Looking to build a fulfilling career in healthcare administration? Then, becoming a medical coder or biller might be a great option for you, as these are fundamental healthcare administrative processes. Although these roles are interconnected, they serve different purposes, with each requiring unique skills and responsibilities.
This blog will help you choose the right career.
Quick Summary
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A medical biller submits and follows up on claims with health insurance companies to receive payments for services provided by healthcare providers. Being a medical biller, you’d also need to ensure that healthcare providers are compensated for their services in a timely manner. A typical medical billing process involves:
Here’s how to become a medical biller in 6 easy steps:
In the United States, the average salary of a medical biller is $45,421 per year, with entry-level positions offering around $29,500.
If you are considering becoming a medical biller in 2026, California pays the most, as per the data from ZipRecruiter:
| City | Annual Salary | Hourly Wage |
| San Francisco, CA | $59,604 | $28.66 |
| Redwood City, CA | $58,791 | $28.26 |
| Menlo Park, CA | $58,649 | $28.20 |
| Barrow, AK | $58,355 | $28.06 |
| Foster City, CA | $57,786 | $27.78 |
| Mission Hills, CA | $57,333 | $27.56 |
| San Jose, CA | $56,847 | $27.33 |
| San Mateo, CA | $56,791 | $27.30 |
| Santa Clara, CA | $56,698 | $27.26 |
| Oakland, CA | $56,686 | $27.25 |
A medical coder is a person who translates healthcare diagnoses, procedures, and services into standardized codes. These codes are then used by insurance companies to understand exactly what happened during the visit or procedure. Typically, medical codes are primarily derived from two coding systems:
Here’s how to get ready for a medical coding position in just six easy steps:
As of 2026, the average annual salary for an entry-level medical coder in the United States is $59,975. It should be noted that even the starting salary (entry-level) for medical coders is higher than that of medical billers at $34,500.
Interestingly, Chapin, SC pays the most to medical coders as of 2026:
| City | Annual Salary | Hourly Wage |
| Chapin, SC | $103,824 | $49.92 |
| Saratoga, CA | $79,274 | $38.11 |
| San Francisco Bay Area, CA | $78,272 | $37.63 |
| San Francisco, CA | $78,272 | $37.63 |
| Palo Alto, CA | $76,886 | $36.96 |
| Barrow, AK | $76,632 | $36.84 |
| San Carlos, CA | $76,017 | $36.55 |
| Belmont, CA | $75,891 | $36.49 |
| Mission Hills, CA | $75,290 | $36.20 |
| Burlingame, CA | $75,169 | $36.14 |
| Aspect | Medical Billing | Medical Coding |
| Main Role | Financial process of submitting and tracking claims. | Translating healthcare diagnoses and procedures into standardized codes. |
| Skills Required | Knowledge of insurance policies, payment processes, and medical billing software. | Knowledge of medical terminology, anatomy, and coding systems (ICD-10, CPT). |
| Type of Work | Manages billing cycle, claim submission, and payment posting. | Assign codes to diagnoses and procedures from medical records. |
| Job Goal | To ensure accurate and timely reimbursement for services rendered. | To ensure proper coding for diagnoses and procedures, ensuring accuracy in billing. |
| Tools Used | Billing software, insurance forms, patient records. | Coding manuals, coding software, medical records. |
While medical coding and medical billing work closely in the healthcare system, these are two distinct roles.
So, if you wish to translate small details of a medical visit into codes, then it’s best to aim for medical coding. On the other hand, if you wish to involve yourself with billing and payments, then medical billing is the right choice for you.
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The CEH certification exam is considered moderately difficult. It tests theoretical knowledge of tools, attack techniques, networking, and security concepts. It’s not as hands-on as advanced certifications, but it requires a strong understanding of cybersecurity fundamentals.
While you do not need customer service experience for either role, having it will come in handy. For instance, if a patient takes issue with a billing statement, you’d need to maintain your professionalism.
For medical billing, you’d need excellent communication skills (both verbal and written).
Confidentiality is required by law for both roles. Which means you’ll actively need to protect patient data.






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