Certified Professional Biller (CPB®)
Start or grow your medical billing career with the CPB certification.What is a Certified Professional Biller?
The CPB credential validates a professional’s expertise in the medical billing process. Earning the CPB demonstrates proficiency in claim submission, payment posting, insurance guidelines, and revenue cycle workflows that ensure healthcare providers are reimbursed accurately and on time.
This certification is ideal for individuals seeking to start or advance their career in medical billing. CPB-certified professionals are prepared to handle the complexities of payer requirements, manage denials and appeals, and contribute to the financial stability of physician practices, hospitals, and healthcare organizations.
Why earn the CPB certification?
Stand out with a core credential recognized across healthcare for billing expertise
Validate your ability to submit accurate claims, navigate payer policies, and manage denials
Gain deeper knowledge of revenue cycle processes, compliance regulations, and billing systems
Position yourself for career growth in billing, reimbursement, revenue cycle, and healthcare administration
What does the CPB cover?
The CPB credential proves you are skilled in:
Core billing knowledge
Fundamentals of the healthcare revenue cycle and payer reimbursement
Claim submission processes for commercial payers, Medicare, and Medicaid
Understanding payer guidelines, edits, and clean claim requirements
Insurance and payer requirements
Knowledge of different insurance plans, policies, and coverage rules
Navigating coordination of benefits, medical necessity, and prior authorization requirements
Applying compliance standards from federal and commercial payers
Denials, appeals, and collections
Identifying and correcting claim errors that cause denials
Preparing effective appeals and managing resubmissions
Payment posting, reconciliation, and collections processes
Compliance and regulatory standards
HIPAA privacy and security in billing workflows
Fraud and abuse prevention in claim submission
Adhering to CMS and payer-specific billing guidelines
Who should earn the CPB?
New entrants to healthcare who want to launch their careers in medical billing
Experienced but uncertified billers seeking to validate their skills and increase earning potential
Revenue cycle professionals looking to strengthen their knowledge of billing and payer requirements
Healthcare staff transitioning into billing roles from administrative or support positions
Experience Requirements
A high-level knowledge of medical terminology, anatomy, and pathophysiology, along with understanding of the proper application of payer policies; compliance rules; healthcare regulations; CPT® procedure codes, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis codes.
If you don’t have billing experience or working knowledge of these subjects, we offer recommended prerequisite courses to prepare you for the CPB certification training course.
Maintaining your certification
To maintain your credential, you must maintain your AAPC annual membership, and earn 36 continuing education units (CEUs) every two years.
Expand your opportunities with the CPB certification.
Becoming a CPB-certified professional demonstrates your ability to manage the full billing cycle with accuracy and compliance. This credential highlights your readiness to submit clean claims, manage denials, and ensure providers are paid for the care they deliver. Whether you’re new to the field or an experienced biller seeking certification to boost your earning potential, the CPB opens the door to expanded career opportunities in billing and revenue cycle management.