I am not looking to do much of the billing and coding side but I am trying to get a degree in Mendical Transcription. I must have knowledge of how to key and understand medical codes to transcribe medical notes. I know that there are many job opportunities and I'm certain you will find what you are looking for. Good luck on your certification exam, we will all have to take one eventually. I am not quite into the actually billing and coding part yet but from what I have gathered from other people, no one has anything positive to say about it. Is it really that difficult?