I agree with jstimson, for coders/biller to go the distance in this industry they have to further their education. The future is auditing, training, medical necessity. Computers still can't think and they are only as smart as the people who program them and the providers that put in the information. This you can be sure of, the programs and software will keep evolving and getting smarter as time passes, soon medical necessity right? Maybe need to have clinical certs/license, as a coder? I see people that have clinical backround with coding certs preferred over experience coding for job opportunities now. As the industry evolves, so must the coder/biller. I guess the question is how far do you want to go?