Medical Coding & Billing Exams: CBCS vs. CPC Certification for 2025
Co-Founder and Chief Data Scientist
Choosing the right medical coding and billing certification can be overwhelming, especially when deciding between CBCS (Certified Billing and Coding Specialist) and CPC (Certified Professional Coder). Both certifications open doors to healthcare careers, but they serve different purposes and have distinct requirements. Without clear guidance, candidates may invest time and money in the wrong certification, delaying their entry into the workforce.
This guide will break down the key differences between CBCS and CPC certification, helping you make an informed decision. We’ll cover exam content, costs, job prospects, difficulty levels, and industry preferences, ensuring you choose the best path for your future. Whether you are looking to work in medical billing, physician coding, or hospital administration, this article will provide the clarity you need to move forward with confidence.
Key things you should know about medical coding & billing exams
- CBCS is geared toward medical billing and insurance claims, while CPC focuses on coding for healthcare providers.
- Both certifications need renewal through continuing education credits, ensuring professionals stay updated on industry regulations and coding changes.
- The demand for medical records specialists is expected to grow by 9% over the next decade.
Table of Contents
- What is the difference between medical coding and medical billing certification for 2025?
- Is it better to get a CBCS or CPC certification for medical billing and coding?
- What are the most recognized medical coding and billing certifications?
- How much can I earn as a certified medical coder and biller?
- What is the CBCS certification and what are its eligibility requirements?
- What is the CPC certification and what are its eligibility requirements?
- What types of jobs can you get as a certified medical coder and biller?
- Can cross-training in allied healthcare enhance my coding career?
- What should I look for in an accredited online training program?
- Do hospitals prefer CPC or CBCS certification when hiring?
- How can professional networking and mentorship accelerate career growth?
- How can additional interdisciplinary degrees boost my coding and billing career?
- What are the continuing education requirements for CPC-certified professionals?
- Is medical coding still a good career choice for 2025?
- How can evolving technology and compliance trends shape my career advancement?
- How can a public health degree complement my medical coding and billing career?
- Other things you should know about medical coding & billing exams
What is the difference between medical coding and medical billing certification for 2025?
Medical coding and medical billing certifications prepare professionals for different aspects of healthcare administration. While both are essential for processing patient information and insurance claims, they focus on distinct job roles and skill sets. Here are some ways that they differ:
Medical Coding Certification
A medical coding certification, such as the CPC (Certified Professional Coder) from AAPC, validates expertise in assigning accurate medical codes to diagnoses, procedures, and services. Coders translate patient records into standardized codes used for insurance reimbursement, healthcare data tracking, and compliance. This certification is best for those interested in working with medical terminology, coding guidelines, and healthcare regulations.
Medical Billing Certification
A medical billing certification, such as the CBCS (Certified Billing and Coding Specialist) from NHA, focuses on processing insurance claims, verifying patient information, and ensuring proper reimbursement. While billing specialists may use medical codes, their primary role involves handling claims submission, insurance follow-ups, and payment processing. This certification is ideal for those who want to work in healthcare finance, revenue cycle management, or insurance coordination—similar in structure to the pharmacy technician career path, where credentialing and administrative accuracy are also foundational.
Is it better to get a CBCS or CPC certification for medical billing and coding?
If you want to focus on medical coding, the CPC certification from AAPC is the better choice. It is widely recognized by employers and covers CPT, ICD-10-CM, and HCPCS Level II coding systems, making it ideal for those who want to work in physician offices, hospitals, and outpatient facilities. On the other hand, if you are more interested in medical billing and insurance claims processing, the CBCS certification from NHA is a strong option. It focuses on billing procedures, insurance guidelines, and reimbursement processes, making it a good fit for roles in insurance companies, medical billing offices, and healthcare administration—especially for those considering administrative advancement through programs such as top 6 month master's degree online offerings in healthcare leadership or informatics.
For maximum career flexibility, some professionals choose to earn both certifications, allowing them to work in both coding and billing roles. However, if you are aiming for higher salaries and long-term career growth in medical coding, the CPC certification is generally the better investment. Those looking to advance into healthcare administration may also consider accelerated MHA programs online, which provide opportunities for leadership roles in medical coding, billing, and healthcare management.
