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State context
Licensing notes by state. Always verify with the state authority.
Last reviewed: 2026-04-25. Licensing notes should be verified with each state authority. For wage context, use the BLS wage guide (SOC 29-2072) — not a directory wage column.
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The United States does not issue a federal or uniform state license specifically for medical billing clerks. Employers typically require training, HIPAA awareness, and often a credential such as AAPC CPB — but requirements vary by employer, facility type, and state health programs.
Our directory tracks whether a state publishes explicit certification or licensing language commonly cited for billing-adjacent roles. Absence in this table does not mean an employer will not require credentials.
Medical coding certifications (CPC, CCA, CCS) validate code assignment. Billing credentials (CPB, CMRS) focus on claims, denials, and reimbursement. Many remote roles blend both skill sets.
Federal pay benchmarks use Medical Records Specialists (SOC 29-2072): median about $50,250/year (May 2024) with 7% projected growth 2024–2034. State salary columns here are directional context only.
Wage figures are owned on the wage guide (BLS Medical Records Specialists). Not legal advice.
Search and filter medical billing requirements by state to find what you need for your career
State | Requirements | Education | Wage | Contact | Actions |
|---|---|---|---|---|---|
Alabama AL | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Alabama Department of Public Health Last verified: 2026-04-25 | |
Alaska AK | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Alaska Department of Health and Social Services Last verified: 2026-04-25 | |
Arizona AZ | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Arizona Department of Health Services Last verified: 2026-04-25 | |
Arkansas AR | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Arkansas Department of Health Last verified: 2026-04-25 | |
California CA | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | California Department of Public Health Last verified: 2026-04-25 | |
Colorado CO | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Colorado Department of Public Health and Environment Last verified: 2026-04-25 | |
Connecticut CT | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Connecticut Department of Public Health Last verified: 2026-04-25 | |
Delaware DE | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Delaware Division of Public Health Last verified: 2026-04-25 | |
Florida FL | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Florida Department of Health Last verified: 2026-04-25 | |
Georgia GA | No State Requirements | High school diploma or equivalent | See wage guide BLS SOC 29-2072 | Georgia Department of Public Health Last verified: 2026-04-25 |
Editorial standards
Key information about certification, licensing, and education requirements across the United States
While most states don't require certification, national certifications like AAPC CPC and AHIMA CCS are highly valued by employers.
Most states do not require specific licensing for medical billing professionals, but some may have additional requirements.
Most states require at least a high school diploma, but additional education can improve job prospects and earning potential.
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Most states do not require a medical billing license. Confirm any local rules with the state authority before you enroll.