Medical Billing and Coding Specialist

Using terminology skills, coders/billers research and determine correct billing codes, understand the procedures and diagnoses being coded, and create detailed billing records and invoices. Without the contributions of the medical billing and coding specialists, neither doctors nor insurance companies could properly provide their services to patients.

Certificate of Achievement

This certificate has a total of 51 credits and is usually completed in four to five quarters. It includes our Medical Administrative Assistant certificate, and prepares participants for entry-level positions as Medical Billing & Coding specialists.

See the full Certificate of Achievement curriculum.


  • Admission to Bellevue College as a credit student.
  • Basic computer skills and access to a computer with Internet access is highly recommended
  • Placement by assessment into ENGL&101 for advanced classes.
  • Successful completion of both Foundation and Program courses.

The following table outlines the Medical Billing & Coding Certificate program as of Summer 2022:

Foundation Courses
AHE 100Introduction to Healthcare5 Cr.
AHE 110Medical Terminology5 Cr.
AHE 120Safety for Healthcare2 Cr.
BIOL 108
– OR –
AHE 130
– OR –
* t BIOL& 241
– AND –
* t BIOL& 242
Human Biology
– – –
Human Systems
– – –
Anatomy & Physiology I
– – –
Anatomy & Physiology II
6 Cr.
– – –
5 Cr.
– – –
6 Cr.
– – –
6 Cr.

Sub-Total Foundation:

17-24 Cr.


Medical Administrative Assistant Program Courses
AHEA 100Medical Law & Ethics3 Cr.
AHEA 102Introduction to Medical Administration5 Cr.
AHEA 104Introduction to Billing & Coding5 Cr.
AHEA 106Medical Computer Systems5 Cr.

Sub-Total MAA:

18 Cr.


Medical Billing & Coding Program Courses
AHEA 120Intermediate Coding5 Cr.
AHEA 122Intermediate Billing5 Cr.
AHEA 124Advanced Billing & Coding5 Cr.

Sub-Total MBC:

15 Cr.

Total MBC Certificate: 50-57 Cr.

BOLD courses are the standard department recommendation, any listed course may be selected as an alternative. Courses not listed, though of equivalent content (including transfer) may be eligible for substitution following the Bellevue College transfer and/or substitution policies.
* Both BIOL&241 and BIOL&242 must be completed to meet the anatomy and physiology standard, if this option is selected.
t Some courses have defined prerequisite or placement standards, please see the course catalog for requirements for these courses.

Upon successful completion of the program, you will be eligible to take the Certified Coding Associate (CCA) exam or the Certified Coding Specialist (CCS) exam through AHIMA (American Health Information Management Association).

Career Outlook

Projected employment for Medical Records Specialists in the United States from 2020 to 2030 is expected to increase by 9% according to CareerOneStop.

Last Updated March 25, 2024