While medical billing jobs do not require a college education, most employers require a certificate attesting to a certain level of training. The most common credential is the Certified Professional Coder diploma from the American Academy of Professional Coders. Other certificates attest to training in specialties such as outpatient codes, inpatient codes, risk adjustment, audits and compliance, among others. Courses for some certificates last five weeks and are free; others come as part of earning an associate degree and can take two years and cost more than $20,000. Some are online, some in person (pre-pandemic) and some a hybrid of the two.

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