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About this exam

The Certified Billing and Coding Specialist (CBCS) is one of the eight certifications offered by the National Healthcareer Association (NHA). NHA describes its certifications as NCCA-accredited and recognized by employers nationwide, and it lists the CBCS alongside credentials such as the CCMA, CPhT, CPT and CMAA. The CBCS is aimed at people who want to work on the revenue side of healthcare rather than at the bedside: NHA's own description says the billing and coding specialist supports healthcare organizations by managing claims, invoices and payments. In practice this means the credential is for entry-level and career-changing candidates preparing for roles in medical billing, claims processing, coding support, and accounts receivable work in physician practices, clinics, hospitals and billing companies.

The exam draws on the full revenue cycle. Candidates should expect content on verifying insurance eligibility and obtaining prior authorization, assigning diagnosis and procedure codes, submitting claims and handling reimbursement, working accounts receivable and collections, and following compliance, privacy and regulatory requirements. Because NHA does not publish the exam blueprint on the pages reviewed here, treat third-party domain weightings as unofficial and confirm specifics in NHA's Candidate Handbook.

Preparation typically combines a structured billing and coding course with NHA's own certification prep materials, the Candidate Handbook, and repeated practice on claim scenarios, code lookups and denial follow-up. Build accuracy first, then speed.

What you'll study

Common questions

About CBCS preparation

What does CBCS stand for and who issues it?

CBCS stands for Certified Billing and Coding Specialist, and the credential is issued by the National Healthcareer Association (NHA). NHA lists it as one of its eight allied health certifications and states that its certifications are NCCA-accredited and recognized by employers nationwide.

What does a billing and coding specialist actually do?

NHA's summary is that the billing and coding specialist supports healthcare organizations by managing claims, invoices and payments. Day to day that usually means checking eligibility, obtaining authorizations, assigning codes, submitting and correcting claims, posting payments, and pursuing unpaid balances.

How many questions are on the exam and how long do I get?

Those details are not published on the NHA pages reviewed, so we do not quote a count or a time limit. NHA maintains a Candidate Handbook that contains the current exam specifications, and that handbook should be your only source for item counts and timing before test day.

What score do I need to pass?

A passing score is not stated in the source material available to us, so we do not publish a figure. NHA releases scoring and passing information through its Candidate Handbook; check the version currently posted rather than relying on numbers from older study guides or forum posts.

How hard is the CBCS exam?

Most candidates find the coding sections hardest because they demand exact code selection, while the eligibility, claims and collections sections reward process knowledge. If you can trace a claim from eligibility check through payment posting and appeal, the exam content becomes far more predictable.

How should I sequence my studying?

Start with eligibility and prior authorization, since everything downstream depends on clean front-end data. Move next to diagnosis and procedure coding, then claims submission and reimbursement, then accounts receivable and denial management. Finish with compliance, privacy and regulatory rules, and revisit coding daily in short blocks rather than one long session.

What are the most common ways candidates lose points?

Three recurring problems: memorizing codes without learning the guidelines that select them, skipping the denial and appeals process entirely, and confusing front-end eligibility work with back-end collections. Another frequent issue is weak familiarity with the CMS-1500 claim structure and with privacy and compliance rules that appear throughout the exam.

If I fail, can I retake the exam?

NHA provides a renew and reinstate pathway for its certifications and publishes retake rules in its Candidate Handbook. Because the specific waiting periods, fees and attempt limits are not stated in the source material we reviewed, confirm the current policy directly with NHA before scheduling.

Does the certification expire?

NHA's site includes a Renew/Reinstate Certification section and continuing education resources, which indicates the credential is maintained rather than permanent. The exact recertification cycle and continuing education hours are not stated in the pages we reviewed, so verify them with NHA.

Is the CBCS recognized by employers?

NHA states that its certifications are NCCA-accredited and recognized by employers nationwide, and describes itself as the largest allied health certification agency in the United States. Recognition still varies by employer and by state, so check job postings in your area before enrolling.