Becoming a certified medical biller and coder typically takes one to three years, depending on the educational path chosen. Certificate programs from vocational schools or community colleges can be completed in as little as four to twelve months, providing the foundational knowledge needed to sit for certification exams. Alternatively, earning an associate degree in health information technology takes about two years but may lead to broader career opportunities. Those without prior healthcare experience may also need on-the-job training or internships, extending the timeline to one to two years before fully entering the workforce—comparable to how many years to be a dental hygienist, which also typically involves a two-year associate degree and clinical training.
What are the most recognized medical coding and billing certifications?
Several respected certifications in medical coding and billing help professionals advance their careers. The most recognized credentials come from leading organizations such as AAPC, AHIMA, and NHA, each focusing on different healthcare roles. For those looking to enter the field affordably, exploring the cheapest medical coding certification online can be a great way to gain essential credentials without a significant financial investment. Here are some examples:
- CPC (Certified Professional Coder) – AAPC – The most widely recognized certification for outpatient coding, covering CPT, ICD-10-CM, and HCPCS Level II coding systems. Ideal for professionals working in physician offices, outpatient clinics, and ambulatory care.
- CBCS (Certified Billing and Coding Specialist) – NHA – Designed for professionals specializing in medical billing and insurance claims processing. Covers reimbursement procedures, fraud prevention, and health insurance guidelines, making it a great choice for billing departments, insurance companies, and healthcare administration.
- CCA (Certified Coding Associate) – AHIMA – An entry-level certification validating basic coding knowledge in both inpatient and outpatient settings. A strong option for beginners looking to gain broad coding experience before specializing.
- CCS (Certified Coding Specialist) – AHIMA – Best for inpatient hospital coding, focusing on ICD-10-CM and ICD-10-PCS coding for procedures and diagnoses in hospital settings. Preferred by employers hiring for hospital-based coding roles. This certification can also complement advanced healthcare education paths, such as an online Doctor of Pharmacy program, for those interested in expanding their expertise in medical records and pharmaceutical coding.
- CPB (Certified Professional Biller) – AAPC – Focused on medical billing, ensuring expertise in claims submission, payment processing, and revenue cycle management. Ideal for those pursuing careers in healthcare finance and administration.
How much can I earn as a certified medical coder and biller?
As of May 2023, the median annual wage for medical records specialists, encompassing certified medical coders and billers, was $48,780. The earnings for professionals in this field can vary based on experience, education, certification, and geographic location. The lowest 10 percent earned less than $35,080, while the highest 10 percent earned more than $77,810.
Certifications, experience, and specialization play a significant role in salary growth for medical coders and billers. Additionally, those who pursue leadership roles, such as coding managers or revenue cycle analysts, can see salaries well above the median. Geographic location also influences pay, with metropolitan areas and regions with high healthcare demand typically offering more competitive salaries.
What is the CBCS certification and what are its eligibility requirements?
The CBCS (Certified Billing and Coding Specialist) certification, offered by the National Healthcareer Association (NHA), is designed for professionals specializing in medical billing, insurance claims processing, and healthcare reimbursement. It validates expertise in handling patient data, coding medical procedures, preventing fraud, and ensuring accurate claim submissions. CBCS-certified professionals typically work in medical billing departments, insurance companies, and healthcare administration roles, ensuring proper payment processing and compliance with healthcare regulations.
To be eligible for the CBCS exam, candidates must meet one of the following requirements:
- Successfully complete a medical billing and coding training program from an accredited institution.
- Have at least one year of supervised work experience in medical billing and coding within the past three years.
- Hold a high school diploma or GED and possess relevant on-the-job training in medical billing or coding.
What is the CPC certification and what are its eligibility requirements?
The CPC (Certified Professional Coder) certification, offered by AAPC (American Academy of Professional Coders), is the gold standard for medical coding professionals. It validates expertise in CPT, ICD-10-CM, and HCPCS Level II coding, ensuring coders can accurately translate medical procedures, diagnoses, and services into standardized codes for insurance reimbursement. CPC-certified professionals typically work in physician offices, outpatient clinics, ambulatory care centers, and healthcare organizations, where precise coding is essential for compliance and revenue cycle management.
