She has been hands on billing since 2010, I mean no disrespect as I think medicalbillingcourse.com is a good course, however I think she's probably beyond an actual medical billing course. Certainly some continued education might be beneficial but with already being hands on for 2 years I just don't think a course on medical billing is going to be much of a benefit to her. She's probably better off looking for more advanced courses and/or certifications.