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Top 11 Reimbursement Analyst Certifications

This article provides an overview of the top certifications available for reimbursement analysts, including their benefits and requirements.

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 18 min read

Certifications are important for a reimbursement analyst in the job market because they demonstrate that the individual has met certain standards of knowledge and experience in their field. They also show potential employers that the analyst is committed to continuing education and has taken initiative to stay up-to-date on industry trends and regulations. Certification can also provide an advantage when competing for jobs, as employers often prefer candidates who have taken the time to gain specialized knowledge in their field. Finally, certifications can help with career advancement opportunities, as they can demonstrate a higher level of expertise and provide access to professional networks.

This article reviews some of the top certifications available to Reimbursement Analysts and explains how they can help to advance their career.

What are Reimbursement Analyst Certifications?

Reimbursement analyst certification is a credential that demonstrates an individual's knowledge and understanding of the reimbursement process in healthcare. This certification is often sought by those who work in medical billing, coding, auditing and other related fields. It can help individuals to demonstrate their expertise and proficiency in the area of reimbursement and increase their earning potential.

Reimbursement analyst certification requires individuals to have a comprehensive understanding of the reimbursement process, including payment models, coding systems, claims processing and quality assurance standards. Individuals must also be able to analyze data related to reimbursements, identify discrepancies and make adjustments as needed. This certification can help individuals stand out from their peers and demonstrate their commitment to staying up-to-date with changes in the industry. Having this credential also indicates that an individual has a deep understanding of the complexities involved in managing healthcare reimbursements. Furthermore, it can open up additional opportunities for advancement within organizations as well as provide access to higher paying positions outside of their current organization.

Pro Tip: Reimbursement analyst certification can be a great way to stay up-to-date on the latest trends and regulations in healthcare reimbursement. Make sure to research the certification process thoroughly, as it may require specialized courses or exams. Additionally, check with your employer to see if they offer any sort of reimbursement analyst training or certification programs that you can take advantage of.

Related: What does a Reimbursement Analyst do?

Top 11 Reimbursement Analyst Certifications

Here’s our list of the best certifications available to Reimbursement Analysts today.

1. Certified Professional Coder (CPC)

Certified Professional Coder (CPC) is a certification offered by the American Academy of Professional Coders (AAPC). It is a professional credential that demonstrates mastery of medical coding and billing. The CPC certification is the most widely recognized medical coding credential in the healthcare industry.

It typically takes about 4-6 months to prepare for and pass the CPC exam, depending on how much time you are able to devote to studying. To get certified, you must first join AAPC and then purchase the CPC study materials. You will also need to register for and take the exam, which consists of 150 multiple choice questions and takes approximately five hours to complete.

The cost of becoming certified varies depending on whether you are already an AAPC member or not. For non-members, it costs $399 for the study materials and $399 for the exam fee; for members, it costs $299 for the study materials and $299 for the exam fee.

2. Certified Reimbursement Specialist (CRS)

A Certified Reimbursement Specialist (CRS) is a professional who specializes in the reimbursement of medical services and products. This certification is designed to provide healthcare providers with the necessary skills and knowledge to effectively manage the reimbursement process.

To become a CRS, individuals must have at least two years of experience in medical billing and coding, as well as a high school diploma or equivalent. They must also complete an approved training program and pass an examination administered by the American Medical Billing Association (AMBA). The cost for the exam varies depending on the provider, but typically ranges from $300-$500.

The exam consists of 150 multiple-choice questions that cover topics such as reimbursement regulations, coding systems, claims processing, appeals processes, and more. It typically takes about four hours to complete. Upon successful completion of the exam, individuals will receive their CRS certification which is valid for three years before needing to be renewed.

In addition to passing the exam, individuals must also maintain their certification by completing continuing education credits each year. The cost for these credits varies depending on the provider but usually ranges from $50-$100 per credit hour.

