National Credential
Credential: Certified Billing and Coding Specialist (CBCS)  GI Bill resource  NCCA resource
Credentialing Agency: National Healthcareer Association (NHA)

The National Healthcareer Association (NHA), Certified Billing & Coding Specialist (CBCS) are essential to hospitals, physician offices, surgery centers, nursing homes, dental offices, home healthcare agencies, mental health facilities, insurance companies, and consulting firms. CBCS's keep the healthcare industry moving efficiently by gathering and reviewing patient information, verifying required documentation before patients are released, preventing fraud/abuse by auditing billing, assigning codes for diagnoses and procedures, submitting claims for reimbursement, and coaching healthcare providers to achieve optimal reimbursement. CBCS applicants must successfully pass a written exam, in addition to meeting education and training or work experience eligibility requirements.

More information can be found on the certifying agency's website.

Renewal Period: 2 years

Certified Billing and Coding Specialist (CBCS)

The following Army Occupations provide training and/or experience that contributes to attaining this credential:

Personnel Category Occupation Occupation Type Related As Promotion Points Skill Level Star Proponent Funded Gap Analysis
Enlisted 68G Patient Administration Specialist MOS some  Promotion Points: This certification has been approved for promotion points. Click for more information.        
Enlisted 68S Preventive Medicine Specialist MOS some          
Enlisted N4 Health Physics Specialist ASI some          

Army Table Legend


Related As

The military occupations shown in this table are related to this credential in one of four ways: Most, Some, or Other.

Most: This credential is directly related to most of the major duties associated with the military occupation (at least 80%). Note that the credential may require additional education, training or experience before you are eligible for it.

Some: This credential is related to some tasks associated with the duties of the military occupation (related 80% to at least one or more critical tasks but less than 80% of all of the entire military occupation). Note that the credential may require additional education, training or experience before you are eligible for it.

Other: This credential is related to this military occupation, but is more advanced or specialized and therefore will likely require additional education, training, or experience.

Promotion Points Promotion Points icon

This credential has been approved for promotion points for this MOS towards promotion to Sergeant and Staff Sergeant. Clicking the Promotion Points icon will open a link to the promotion points fact sheet.

Skill Level Designation

Skill Level I: This skill level consists of all Soldiers in the ranks of Private (pay grade E-1) up to Specialist (pay grade E-4). Time in Service (TIS) is generally between initial entry and four Years of Service (YOS). This skill level is Entry-level positions requiring performance of tasks under direct supervision.

Institutional training:

  • Structured Self-Development (SSD) level I
  • Basic Leader Course (BLC)

Skill Level II: This skill level is obtained when promoted to Sergeant (paygrade E-5). TIS is generally between 4-8 YOS. Positions requiring performance of more difficult tasks under general supervision; and in some instances, involving supervision of Soldiers in SL1.

Institutional training:

  • Structured Self-Development (SSD) level II
  • Advance Leader Course (ALC)

Skill Level III: This skill level is obtained when promoted to Staff Sergeant (paygrade E-6). TIS is generally between 8-12 YOS. Positions requiring performance of still more difficult tasks and involving first line supervision of Soldiers in SL1 & SL2.

Institutional training:

  • Senior Leader Course (SLC)
  • Structured Self-Development (SSD) level III

Skill level IV: This skill level is obtained when promoted to the rank of Sergeant First Class (paygrade E-7). TIS is generally between 12-18 YOS. Positions requiring relatively detailed knowledge of all tasks specified for a given MOS, normally involving first-line supervision of Soldiers in SLs 1, 2, and 3, and involving managerial duties.

Institutional training:

  • Master Leader Course (MLC)
  • Structured Self-Development (SSD) level IV
  • Senior Enlisted Joint Professional Military Education (SEJPME) I Course

Skill level V: This skill level is obtained when promoted to the rank of Master Sergeant (paygrade E-8). TIS is generally between 18-22 YOS. Positions requiring direct and indirect leadership roles with expertise in company and battalion-level operations and competency across a given CMF, serving as members of a staff at every level in the Army, with a full understanding of the allocation of resources and their utilization in order to accomplish Army functions and missions.

