baptist, Novant Health, and Cone Health. The North Carolina Professional Group offers targeted recruitment services and entry-level opportunities for medical office roles in the region.

Remote and hybrid job options are also available on platforms like ZipRecruiter, with salary estimates between $36,000 and $45,000 annually for local medical coders. Leveraging local healthcare networks, staffing agencies, and hospital websites can streamline the search and connect candidates directly to regional employers.

Which major healthcare systems in Winston-Salem, NC employ medical billers and coders?

Key employers of medical billers and coders in Winston-Salem, NC, include Atrium Health Wake Forest Baptist, Novant Health, Cone Health, and specialized practices like Riccobene Associates Family Dentistry and Piedmont Ear Nose & Throat Associates. Local government agencies and recruitment groups such as the North Carolina Professional Group also hire for related roles.

Typical employer requirements include proficiency in medical terminology, medical billing software, and current ICD and CPT coding standards. Most positions prefer candidates with an associate degree or certifications like CPC or CCS. Annual salaries range from $39,000 to $54,000 depending on experience and credentials.

To meet these demands, candidates should pursue accredited coding programs, obtain professional certification, and gain practical experience through internships or entry-level roles.

References:

• EduMed. (2025). Medical billing & coding schools online in North Carolina: Top programs. EduMed.
• Forsyth Tech Community College. (n.d.). Medical coding program. Forsyth Tech Community College.  
• Medisys Data. (n.d.). Medical billing services in Winston-Salem of North Carolina. Medisys Data.
• North Carolina Professional Group. (n.d.). Entry level medical coding assistant job in Winston-Salem, NC. North Carolina Professional Group.
• Piedmont Community College. (n.d.). Medical billing & coding – Online. Piedmont Community College. 
• U.S. Career Institute. (n.d.). North Carolina online medical coding & billing program | Self-paced course. U.S. Career Institute.