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These programs typically take between 9 and 18 months to complete, and they cover topics such as medical terminology, coding, billing, and insurance regulations. Outsourcing Medical Billing Services. Best Practices in Medical Billing and Coding. You can become certified by enrolling in medical billing and coding classes or by finishing an approved school in this field. Making sure healthcare practitioners are paid for the services they render to patients is the responsibility of medical billing. medical billing services california