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To obtain a career in medical billing, you do not have to take a course. Coding and billing are different from one another. Coding is linking a code to a diagnosis and cpt code. Remember a diagnosis (or dx for short) is the code that describes what is wrong with a patient and the cpt code is the code that describes what is being done. If you decide to become a coder then this is something that you should go to school for but billing is different. Alot of people think medical billing and coding are the same thing but they aren't.
If you don't have any experience in billing, try starting through a temporary service. They will help get you in the door through a front office assignment. Front office jobs are easier to start with. Example of a front office job is taking patient copays and setting up appointments. From here you can easily get office training on other billing functions and in no time you can start your career in medical billing.