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The hard part is not the work but getting the clients. The companies that want to...Certified coding and billing specialist, i would like to know how to open a center for teaching the subject?Contact local colleges and see if they will start an elective for you to teach. Build up from there.i am doing distance education online, studying medical billing and coding transcription specialist?...a physicians assistant you have to go to an accredited college. Medical Billers and transcriptionists only handle the paperwork portion of...How much money do billing and coding specialist make a year or an hour?? someone know ?I did that for about a year. Even went to school for it. heheh. 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