Nationally Certified Multi-Skilled Billing and Coding Specialist
CIP Code: 51.0707 • 125 questions • 2.5 hours • Passing score: 70% • Annual renewal
Overview
This credential validates multi-skilled competency in medical coding and the revenue cycle. Certified specialists assign ICD-10-CM, CPT, and HCPCS codes, manage claims, navigate payer policies, and maintain documentation integrity across ambulatory and outpatient settings.
- Nationally recognized Multi-Skilled Stackable
- Listed in the NHWCA National Registry for employer verification
- Annual renewal: 10 CEU, No lapse (CPR not required)
Why Multi-Skilled?
NHWCA’s multi-skilled model verifies cross-functional readiness in coding, reimbursement, documentation, and compliance—so employers can staff one professional who understands the full revenue cycle, from encounter to clean claim.
Job Description
A Billing and Coding Specialist assigns diagnosis and procedure codes, validates documentation, works denials and edits, communicates with payers and clinical staff, and supports clean-claim submission and compliant reimbursement in ambulatory and outpatient settings.
Qualifications (choose one)
- Graduate of a billing/coding or medical office program; or
- Experience: 3 months coding or insurance processing; or
- AHIMA/AAPC coursework accepted but not required.
All candidates must meet age, ID, and conduct requirements per the NHWCA Candidate Handbook.
Exam Structure & Timing
| Element | Detail |
|---|---|
| Question Count | 125 multiple-choice (100 scored + 25 pilot) |
| Time Limit | 2.5 hours (150 minutes) |
| Passing Score | 70% or higher |
| Delivery | Online or approved testing site, proctored, closed-book |
| Question Style | Scenario-based and knowledge-based items |
Exam Domains & Weighting
| Domain | Weight | Approx. Questions |
|---|---|---|
| Coding (ICD-10-CM, CPT, HCPCS) | 55% | ~69 |
| Insurance & Reimbursement Processes | 25% | ~31 |
| Compliance & EHR Documentation | 20% | ~25 |
Totals reflect 100 scored items; 25 pilot items do not affect score.
Practice Questions (10)
Included with registration inside the candidate portal. These do not affect your score but mirror the style and depth of the live exam.
Renewal
- Cycle: Annual
- Requirements: 10 CEU, No lapse (CPR not required)
- Fee: $199
© NHWCA – National Healthcare Workers Certification Association. All rights reserved.