51.07 Health and Medical Administrative Services · SOC 29-2072
⚠⚠⚠ Three different routes wear this name in Florida, they are taught at roughly the same number of institutions, and only ONE of them leads to the field's professional credential. Health information management — 31 institutions, and the associate degree is what makes you RHIT-eligible. Billing and coding — 37 institutions and the largest output, all clock-hour certificates, none of which does. Medical office administration — 36 institutions into an occupation of 850,000 people with no credential ladder at all. ⚠⚠ Choosing wrongly does not waste a term; it forecloses the credential.
| Route | FL institutions | FL credentials (2023) | What you get | Credential it reaches |
|---|---|---|---|---|
| Health information management | 31 | 296 — 109 associate degrees | college CREDIT (HIM1xxx/HIM2xxx) | ✅ RHIT, then RHIA |
| Billing and coding | ⚠ 37 | ⚠ 416 — all certificates | CLOCK HOURS (HIM0xxx) | ⚠ CPC — but see CPC-A |
| Medical office administration | 36 | 242 — all certificates | clock hours | ⚠⚠ none |
⚠⚠⚠ The route with the WIDEST footprint and the MOST graduates is the one that cannot produce an RHIT. A coding certificate is a real qualification for a real job — but no quantity of it becomes a degree, and the degree is what the profession's credential is built on.
| Number range | What it is | Example |
|---|---|---|
HIM0xxx | ⚠ CLOCK HOURS — the certificate routes | HIM0091 Medical Coder/Biller 1, 350 hours |
HIM1xxx / HIM2xxx | ✅ COLLEGE CREDIT — the CAHIIM associate degree | HIM2253 CPT Coding, 9 institutions |
HIM3xxx / HIM4xxx | the bachelor's, at FAMU, UCF, USF, UWF, FGCU, Santa Fe, St Petersburg and Florida Poly | HIM4218 Electronic Health Records and Health Data |
⚠ The level digit is the map. If a programme you are offered is numbered HIM0, it is clock hours, and clock hours do not become a degree by themselves. Ask in writing what will articulate before you enrol, not after.
| Role | SOC | 2025 median | Employed | Openings/yr | Growth 2024–34 |
|---|---|---|---|---|---|
| Medical records specialist | 29-2072 | $51,140 | 194,800 | 14,200 | ✅ much faster than average (7%+) |
| Medical secretary / admin assistant | 43-6013 | $45,930 | ⚠⚠ 850,000 | ⚠⚠ 85,900 | average (3–4%) |
⚠⚠ The front-office occupation is more than four times the size of the records one and has six times the annual openings. It is much easier to get into and it pays about $5,200 less, and — the part that matters over a career — it has nowhere to go.
Everyone considering coding asks whether artificial intelligence will end it. The federal projection does not support that: BLS projects medical records specialists to grow 8 percent from 2025 to 2035, much faster than the average for all occupations, and O*NET agrees at 7% or higher.
⚠ What is changing is the shape of the work, not its quantity. Computer-assisted coding proposes codes and a human validates, corrects and defends them — which moves value toward auditing, denials and clinical documentation improvement, where the question is whether the chart supports the code. Florida already numbers that specialism: HIM3240 CDI Principles and Practice and HIM3243 Coding and Reimbursement for CDI Professionals, both upper division at Santa Fe and St Petersburg.
⚠⚠ So the defensive move is not to avoid coding — it is to aim past pure production coding at audit and CDI, which needs the degree.
Florida runs the coder/biller certificate as a three-course clock-hour block, and there are two active statewide families:
| Family | Hours | FL institutions |
|---|---|---|
HIM0091–0093 Medical Coder/Biller 1–3 | 350 + 350 + 320 = 1,020 | 15 |
HIM0071–0073 (marked OCP B) | 300 + 300 + 310 = 910 | 7 |
⚠ Five institutions carry both. Add HIM0009 Introduction to Health Information Technology (90 hours, 18 institutions) and the programme runs roughly 1,000 to 1,100 clock hours either way. Ask which family your programme uses and what the total is; the difference is about three weeks.
The statewide title on HIM2222 is Basic ICD-9-CM Coding. The United States retired ICD-9-CM for diagnosis and procedure coding on 1 October 2015.
✅ The carriers are current and the state record is not — Miami Dade, St Petersburg and State College of Florida title it ICD Coding Systems, and Palm Beach State, Tallahassee and Valencia title HIM2222C Applied Inpatient Coding. Florida also numbers ICD-10 work separately at HIM2722, HIM2723 and HIM2724.
⚠⚠ The practical instruction: judge a coding course by the code set on its syllabus, never by the number or the state's title. Ask which code sets and which year's guidelines — ICD-10-CM, ICD-10-PCS, CPT and HCPCS Level II — because coding guidelines change annually and a course running on old ones is worth much less than one that is not.
⚠⚠⚠ Decide which of the three routes you are on before you pay anyone. They are taught at the same colleges, with similar names, at similar prices, and they end in different places. If there is any chance you will want the RHIT, start on the associate degree.
⚠⚠ Verify CAHIIM accreditation with CAHIIM. And do not accept a health informatics degree as a substitute — AHIMA says plainly that it is not one.
⚠⚠ On the coding route, ask about the CPC-A before anything else. Externship, employer relationship or Practicode — one of those three, or you will finish the programme holding an apprentice credential with no way to remove it.
⚠ Look for a credentialing examination review course in the plan — HIM2960, carried by five institutions. A programme that builds toward the examination is aimed at the credential; one that does not is aimed at the certificate.
And if you are already working the front office, you are better placed than you think. You know how a practice runs, which is the part programmes cannot teach — adding the associate degree is a shorter distance for you than for anyone starting fresh.
A program is a field of study, one level above a degree — each page says which degrees it covers and which Florida institutions award them. ⚠ The count is institutions that awarded a credential in the field in 2023; it is not a promise that a school runs this exact degree, and it counts something different from the course-based list further down.
Programs worth knowing about if you are considering this career — ⚠ they do not lead to it. Each row says what it is and is not.
Careers filed under the same broad field in the federal classification (HEALTH PROFESSIONS AND RELATED PROGRAMS) — often they share early coursework, and each row says which group it is filed in. ⚠ Worth reading BEFORE you commit: switching between neighbours is cheap early and expensive late.
See every career in HEALTH PROFESSIONS AND RELATED PROGRAMS →
Selected, not exhaustive — the courses specific to this path plus the foundations it is built on. A course number does not identify a course in Florida: always check your own institution's catalog and take a syllabus to an adviser.
50 Florida public institutions teach courses on this path. The count is how many of the 18 listed courses each one carries — it shows where the path is best covered. It is not a statement that a school offers this as a degree; for that, check the institution’s own programme list.
Requirements change. These are the authorities that decide them — check them directly before committing to a route.
Last updated 23 September 2026.