3. Certified Medical Reimbursement Analyst (CMRA)

A Certified Medical Reimbursement Analyst (CMRA) is a professional who specializes in the field of medical reimbursement. This certification is designed to help healthcare professionals understand and apply the rules and regulations of medical reimbursement, including Medicare, Medicaid, and private insurance.

The CMRA certification requires applicants to have a minimum of two years of experience in medical reimbursement or related fields. Applicants must also pass an exam that covers topics such as federal laws and regulations, coding systems, billing processes, and reimbursement policies. The exam consists of multiple-choice questions and takes approximately three hours to complete.

To get certified as a CMRA, applicants must submit an application to the American Academy of Professional Coders (AAPC). The application fee is $299 for members and $399 for non-members. After submitting the application, applicants must take the CMRA exam at one of AAPC’s testing centers across the United States. Once an applicant passes the exam, they will receive their certification within four weeks from AAPC.

In order to maintain their certification status, CMRAs are required to complete continuing education credits every two years. These credits can be obtained through attending conferences or seminars or completing online courses offered by AAPC or other organizations.

4. Certified Healthcare Financial Professional (CHFP)

Certified Healthcare Financial Professional (CHFP) is a professional certification program designed to recognize individuals who have achieved a high level of expertise in the field of healthcare finance. The CHFP certification is offered by the Healthcare Financial Management Association (HFMA). It is a voluntary credential that demonstrates an individual's commitment to excellence and knowledge in the field of healthcare finance.

To become certified, applicants must meet certain educational and experience requirements, pass an exam, and maintain their certification through continuing education. To be eligible for the CHFP, applicants must have at least five years of experience in healthcare finance or related fields. They must also hold a bachelor's degree from an accredited college or university or equivalent experience in a related field.

The CHFP exam consists of 200 multiple-choice questions covering topics such as financial management, accounting principles, reimbursement systems, cost analysis, and budgeting. The exam is administered twice a year and takes approximately four hours to complete.

The cost for the CHFP application fee is $200 for HFMA members and $250 for non-members. Additionally, there is an annual renewal fee of $50 for HFMA members and $75 for non-members.

Overall, obtaining the CHFP certification requires dedication and hard work but can be very rewarding for those who are looking to advance their careers in healthcare finance.

5. Certified Revenue Cycle Representative (CRCR)

A Certified Revenue Cycle Representative (CRCR) is a professional certification that recognizes an individual’s knowledge and expertise in the revenue cycle of a healthcare organization. The CRCR certification is offered by the Healthcare Financial Management Association (HFMA).

The CRCR exam consists of 100 multiple-choice questions and takes approximately two hours to complete. The exam covers topics such as patient access, billing, collections, accounts receivable management, coding, reimbursement, compliance, financial reporting and analysis.

In order to be eligible for the CRCR exam, individuals must have at least three years of experience in revenue cycle operations or related areas. Applicants must also have a high school diploma or equivalent and must pass a criminal background check.

The cost of the CRCR exam is $450 for HFMA members and $550 for non-members. After passing the exam, individuals must renew their certification every three years by completing continuing education activities.

6. American Academy of Professional Coders (AAPC) Certification

American Academy of Professional Coders (AAPC) Certification is a professional credential for medical coders. It is designed to recognize individuals who demonstrate knowledge and proficiency in medical coding. The AAPC certification is the most widely recognized and respected certification in the industry, and it is required by many employers.

The AAPC offers two main certifications: Certified Professional Coder (CPC) and Certified Professional Coder-Payer (CPC-P). To get either of these certifications, you must pass an exam that tests your knowledge of medical coding principles, guidelines, and regulations. The exam consists of 150 multiple-choice questions and takes about four hours to complete.

To prepare for the CPC or CPC-P exams, you can take courses offered by the AAPC or purchase self-study materials from the organization’s website. You can also attend review sessions or study groups to help you prepare for the exam.

The cost of taking the CPC or CPC-P exams varies depending on whether you are a member or nonmember of the AAPC. For members, the cost is $399 for each exam; for nonmembers, it’s $499 for each exam.

Once you have passed both exams, you will receive your certification from the AAPC within four weeks after completing all requirements. Your certification will be valid for three years before needing to be renewed.

