To prepare for a career as a medical biller in the United States, students should graduate from high school or earn a high school equivalency diploma. Certification is highly recommended, and the two biggest include: the Certified Professional Biller (CPB) available from the American Academy of Professional Coders (AAPC) and the Certified Coding Specialist (CCS) available from the American Health Information Management Association (AHIMA). Such certifications reflect competency within medical billing services and coding based on industry standards and related regulations and payer requirements. Individual also benefit from familiarity with electronic health record (EHR) systems and medical billing software.