To be eligible for the CPC exam, candidates must:
- Have a high school diploma or equivalent (GED).
- Pass the CPC exam, which consists of 100 multiple-choice questions covering coding guidelines, regulations, and medical terminology.
- Gain at least two years of professional coding experience or complete an AAPC-approved coding course. Those who pass the exam without experience receive a CPC-A (Apprentice) designation, which can be removed after submitting proof of experience.
What types of jobs can you get as a certified medical coder and biller?
As a certified medical coder and biller, you have access to a diverse range of career opportunities within the healthcare industry. Here are some roles you might consider:
- Medical Records Specialist – Responsible for organizing, managing, and maintaining patient health records in compliance with healthcare regulations. They ensure the accuracy, security, and accessibility of medical data, working in hospitals, clinics, and insurance companies. Average Salary: $48,780 per year.
- Health Information Technologist and Medical Registrar – Focuses on managing healthcare data systems and medical registries used for research, quality improvement, and patient care analysis. They work with electronic health records (EHR) and ensure data accuracy for reporting and compliance. Average Salary: $62,990 per year.
- Medical Assistant – Performs both administrative and clinical tasks, such as scheduling appointments, recording patient histories, and assisting physicians with medical procedures. Those looking to enter this field affordably can consider enrolling in the cheapest online medical assistant program to gain the necessary skills and certification for employment. Average Salary: $42,000 per year.
- Medical Transcriptionist – Converts audio recordings from healthcare providers into accurate, written medical reports for patient records. They must be proficient in medical terminology and grammar to ensure clarity and compliance. Average Salary: $37,060 per year.
- Pharmacy Technician – Assists pharmacists in preparing and dispensing medications, managing inventory, and providing customer support. They also handle insurance claims and verify prescriptions for accuracy. Average Salary: $40,300 per year.
- Information Clerk – Performs clerical tasks such as maintaining medical records, processing paperwork, and providing information to patients and staff. They often work in hospitals, government agencies, or insurance offices, ensuring smooth administrative operations. Average Salary: $40,540 per year.
These roles highlight the diverse career opportunities available to certified medical coders and billers, offering paths in both administrative and technical healthcare fields. The chart below shows how much you can earn as a medical records specialist and other similar occupations:
Can cross-training in allied healthcare enhance my coding career?
Expanding your expertise with allied health training can complement your coding skills and broaden your understanding of clinical procedures. By gaining insight into diagnostic and patient care processes, you can improve the accuracy of medical documentation and foster better communication with clinical teams. Exploring options like sonography programs online can provide a practical pathway to acquire complementary clinical skills, potentially opening doors to diverse roles within healthcare settings.
What should I look for in an accredited online training program?
When evaluating online training programs in medical billing and coding, focus on curriculum robustness, practical application through simulated exercises, and instructor expertise. Ensure that the program is recognized by prominent industry associations and meets current coding standards without compromising on hands-on learning opportunities. Additionally, verify that the online environment supports updated technology and compliance protocols that reflect real-world practices. For more program details, consider exploring accredited medical billing and coding training online.
Do hospitals prefer CPC or CBCS certification when hiring?
Hospitals typically prefer the CPC certification over the CBCS when hiring for medical coding roles. The CPC certification, offered by the American Academy of Professional Coders, is widely recognized in hospital and outpatient settings because it focuses on CPT, ICD-10-CM, and HCPCS Level II coding, which are essential for accurate medical documentation and insurance reimbursement. Hospitals value CPC-certified coders for their ability to handle complex medical procedures and diagnoses with precision, ensuring compliance and efficient revenue cycle management.
In contrast, the CBCS certification, provided by the National Healthcareer Association, is more specialized in medical billing and insurance claims processing rather than advanced procedural coding. It is often preferred in smaller healthcare facilities, private practices, and insurance companies where billing expertise is the primary focus. While hospitals may hire CBCS-certified professionals for billing and administrative roles, those seeking medical coding positions in hospital settings will have a stronger advantage with CPC certification.
How can professional networking and mentorship accelerate career growth?
