Home >> California >> Fullerton >> How To Become A Medical Coder


Medical Coding and Billing Online Programs Fullerton CA

How to Pick the Right Medical Billing and Coding School near Fullerton California

Fullerton California female medical biller and coder at her computerOnce you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Fullerton CA, it's important that you find the appropriate program to ensure that you receive the necessary education to ensure your success. As you probably know, healthcare is one of the fastest growing industries in the United States, and more and more options are available both on campus and online to obtain the training that you need. But just where do you start? Many future students start by looking for programs that are within driving distance of their residences and then comparing tuition. Or they may search the internet looking for online schools and go with the cheapest one. But while location and cost are significant factors when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation need to be considered also. We will review a checklist of questions that you need to ask the medical billing and coding schools you are evaluating so that you can learn what you need to know before making your selection. But first, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Coding Job Summary

Fullerton California patient health history

Medical coders are on the forefront of the billing systems for Fullerton CA private practices and healthcare organizations. Coders have the responsibility to analyze the medical records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis or dental procedures, or any equipment or medical supplies utilized. There are various codes that are used in this conversion process, including the following:

  • CPT codes (Current Procedural Terminology).
  • ICD codes (International Classification of Diseases).
  • HCPCS codes (Healthcare Common Procedure Coding).

Medical coders use information from sources including physician and nursing notes, patient charts, and radiology and lab reports. Medical Coders must know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all private payer and government rules that influence coding also. Incorrectly coded claims can lead to services not being covered, services being paid for at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Fullerton CA doctors and hospitals multiple thousands of dollars in income each year, a reliable medical coder is a necessary asset to the healthcare organization. They can work in every type of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not uncommon for experienced medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Functions

Fullerton California medical insurance documents

As vital as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Fullerton CA medical facilities and are literally responsible for keeping them in business. Frequently the coder and biller can be the same person within a medical organization, but they can also be two separate professionals. When the coder has performed his or her duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the applicable organization, patients can then be charged for deductibles or other out of pocket expenses. On a routine basis, a medical billing clerk can also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing concerns or questions
  • Follow up on patient claims submitted and appeal any that have been declined
  • Act as a mediator between the healthcare provider, the insurance companies and the patients for accurate claim settlement
  • Generate and control Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Fullerton CA hospitals, urgent care facilities, nursing homes or medical groups. They can work in any kind of healthcare facility that relies on the revenues generated by billing third party payers and patients.

Medical Coding and Billing Online Training and Certification

money under stethoscope Fullerton CaliforniaIt's imperative that you obtain your education from a reputable school, whether it's a technical school, vocational school or community college. Even though it is not a requirement in most cases to earn a professional certification, the school you choose should be accredited (more on the benefits of accreditation later). The majority of California schools only require that you have either a high school diploma or a GED to apply. The quickest way to becoming either a medical coder or biller (or both) is to earn a certificate, which usually takes about 1 year to finish. An Associate Degree is also an option for a more expansive education, which for the majority of colleges requires two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. After your training has been completed, although not required in the majority of states, you might want to acquire a professional certification. Certification is an effective way for those new to the field to show prospective employers that they are not only qualified but committed to their career. Some of the organizations that offer certifications are:

  • American Academy of Professional Coders (AAPC).
  • Board of Medical Specialty Coding (BMSC).
  • The Professional Association of Healthcare Coding Specialists (PAHCS).
  • American Health Information Management Association (AHIMA).

Graduating from an accredited medical billing and coding course, in conjunction with earning a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing medical care industry.

Medical Billing and Coding Online Colleges

Fullerton California student attending medical biller and coder online coursesIf you are searching for flexibility and the convenience of attending classes at home, then choosing an online medical billing and coding college might be a great alternative. They can be especially appealing to students living in Fullerton CA who anticipate going to school while still working or have additional commitments that make going to classes on campus difficult. And as an added advantage, online colleges are often cheaper than the traditional classroom options. Expenses for such items as tuition, study materials and commuting may be reduced or eliminated. But be careful, as not all online courses are reputable. For that reason it's essential to establish that any online course you enroll in is accredited to ensure a premium education. We will review the benefits of accreditation in the next segment. Just be sure to check that any online college you are looking at is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then acquiring your degree or certificate online might be the right choice for you.

