Top 50 MACRA, HIPAA & Compliance Training Programs for Billing & Coding Professionals (2025 Guide)
If you want denials to fall and audits to bounce off clean documentation, you need a repeatable compliance spine—HIPAA discipline, MACRA/QPP rigor, and an appeals-ready audit trail. This guide curates 50 training programs that sharpen real revenue skills: documentation specificity, CARC-driven denials prevention, audit-proof charge capture, telehealth POS/modifiers, and payment posting integrity. Pair any course below with AMBCI’s execution playbooks so learning turns into lift on the dashboard: denials prevention, CARC decoding, accurate documentation, claims submission steps, telemedicine coding, payment posting, coding audits, MACRA/QPP primer, and RCM mastery.
| Program | Focus | Best For | Format | Link |
|---|---|---|---|---|
| AAPC CPCO® Compliance Officer Prep | Compliance | Coding/Billing leaders building a compliance program | Online, self-paced | Visit |
| AHIMA Online Coding & Compliance Pathways | Coding + Compliance | Coders needing structured CE | Online courses | Visit |
| HCCA Basic Compliance Academy | Compliance | New compliance staff; billers moving up | In-person/virtual | Visit |
| HHS OCR HIPAA Training Resources | HIPAA | All staff; compliance refreshers | Guides & videos | Visit |
| CMS MLN HIPAA & Compliance WBT | HIPAA/MACRA | Free provider education | Self-paced web | Visit |
| OIG General Compliance Program Guidance (GCPG) | Compliance | Leads writing/refreshing the compliance plan | Reference & training | Visit |
| AMA Ed Hub – Compliance & Coding Microlearning | Coding + Compliance | Clinic coders & auditors | Modules | Visit |
| HCCA Regional Compliance Conferences | Compliance | Hands-on workshops, CCB® CEUs | Live & virtual | Visit |
| ONC Privacy & Security Resources | HIPAA/Security | Telehealth-heavy teams | Toolkits & training | Visit |
| CMS MLN HIPAA Basics (Provider PDF) | HIPAA | Orientation & refresh | PDF guide | Visit |
| HITRUST Academy (Security & Compliance) | Security | Vendors/BAAs with PHI | Courses & certs | Visit |
| Relias Healthcare Compliance Library | Compliance | Large multi-state groups | LMS catalog | Visit |
| HealthStream Compliance (PolicyManager/Priv+Sec) | Compliance | Hospitals & IDNs | LMS + microlearning | Visit |
| MedTrainer HIPAA & OSHA Suite | HIPAA | Ambulatory & ASC | Online modules | Visit |
| Compliancy Group HIPAA Admin Training | HIPAA | BAAs & small practices | Guided program | Visit |
| 4MedApproved HIPAA & Security | HIPAA | Telehealth vendors & clinics | Courses + certificates | Visit |
| ProHIPAA (Security & Privacy) | HIPAA | Small/medium practices | Online course | Visit |
| ComplianceJunction HIPAA Training | HIPAA | Teams needing AHIMA-approved CE | Online course | Visit |
| HCPro/DecisionHealth Compliance & Auditing | Compliance | Auditors & coding leaders | Workshops & eLearning | Visit |
| MedLearn Media Compliance Courses | Coding + Compliance | Specialty coders | Webinars & guides | Visit |
| JustCoding Compliance & CEU Hub | Coding + Compliance | Coder refreshers | Articles/Webinars | Visit |
| ACDIS Clinical Documentation Integrity Training | CDI | CDI & coding alignment | Courses & cert | Visit |
| NAHQ Healthcare Quality & Compliance | Quality/Compliance | Leaders aligning MACRA/QPP | Courses & cert | Visit |
| SCCE (Sister org to HCCA) Compliance Training | Compliance | Corporate compliance ops | Academies & webinars | Visit |
| AHA Team Training (Just Culture & Safety) | Governance | Compliance + safety nexus | Courses & events | Visit |
| MGMA Compliance & Revenue Cycle Courses | Compliance + RCM | Practice management | Online & events | Visit |
| ACHA Compliance for Ambulatory Care | Ambulatory | Clinic leaders | Courses | Visit |
| HIMSS Privacy & Security Training | Security | RCM + IT alignment | Modules & events | Visit |
| URAC Compliance Resources | Accreditation | Telehealth programs | Guides/briefs | Visit |
| NCQA Value-Based Care/MACRA | MACRA/QPP | Quality measure teams | Courses & toolkits | Visit |
| Reed Tech UDI & Compliance (device-adjacent) | Compliance | ASC device-intensive | Webinars | Visit |
| Availity Essentials Learning | EDI + Compliance | Front-end edits & HIPAA EDI | On-demand | Visit |
| Waystar University | RCM Compliance | Clearinghouse + denials | Courses & certs | Visit |
| Experian Health University | RCM Compliance | Eligibility & payment | On-demand | Visit |
| TriZetto Provider Solutions Training | EDI + Compliance | Practice RCM ops | On-demand | Visit |
| Zelis Payment Integrity Education | Payment Integrity | Underpayments/appeals | Webinars | Visit |
| MD Clarity (RevFind) Underpayment Workshops | Underpayments | RI analysts & posters | Workshops | Visit |
| Hayes | MDaudit Compliance & Audit Training | Audit + Compliance | Hospitals, IDNs | Courses & labs | Visit |
| Healthicity Audit Manager Training | Audit | Coder-auditors | On-demand | Visit |
| Rivet Contract Analytics Education | Underpayments | Physician groups | Webinars | Visit |
| RCxRules Compliance & Edits | Front-End Edits | Claim scrubbing teams | Workshops | Visit |
| Infinx Prior Auth & Compliance | Auth + Compliance | Specialty groups | On-demand | Visit |
| MedEvolve AR Workflow & Compliance | AR + Compliance | Physician groups | Courses | Visit |
| Nordis Patient Communication & Compliance | Statements + Compliance | Patient finance teams | Webinars | Visit |