7. American Health Information Management Association (AHIMA) Certification

The American Health Information Management Association (AHIMA) Certification is a professional credential that demonstrates an individual’s knowledge and expertise in the field of health information management. It is designed to demonstrate a commitment to quality and excellence in the field, as well as promote professional development.

AHIMA offers several certifications for different levels of experience, including Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), and Registered Health Information Administrator (RHIA). The requirements for each certification vary depending on the level of experience and education.

It typically takes between six months and one year to complete the necessary coursework and pass the certification exam. To get AHIMA certification, individuals must first complete an accredited program in health information management or health informatics. After completing the program, they must pass an AHIMA-administered exam in order to be certified.

The cost of AHIMA certification varies depending on the type of certification, but generally ranges from $200-$400 for the exam fee alone. Additional costs may include application fees, study materials, and other related expenses.

8. Healthcare Financial Management Association (HFMA) Certification

The Healthcare Financial Management Association (HFMA) is an international professional organization for healthcare finance leaders. It provides education, resources and tools to help members achieve excellence in financial management.

HFMA offers a certification program for healthcare finance professionals called the Certified Healthcare Financial Professional (CHFP). This certification is designed to recognize individuals who have achieved a high level of knowledge and competence in the field of healthcare finance. The CHFP credential is recognized by employers as a mark of excellence in the field and can lead to career advancement opportunities.

To become certified, applicants must meet certain eligibility requirements, including having at least three years of experience working in a healthcare finance-related position. Applicants must also pass an exam that covers topics such as financial analysis, budgeting, reimbursement and compliance. The exam consists of 100 multiple choice questions and takes approximately four hours to complete.

The cost of taking the CHFP exam varies depending on whether you are an HFMA member or non-member. For HFMA members, the cost is $450; for non-members, it is $650.

Once you have successfully passed the exam, you will be awarded your CHFP credential and can use it to demonstrate your expertise in healthcare finance to potential employers or clients. The certification is valid for three years and can be renewed by completing continuing education credits or retaking the exam.

9. National Association of Healthcare Revenue Integrity (NAHRI) Certification

The National Association of Healthcare Revenue Integrity (NAHRI) Certification is a professional certification program designed to recognize individuals who demonstrate expertise in the field of healthcare revenue integrity. The certification is offered at two levels: Certified Healthcare Revenue Integrity Professional (CHRIP) and Certified Healthcare Revenue Integrity Analyst (CHRA).

To become certified as a CHRIP, applicants must have a minimum of five years of experience in the healthcare revenue integrity field, including experience with coding, reimbursement, compliance, and related activities. Applicants must also pass an exam that covers topics such as federal regulations, billing and coding principles, financial management principles, and data analytics. The exam consists of 150 multiple-choice questions and takes approximately three hours to complete.

To become certified as a CHRA, applicants must have a minimum of two years of experience in the healthcare revenue integrity field. Applicants must also pass an exam that covers topics such as coding principles, reimbursement processes and procedures, compliance requirements, data analytics principles and techniques, financial management principles, and other related topics. The exam consists of 100 multiple-choice questions and takes approximately two hours to complete.

The cost for NAHRI Certification varies depending on the level you are pursuing. The cost for CHRIP certification is $395; while the cost for CHRA certification is $295. Both certifications require annual renewal fees which are currently set at $50 per year for both levels.

In order to obtain NAHRI Certification you will need to register online through the NAHRI website or by mail using the application form provided on their website. Once your application has been approved you will be able to take your examination at any Pearson VUE testing center located throughout the United States or Canada.

10. National Council for Prescription Drug Programs (NCPDP) Certification

The National Council for Prescription Drug Programs (NCPDP) Certification is a program that verifies the knowledge and skills of individuals in the pharmacy industry. It is earned by passing an exam, which tests a candidate’s understanding of NCPDP standards, processes, and procedures. The certification is valid for two years and must be renewed every two years to maintain its validity.

