The Tools Medical Billing & Coding Professionals Actually Use On the Job (2025 Update)
Medical billing and coding professionals don’t just memorize CPT and ICD codes—they use powerful tools daily to ensure accuracy, compliance, and claim approvals. Yet most certification courses barely scratch the surface of the platforms you'll actually use on the job. This skills gap becomes obvious during onboarding or interviews.
Employers increasingly want candidates familiar with platforms like Epic, Availity, or AdvancedMD. These tools power claim submissions, eligibility checks, and denial resolution. Understanding their function can make or break your ability to keep up in real-world roles—especially as more organizations move toward integrated EHR systems and AI-assisted billing review.
By studying job descriptions and real listings on AMBCI’s Medical Billing & Coding Job Board, we’ve identified the most frequently used platforms across different billing and coding roles. If you’re working toward your CPC or CPB certification, knowing these tools in advance gives you a distinct edge.
Software & Tools Used in Medical Billing and Coding (2025 Update)
| Job Role | Core Software | Billing Platform | EMR / EHR | Other Tools |
|---|---|---|---|---|
| Medical Biller | Waystar | AdvancedMD | Epic | Availity |
| Professional Coder (CPC) | 3M Encoder | Kareo | Allscripts | AMA Code Lookup |
| Claims Analyst | Change Healthcare | Medisoft | Cerner | ClaimScrubber |
| Compliance Auditor | 3M Audit Expert | AthenaCollector | NextGen | OIG Exclusion Checker |
| DME Billing Coordinator | DMEWorks | Brightree | Vendor Portals | Medicare DME Fee Tool |
Mastering these tools is as essential as understanding ICD-11 medical coding updates. The ability to work within platforms like Kareo, Epic, or 3M not only reduces errors—it boosts your productivity and shortens your training period after hire.
Many roles in revenue cycle management now explicitly require experience with tools like Availity or Change Healthcare. This trend is backed by the growing importance of medical claims terminology, especially for those handling high-volume practices or multi-payer systems.
If your training program doesn’t include exposure to these platforms, make it a point to learn them yourself. You can build fluency with sandbox demos, open-source practice platforms, or take courses that include hands-on billing simulations. It’s one of the fastest ways to bridge the gap between theory and job-readiness.