Institutional training:

  • United States Army Sergeants Major Academy (USASMA)
  • Structured Self-Development (SSD) level V

Skill level VI: This skill level is obtained when promoted to the rank of Sergeants Major (paygrade E-9). TIS is generally between 22-30 YOS. Positions requiring organizational leadership roles with multi-dimensional expertise in units and teams on division, corps, and Army staffs, integrated with Joint, Interagency, Intergovernmental, and Multinational (JIIM) partners with a full understanding of the Force Generation process, operations at all echelons, and how the Army runs.

Star Credential Star icon

Star credentials are MOS enhancing, as designated by the Proponent. MOS enhancing credentials are directly related to an MOS or ASI, are taught either partially or completely as part of a Program of Instruction (POI), and improve the MOS technical proficiency.

Proponent Funded Funded icon

This icon indicates credentials which Soldiers may have funded through their MOS proponent. Some proponents offer credentialing opportunities in conjunction with military training and/or as part of MOS development beyond the training base.

Gap Analysis Has Analysis icon

A detailed analysis comparing the credential requirements to the military occupation has been completed. Click on the gap analysis icon to view the analysis page.

Certified Billing and Coding Specialist (CBCS)

Eligibility Requirements ()

Note: This credential may have multiple options for becoming eligible. Listed below are the minimum requirements based on the minimum degree required. To view other options, see the Eligibility tab.

  • Credential Prerequisite
  • Experience: 1 year
  • Education: High School Diploma/GED
  • Training
  • Membership
  • Other
  • Fee

Exam Requirements ()

  • Written Exam
  • Oral Exam
  • Practical Exam
  • Performance Assessment

Renewal Period: 2 years

  • Continuing Education
  • Exam
  • Continuing Education OR Exam
  • Fee
  • Other

National Healthcareer Association (NHA)
11161 Overbrook Road
Leawood, KS  66211
Phone: (913) 661-5592
Fax: (913) 661-6291
Email: info@nhanow.com

Certified Billing and Coding Specialist (CBCS)

Applicants must have a high school diploma or the equivalent.

Option 1: Applicants must have successfully completed an NHA approved training program within the past five (5) years.

Note: Formal medical services training in the field offered by any branch of the U.S. Military fulfills the training program.

Note: Applicants who completed training five or more years ago must also have one (1) year of relevant, supervised work experience within the past three (3) years.

Option 2: Applicants must have at least one (1) year of supervised work experience in the field within the past three (3) years.

The Certified Billing and Coding Specialist (CBCS) credential has the following other requirements:

  • Applicants must be at least 18 years of age.

Certified Billing and Coding Specialist (CBCS)

  • Regulatory compliance
    • Identify appropriate documentation required for release of patient information.
    • Audit billing against medical documentation to prevent fraud and abuse.
    • Identify major laws, regulations, and administrative agencies relevant to medical billing.
  • Claims processing
    • Apply procedures for transmitting claims to third-party payers.
    • Apply knowledge of the CMS-1500 form to accurately complete the appropriate fields.
  • Front-end duties
    • Ensure accurate collection of appropriate patient demographic and insurance information.
    • Verify insurance eligibility to determine benefits.
    • Compare and contrast government and private insurance.
    • Process appropriate patient authorization and referral forms.
    • Prior to the visit, determine appropriate balances due.
  • Payment adjudication
    • Analyze aging report.
    • Post payment accurately.
    • Interpret remittance advice to determine financial responsibility of patient and insurance company.
    • Determine reason for insurance company denial.
  • Apply Knowledge of Coding
    • Apply specific coding guidelines and conventions for diagnoses and procedures.
    • Abstract the medical documentation by applying knowledge of medical terminology and anatomy and physiology.

There are a number of resources available to help you prepare for the Certified Billing and Coding Specialist (CBCS) examination:

An additional resource is Safari Books Online, a searchable digital library that provides online access to thousands of books, training videos and conference sessions. See the Educational Resources page here on COOL to learn how to get free access.

Testing for this credential is handled by PSI. The test centers are located in the U.S.

To find out more, use the following links on the PSI website:

For more information on the National Healthcareer Association (NHA) testing process, visit the agency website.

Certified Billing and Coding Specialist (CBCS)

Renewal Period: 2 years

The Certified Billing and Coding Specialist (CBCS) credential has the following recertification information:

  • The CBCS is renewed every 2 years; renewal requires earning continuing education units and paying a fee. More information about renewing NHA credentials is available on the NHA Renewal page.