To get certified, applicants must complete an online application form and pay a fee. After submitting the application, applicants will receive an email with instructions on how to register for the exam. The exam consists of 150 multiple-choice questions and takes approximately three hours to complete. Once completed, applicants will receive their score within two weeks. A score of 70% or higher is required to pass the exam and earn certification.

The cost of obtaining NCPDP Certification varies depending on whether you are a member or non-member of NCPDP. For members, the fee is $350; for non-members, it is $450.

11. Medicare Part A & B Compliance and Reimbursement Certificate

Medicare Part A & B Compliance and Reimbursement Certificate is a document issued by the Centers for Medicare & Medicaid Services (CMS) that certifies that a health care provider is compliant with Medicare regulations and has been approved to receive reimbursement for services provided to Medicare beneficiaries. This certificate is required for all providers who wish to participate in the Medicare program, including physicians, hospitals, home health agencies, nursing homes, hospices, and other types of health care providers.

The process of obtaining this certificate typically takes between four and six weeks. The provider must first submit an application to CMS along with supporting documentation such as proof of licensure or certification, financial information, and evidence of malpractice insurance coverage. Once the application is approved by CMS, the provider will be issued a certificate that must be renewed every three years.

The cost of obtaining a Medicare Part A & B Compliance and Reimbursement Certificate varies depending on the type of provider. Generally speaking, it costs around $200-$400 per year for physicians and $1,000-$2,000 per year for hospitals or other large facilities.

Do You Really Need a Reimbursement Analyst Certificate?

The answer to this question depends on the individual and their specific career goals. For some, a reimbursement analyst certificate may be necessary for entry into a particular industry or position. For others, it may not be as important or even necessary at all.

Reimbursement analysts are responsible for ensuring that health care providers receive payments from insurance companies and other payers in a timely manner. They must have a strong understanding of the rules and regulations governing reimbursement processes and must stay up to date with changes in the industry. Without this knowledge, they will not be able to do their jobs effectively.

A certificate can provide individuals with the knowledge they need to become successful reimbursement analysts. It can also provide them with an edge when applying for positions within the reimbursement field. Having a certification may demonstrate that an individual has taken the time to learn about their chosen profession and is committed to staying up-to-date on developments in the industry.

Ultimately, whether or not someone needs a reimbursement analyst certificate depends on their individual career goals and how much experience they already have in the field. If someone is just starting out in this field, then obtaining a certification might be beneficial as it can give them an edge over other applicants who don’t possess one. However, if someone has been working in the field for a while and is looking to advance their career, then having certification might not make as much of a difference since employers will likely already be familiar with their qualifications and experience level.

Related: Reimbursement Analyst Resume Examples

FAQs About Reimbursement Analyst Certifications

1. What is a Reimbursement Analyst Certification?

A Reimbursement Analyst Certification is a professional certification that demonstrates knowledge and experience in the field of reimbursement analysis. It provides an individual with the opportunity to demonstrate their ability to work with insurance companies, government programs, Medicaid and Medicare, and other third-party payers.

2. How do I become certified as a Reimbursement Analyst?

In order to become certified as a Reimbursement Analyst, you must complete a certification exam administered by an accredited organization such as AHIMA or AAPC. You will need to meet certain educational requirements and have at least two years of experience in the reimbursement field before taking the exam.

3. What are the benefits of becoming a Certified Reimbursement Analyst?

The primary benefit of becoming certified is that it can help you stand out from other job applicants in your field. It can also open up more career opportunities for you as employers may look more favorably upon candidates who have achieved this level of certification. Additionally, it can provide you with more credibility and confidence when working with clients or providing advice on reimbursement issues.

4. How much does it cost to become certified?

The cost of certification varies depending on the organization offering it, but generally ranges from $200-$400 for the exam fee alone. There may also be additional costs associated with taking courses or purchasing study materials if required by the certifying organization.

5. How long does my certification last?

Certification typically lasts for two years after which time you will need to renew your credential in order to stay current with any changes in reimbursement regulations or processes that may have occurred during that time period.