Points to Ask Medical Billing and Coding Training Programs

Once you have a better idea what a medical coder and biller does, as well as what education options are available, you must start the process of evaluating colleges. But since there many training options available at community colleges and vocational, technical and trade schools within the Fullerton CA area, you need to have a prepared list of questions to evaluate each one. And when you include all of the online colleges that offer medical billing and coding classes, the project can become somewhat formidable. As we have already discussed, expense and location are going to be relevant issues, particularly if you have a limited budget and will be traveling to classes from your Fullerton residence. And confirming that the program and school are accredited must be part of your vetting procedure also. So let's review a few of the other questions that you should ask the schools you are reviewing so that you can evaluate each one and make the best choice.

Is the School Accredited? It's crucial that the school and program you select are accredited by a recognized accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online college, it may also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the education you get will be of the highest quality, it might help secure future employment as well. Many Fullerton CA medical facilities will only employ entry level applicants that have completed an accredited medical coding and billing training course. And financial aid and student loans are frequently only available for schools that have received an accreditation.

What is the Program's Reputation? Prior to choosing a medical coding and billing college, find out what its ranking and reputation are compared to other programs. This is especially imperative if you have no experience in the industry, since potential employers will mostly be evaluating you based on the quality of your training. As we have discussed, confirming that the program is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can verify the quality of the school also. Another option is to check with several Fullerton CA medical organizations that you might be interested in working for and find out which programs they recommend. Keep in mind that even when the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Referral Program? Finding a job in Fullerton CA after graduation in your new profession might be difficult without the support of a job assistance program. Find out if the schools you are considering have job assistance programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the coding and billing college has a considerable network of healthcare employers where they can refer their graduates. It also indicates that the college's graduates are sought after in the marketplace.

Where is the School's Location? If you are anticipating commuting to class from your Fullerton CA home, then the location of the college will be of prime importance. Obviously if you choose an medical billing and coding online program, then the location of the school will not be a consideration. One thing to keep in mind is that if you go to classes at a junior or community college, most charge a higher tuition for students that reside outside of their districts. So you may prefer to first look at those colleges that are within your local area.

What is the Overall Expense? Medical billing and coding training courses can fluctuate in cost based on the type of credential acquired and the length of training provided. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such items as the cost of supplies, books and commuting. Financial assistance may be obtainable to help offset a portion of the cost, so don't forget to check with the school's financial assistance department to find out what is available in Fullerton CA. Naturally if you decide to attend an online college, a portion of these added costs, such as for commuting may be lessened or even eliminated.

Are Classes Available that Accommodate your Schedule? Many students continue working while attending college and need a flexible class schedule. If you can only attend classes in the evenings or on weekends near Fullerton CA, verify that they are available at those times. If you can only attend on a part-time schedule, confirm that the college you select offers that alternative. Also, ask what the protocol is for making up classes missed because of work, illness or family responsibilities.

Learn How to Enroll in a Medical Billing Program

Enroll in the Best Fullerton CA Medical Billing and Coding Training 

Picking the right medical coding and billing certificate or degree course is a crucial initial step to help ensure your success in this rewarding specialty of healthcare. Medical billing and medical coding are two of the most rapidly expanding professions in the medical sector. As a result, there are a lot of vocational schools, junior colleges and other institutions that offer education and training in medical coding and billing. As we have reviewed, you can choose to attend classes either on campus or online. It's also imperative that the school you pick offers an accredited program with an excellent reputation within the healthcare community. But however you elect to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and pick the right medical billing and coding college. And with the appropriate training, you can accomplish your career objective to become a medical billing and coding clerk in Fullerton California.