Leveraging professional networking and targeted mentorship programs can open pathways to advanced career opportunities beyond certification renewal. Engaging with industry organizations and participating in specialized forums not only expand your skill set but also increase exposure to emerging healthcare practices and leadership roles. These interactions often lead to referrals for positions in roles such as healthcare administration jobs with the highest salaries, where administrative expertise and cross-functional knowledge are highly valued. Strategic networking thus serves as a catalyst for diversifying your professional portfolio and enhancing long-term career stability.
How can additional interdisciplinary degrees boost my coding and billing career?
Expanding your educational portfolio with interdisciplinary degrees can refine leadership, financial management, and strategic planning skills essential for advanced roles in healthcare administration. Integrating business-oriented studies with technical expertise enables professionals to bridge the gap between operational efficiency and innovative healthcare solutions. For example, enrolling in a cheap sports management bachelor's degree online can offer insights into organizational behavior and economic management, thereby opening pathways into niche markets like sports medicine and event health management.
What are the continuing education requirements for CPC-certified professionals?
Maintaining a CPC certification requires ongoing education to stay current with industry changes. Below are the key continuing education requirements for CPC-certified professionals:
- Earn 36 CEUs Every Two Years – CPC-certified professionals must complete 36 continuing education units (CEUs) every two years to maintain their certification. These CEUs help coders stay updated with coding guideline changes, regulatory updates, and new healthcare policies.
- Attend AAPC-Approved Events and Training – CEUs can be earned through AAPC-approved courses, workshops, webinars, and conferences. These educational opportunities ensure that coders remain knowledgeable about current industry standards and best practices.
- Participate in Local AAPC Chapter Meetings – CPC-certified professionals can gain CEUs by attending or speaking at local AAPC chapter meetings. These meetings provide networking opportunities and access to industry experts who share insights on evolving coding regulations.
- Complete Specialty Certifications or Employer Training – Coders can earn additional CEUs by obtaining specialty certifications in areas like risk adjustment, inpatient coding, or compliance. Many employers also offer approved training programs that count toward CEU requirements. This will help professionals meet medical coder requirements while staying updated on industry changes.
- Maintain Compliance to Avoid Certification Suspension – If CEU requirements are not met, the CPC certification may be suspended or revoked, affecting job eligibility. Staying proactive in continuing education and submitting CEUs on time ensures compliance and career stability.
Is medical coding still a good career choice for 2025?
Yes, medical coding remains a promising career choice in 2025. The healthcare industry's continuous growth ensures a sustained demand for skilled medical coders. The U.S. Bureau of Labor Statistics projects that employment for medical records specialists, including medical coders, will grow by 9% from 2023 to 2033, aligning with the average growth rate for all occupations. This growth is driven by an aging population requiring more medical services and the increasing adoption of electronic health records.
Moreover, medical coding offers benefits such as job security, competitive salaries, and opportunities for remote work, making it an attractive option for those seeking a stable and flexible career in healthcare. About 15,000 job openings are to be expected each year, on average over the next decade. This means that from 191,500 medical records specialists employed in 2023, the number is expected to reach 208,200
As healthcare evolves, professionals seeking career advancement may explore ADN to MSN bridge programs to transition into higher-level healthcare roles while leveraging their medical coding experience.
Similarly, those with backgrounds in wellness or physical health may consider pivoting toward exercise science degree jobs that pay well, which offer alternative routes into health-focused careers with strong earning potential.
The chart below shows the employment projections data for medical records specialists in the U.S.:
How can evolving technology and compliance trends shape my career advancement?
Staying ahead in medical coding and billing requires more than just obtaining a certification; it demands an ongoing commitment to understanding emerging technologies and regulatory updates. Professionals who integrate advanced analytical tools and digital health solutions into their workflow benefit from increased accuracy and efficiency, positioning themselves for leadership roles. Awareness and adaptation to changes—such as updates in coding guidelines, new healthcare software, and evolving reimbursement policies—are critical for long-term career growth. Additionally, cross-training in related areas like pharmacy administration can broaden your perspective on integrated healthcare delivery, much like insights gained from pursuing a pharmacist school online program.
How can a public health degree complement my medical coding and billing career?
