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If you go to school time to become a medical billing and coding specialist, you can finish your education in about two years. Becoming certified is not a requirement, and most medical billing and coding specialists choose to get their certification after getting their first job in the field. Many professional associations in the medical billing and coding field recommend getting two or three years of experience before pursuing certification. This is good, because if you get a job out of college first, you can start to stabilize your financial situation and gain some experience, making the certification process more easily affordable and with the experience, probably a little easier. You may also be undecided after graduation in medical billing and coding schools which setting you want to work in. The certification is aimed at specific types of medical billing and coding professions, so this is something you will want to know ahead of time.