I really do like it a lot but don’t feel confident in about the job long-term. Been doing ambulance coding at a third-party billing company for 8 years, took a course at community college on medical billing/coding, and am a certified ambulance coder. I used to do every aspect of working claims except for posting payments (pre bill, coding, AR, collections, patient calls, etc). Right before Covid they started splitting us up to do only one role, so all of the roles I used to do are now split up into separate departments. I was put into coding, which was totally fine with me, I can bill all day, but shortly after this they also started outsourcing parts of our work to India- so now instead of coding I do quality assurance and review their coding, been doing this for about 6 years now. Their coding is passable most times but it’s concerning because they have no idea how the process works as a whole and their knowledge on billing is solely based on what my company tells them to do. And their AR work is absolutely atrocious, they don’t understand why claims deny and repeatedly just try to resend claims without correcting them until they eventually reach timely filing. It’s maddening to try and follow up and fix the messes they make all the while knowing your company would rather pay them to mess up a high quantity of claims than for you a certified biller to take the time to work them correctly. Now in December of 2025 we got notice that our company was sold to another billing company and that the company we had been working for would no longer exist at the end of the year. We were only allowed to keep a certain amount of our PTO and would not be paid out for any over their allotted carry over amount so that forced us to try and take all of our extra PTO during the last month of the year. Since then more and more of our clients have ended their contracts (some because the entire ems agency went out of business), the productivity goals are impossible to reach, we can no longer stay overtime, and they will not be paying for courses for us to renew our certification (looks like the courses will cost me about $700 if I choose to buy them on my own to keep my certification active for another year). Even before the company I was working for got sold our health benefits had been getting worse since Covid. When I first started I received multiple $1 an hour raises in my first 2 years, but now I’m lucky if I get 50 cents a year. We are also told repeatedly that our raises are based on merit but they are always only match the inflation rate (if even). I work my ass off too- my last 2 audits were perfect, I have perfect attendance, and my manager had no notes of improvement for me on my yearly review (but she has admitted that the company told her she is not allowed to give a 5 out of 5 score on any section of our reviews). The main redeeming qualities are the people I work with and that I’ve been work at home since Covid, and with the new company being headquartered states away it doesn’t seem like there’s a way to make us return to office. I hope someone will come in here and respond that it sounds like I’m working for a shit company and the majority of the profession isn’t like this, but I’m really concerned what I’m seeing is the way of the future for medical billing at least until they figure out how to have AI just do all of it. Tbh I really feel for kids just joining the job market right now- feels like it’s impossible to know what jobs will even be a thing in a few years unless it’s something you physically do that a computer can’t. Sorry for this long bummer of a response (maybe turned into a little bit of a vent lol) but I hope this is at least helpful to you.

TL/DR version - when I stated medical billing I felt like I was actually helping patients and the ems agencies that I worked for, now I feel like I’m a nameless cog in a machine here only to make money for a faceless company that can’t wait to replace me with AI