A public health degree equips professionals with a broader understanding of healthcare systems and population health management, enhancing the strategic perspective required in coding and billing roles. This additional expertise can improve decision-making in healthcare operations and policy implementation, leading to more efficient revenue cycle management and improved patient outcomes. For those seeking to integrate broader healthcare insights with technical certification skills, pursuing the best online public health bachelor's degree may provide the necessary foundation for diversified career advancement.
Here’s what graduates have to say about their medical coding and billing degrees:
"Switching to medical coding and billing was the best career move I ever made. The job flexibility allows me to work remotely, and the demand for certified coders has given me incredible job security. I love knowing that my work directly impacts healthcare efficiency and patient care." – Melissa
"After earning my CPC certification, I landed a great position in a hospital, and my salary quickly increased as I gained experience. The career growth opportunities in medical coding are amazing, and I feel valued as part of the healthcare system. Plus, I enjoy the challenge of keeping up with industry changes and new coding regulations." – Jason
"I wanted a stable career with good pay but didn’t want to spend years in school, so medical billing and coding was the perfect choice. Within a year, I completed my training, passed my certification exam, and started working from home. It’s rewarding to have a career that offers both financial security and work-life balance." – Samantha
Key Findings
- The demand for medical billers and coders is expected to grow by 9% from 2021 to 2031, adding about 15,000 job openings per year.
- Certifications like the CPC (Certified Professional Coder) from AAPC and CBCS (Certified Billing and Coding Specialist) from NHA help professionals stand out in the job market.
- Certification exams test knowledge of ICD-10, CPT, and HCPCS coding, along with compliance and insurance billing procedures.
- Many medical coders and billers work remotely, making it a flexible career choice with opportunities in hospitals, clinics, and insurance companies.
- The median annual salary for medical records specialists, including coders and billers, is $48,780, with higher earnings for certified professionals.
Other things you should know about medical coding & billing exams
What is the easiest medical coding exam?
The CBCS (Certified Billing and Coding Specialist) exam, offered by the National Healthcareer Association (NHA), is often considered the easiest medical coding certification exam. It focuses more on medical billing, insurance claims, and reimbursement processes rather than in-depth procedural coding like the CPC (Certified Professional Coder) exam. Since the CBCS covers fundamental coding concepts and administrative tasks, it is generally more accessible for beginners, especially those without extensive coding experience. However, the CPC exam, provided by the AAPC, is more widely recognized in the healthcare industry and can lead to higher-paying job opportunities.
How long should you study before taking the CBCS or CPC certification exam?
The amount of study time needed before taking the CBCS or CPC certification exam depends on prior experience and knowledge of medical coding. On average, most candidates spend 3 to 6 months preparing for the CBCS exam due to its focus on billing and insurance processes. The CPC exam, which is more comprehensive and includes CPT, ICD-10, and HCPCS Level II coding, often requires 6 months to a year of study, especially for those without prior coding experience. Studying involves reviewing official study guides, completing practice exams, and gaining hands-on coding experience to improve accuracy and speed under timed conditions.
Is the CBCS exam easier than the CPC exam?
Yes, the CBCS exam is generally considered easier than the CPC exam because it focuses on billing and insurance claims rather than advanced procedural and diagnostic coding. The CPC exam, administered by the AAPC, is more rigorous, requiring detailed knowledge of ICD-10, CPT, and HCPCS coding guidelines, and includes a 5-hour, 40-minute timed test with complex case scenarios. In contrast, the CBCS exam, offered by the NHA, emphasizes medical billing, insurance processing, and reimbursement policies, making it a better option for those looking for a less coding-intensive certification. While the CPC is preferred for medical coding jobs, the CBCS is beneficial for billing-focused roles.
What happens if you let your CBCS or CPC certification expire?
If you let your CBCS or CPC certification expire, you may lose your credential and need to meet reinstatement requirements before being eligible to work as a certified medical coder or biller. For the CBCS certification, the NHA requires professionals to renew their credentials every two years by completing continuing education (CE) requirements and paying a renewal fee. The CPC certification, managed by the AAPC, requires coders to earn 36 CEUs (continuing education units) every two years to stay certified. If a certification expires, individuals may need to retake the exam or complete additional coursework to regain their credentials, which can delay career advancement and job opportunities.