| RevSpring Patient Financial Experience Compliance | PFEP + Compliance | Provider orgs | Webinars | Visit |
| Office Ally HIPAA & EDI Basics | HIPAA/EDI | Small practices | On-demand | Visit |
| CareCloud Compliance & Billing Education | RCM + Compliance | Multispecialty groups | Webinars | Visit |
| AdvancedMD Compliance Training | RCM + Compliance | Clinic coders/billers | On-demand | Visit |
| PracticeSuite Audit & Compliance Webinars | Audit + RCM | Small/medium clinics | Webinars | Visit |
| CureMD HIPAA & Billing Compliance | HIPAA + RCM | Ambulatory | On-demand | Visit |
| Greenway Health Revenue & Compliance | RCM + Compliance | Clinic operations | Courses | Visit |
| athenahealth Compliance Learning | RCM + Compliance | athena practices | On-demand | Visit |
| eClinicalWorks HIPAA & Billing Modules | HIPAA + RCM | Ambulatory groups | Training portal | Visit |
| NextGen Financial Suite Compliance | RCM + Compliance | Group practices | On-demand | Visit |
| ModMed RCM Compliance Webinars | Specialty RCM | Derm/ENT/Ortho/GI | Webinars | Visit |
| Tebra (Kareo) Compliance Training | RCM + Compliance | Small practices | On-demand | Visit |
How to use this directory (and turn training into measurable revenue)
Ground every certificate or webinar in a 30/60/90 implementation. If your denials are spiking, couple a HIPAA/MACRA course with pre-bill edit tuning and documentation prompts from accurate documentation and claims steps. Post the outcomes in weekly huddles: first-pass yield, days in A/R, denials by CARC, and refund/write-off trend. That rhythm turns learning into audit-safe cash acceleration.
Which compliance lane will you prioritize this quarter?
30/60/90 compliance acceleration (tools + ops)
Days 1–30: Stabilize and prove. Take one HIPAA/MACRA module from the table and immediately wire the learnings into your front-end workflows. Build a denial taxonomy driven by CARC codes and map root cause → edit → documentation cue using claims submission steps and documentation integrity. Track FPY and A/R before and after.
Days 31–60: Pilot and publish. Run a bounded pilot on one payer/service line. Use pre-bill edits to trap missing time, wrong POS/modifiers, and panel-vs-single lab misuse; pair with denials prevention and payment posting discipline. Publish a 3-slide recap: FPY ↑, A/R ↓, CARC pattern shift.
Days 61–90: Scale and standardize. Fold pilots into adjacent lines (ASC/IR, GI, ophthalmology). Add a weekly audit sample (10–20 claims) with coding audits and maintain a policy appendix tied to payer updates and MACRA/QPP.
Hello, World!
What great compliance training actually changes on the floor
Provider notes become denials-proof. Good programs force specificity: time, complexity, device, laterality, medical necessity. Reinforce with accurate documentation and CDI prompts.
Workqueues reflect reality. Training should help you design CARC-led queues (e.g., CARC 16 → upstream edit + templated appeal paragraph). Keep a small appeals library inside your SOP, cross-referenced to denials prevention and audits.
Posting is forensic, not clerical. Winning teams use posting sessions to detect underpayments and trigger contract analytics. Bake in checks from payment posting management; close the loop with contract variance reports.
Quick-buy matrix (how to pick the right program in 5 minutes)
Goal: telehealth denials down? Choose HIPAA + telehealth coding refresh, then implement a POS/modifier matrix from telemedicine coding and hard-stop edits tied to your clearinghouse.
Goal: audit fear? Pick a course with mock audit labs; mirror findings with coding audits and stash appeal paragraphs in templates.
Goal: A/R drag? Favor training that includes payment posting QA and underpayment analytics, then wire those patterns into your RCM mastery dashboard.
Compliance etiquette that keeps you out of trouble
De-identify everything and adhere to minimum necessary—anchor your refresh with HIPAA privacy/security resources above.
Document your education: for every course, keep a 1-page “what we changed” sheet and link it to updated SOPs.
Centralize policies: upload PDFs, OIG memos, and payer bulletins to your compliance hub so auditors see version control and attestations.
FAQ
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Translate measures into documentation prompts and edit logic (e.g., capture measure elements inside the note and pre-bill checks). Keep a crosswalk to your MACRA/QPP guide and practical claims steps.
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Pick a HIPAA + telehealth module that drills POS/modifier discipline and payer variance; reinforce with telemedicine coding and a decision tree posted at triage.
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Quarterly HIPAA refresh + one denials prevention course + one audit workshop. Wire changes into SOPs and accurate documentation checklists; run a 10-claim weekly audit.
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Commit to a KPI before you enroll (e.g., first-pass yield +5 pts or A/R −7 days). After the course, publish a before/after with screenshots of CARC mix and posting variance. Tie the improvement to fewer reworks using denials prevention.
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Yes—ensure BAA-specific duties and security practices are covered, and keep proof of training and attestations with your policies. Store artifacts next to your incident response and breach notification procedures.