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Medical Biller and Coder vs. Medical

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Home » Blog » Biller & Coder vs. Transcriptionist

Written and reported by:
All Allied Health Schools Staff
Contributing writer

The health care industry generates mounds of paperwork, and it takes armies of trained professionals keep hospitals, doctor’s offices, and insurance companies on the same page.

Medical transcriptionists work with doctors and other health care providers, turning audio recordings about patient care into written notes that go into a patient’s file.

Medical coders work with those files, making sure they’re up-to-date and they comply with federal regulations and insurance requirements. Medical billers (a subset of medical coders) submit claims to insurance companies, Medicare, and others.

The Key Differences

Here’s some more detail about how these careers, which play a vital role in keeping the health care system running smoothly:

Job Duties

Medical Biller & Coder

  • Assign alphanumeric codes to illnesses
  • Injuries and medical procedures
  • Submit claims for reimbursement
  • Advise providers on best documentation practices

Medical Transcriptionist

  • Listen to audio recordings made by doctors and other health care professionals and convert them into written reports
  • Edit drafts prepared by speech recognition software for accuracy and style consistency
  • Pinpoint inconsistencies or errors and follow up with the medical professional


Medical Biller & Coder

  • Most medical coders and billers start out with an associate’s degree, though certificates and diplomas that take less time to complete are also an option.

Medical Transcriptionist

  • Employers usually prefer formally trained transcriptionists with a certificate, diploma, or associate’s degree.

Licensing and Certification

Medical Biller & Coder

  • Certification is optional but highly recommended, since many employers prefer it.

Medical Transcriptionist

  • Same as for medical biller and coder.

Average Annual Salary

Medical Biller & Coder

  • $46,490 according to the U.S. Bureau of Labor Statistics 2019 Occupational Employment Statistics

Medical Transcriptionist

  • $35,210 according to the U.S. Bureau of Labor Statistics 2019 Occupational Employment Statistics

Job Growth

According to the U.S. Bureau of labor Statistics, the national average for all jobs is 4% through 2029.

Medical Biller and Coder


Medical Transcriptionist

The BLS anticipates a negative (-2%) job growth for medical transcriptionists through 2029.

Next Steps

Medical Biller & Coder

  • Getting certified as an advanced or specialty coder is one way to advance your career.

Medical Transcriptionist

  • Getting certified as a Registered Medical Transcriptionist (RMT) or Certified Medical Transcriptionist (CMT) can help you stand out when applying for jobs.

Sources: U.S. Bureau of Labor Statistics 2019 Occupational Outlook Handbook and Occupational Employment Statistics; Medical Records and Health Information TechniciansMedical Transcriptionists; American Academy of Professional Coders.

The salary information and job growth data listed is based on a national average, unless noted. Actual salaries may vary greatly based on specialization within the field, location, years of experience and a variety of other factors. National long-term projections of employment growth may not reflect local and/or short-term economic or job conditions, and do not guarantee actual job growth.