Home >> California >> Los Gatos >> Medical Coding Training


Medical Coding and Billing Online Programs Los Gatos CA

How to Pick the Best Medical Billing and Coding Training Classes near Los Gatos California

Los Gatos California woman medical biller at her computerOnce you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Los Gatos CA, it's crucial that you choose the right school so that you receive the necessary education to ensure your success. As you no doubt know, healthcare is among the fastest growing fields in the United States, and a growing number of options are offered both on campus and online to receive the training that you need. But just where does one start? Many aspiring students start by searching for schools that are within driving distance of their residences and then comparing cost. Or they may surf the internet looking for online classes and go with the cheapest one. But while cost and location are significant factors when making your determination, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation need to be taken into consideration as well. We will go over a checklist of questions that you need to ask the medical billing and coding training programs you are researching in order to learn what you need to know prior to making your decision. Before we do that, let's take a look at what medical coders and billers do and the educational and certification options available.

Medical Biller and Coder Online Training and Certification

hundred dollar bills with stethoscope Los Gatos CaliforniaIt's important that you get your training from a reputable school, whether it's a technical school, vocational school or community college. While it is not required in many cases to attain a professional certification, the program you choose should be accredited (more on the benefits of accreditation later). The majority of California programs simply require that you have either a high school diploma or a GED to apply. The quickest way to become either a medical biller or coder (or both) is to earn a certificate, which usually takes about one year to complete. An Associate Degree is an alternative for a more comprehensive education, which for almost all colleges calls for 2 years of studies. Bachelor's Degrees for medical billing and coding are not widely available. When your education has been concluded, although not mandated in most states, you might want to earn a professional certification. Certification is a great method for those new to the profession to show potential employers that they are not only qualified but dedicated to their career. Some of the organizations that provide 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).

Completing an accredited medical coding and billing program, 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 field.

Medical Coding Job Functions

Los Gatos California patient medical records

Medical coders work on the front line of the billing systems for Los Gatos CA private practices and healthcare organizations. They have the responsibility to analyze the treatment records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies used. There are multiple codes that are utilized 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 rely on information from sources including nursing and physician notes, patient charts, and lab and radiology reports. Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all private payer and government regulations that impact coding as well. Improperly coded claims may lead to services not being paid for, services being paid at a reduced rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Los Gatos CA hospitals and doctors many thousands of dollars in revenue every year, a good medical coder is a necessary asset to the healthcare organization. They can work in every kind of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not uncommon for seasoned medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Los Gatos California medical insurance forms

As important as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are extremely important to Los Gatos CA healthcare organizations and are literally responsible for keeping them in business. Sometimes the coder and biller may be the same man or woman within a healthcare facility, but they can also be two independent specialists. After the coder has completed his or her duty, the biller uses the codes supplied to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable organization, patients can then be invoiced for deductibles or other out of pocket costs. On a routine basis, a medical billing professional might also do any of the following:

  • Check medical insurance benefits for patients and help them with billing concerns or questions
  • Follow up on submitted patient claims and appeal any that have been declined
  • Function as an intermediary between the medical provider, the insurance companies and the patients for correct claim resolution
  • Create and oversee Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

Medical billers not only are employed by family practices, but also Los Gatos CA hospitals, urgent care facilities, medical groups or nursing homes. They may practice in every kind of medical facility that relies on the revenues generated by billing patients and third party payers.

Online Medical Billing and Coding Courses

Los Gatos California woman attending medical billing and coding online coursesIf you are looking for flexibility and the convenience of attending classes from home, then choosing an online medical billing and coding program might be a good option. They can be especially attractive to individuals living in Los Gatos CA who plan on going to school while still working or have additional obligations that make attending classes on campus challenging. And as an additional advantage, online schools are frequently less expensive than the conventional classroom alternatives. Expenses for such items as tuition, course materials and commuting may be reduced or eliminated. But be cautious, as not all online schools are reputable. For that reason it's important to confirm that the online school you select is accredited to ensure a superior education. We will cover the advantages of accreditation in the next segment. Just be sure to establish that any online school you are researching is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then attaining your degree or certificate online may be the ideal choice for you.

What to Ask Medical Billing and Coding Colleges

Once you have a better idea just what a medical biller and coder does, as well as what education options are available, you need to start the process of researching schools. But since there many training options available at community colleges as well as technical, trade and vocational schools within the Los Gatos CA area, you must have a ready list of questions to evaluate each one. And when you add all of the online colleges that offer medical billing and coding classes, the task can become rather daunting. As we have already covered, expense and location are going to be important factors, especially if you have a modest budget and will be traveling to classes from your Los Gatos home. And whether or not the school and program are accredited must be part of your vetting procedure also. So let's take a look at some of the other questions that you should ask the schools you are looking at so that you can evaluate each one and make the right choice.

Is the Training Accredited? It's important that the program and college you select are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, it can also receive 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 receive will be of superior quality, it may help with your future employment also. A number of Los Gatos CA healthcare facilities will only hire entry level candidates that have completed an accredited medical coding and billing training course. And financial aid and student loans are frequently only available for colleges that have received an accreditation.

What is the Program's Reputation? Before enrolling in a medical coding and billing college, check out what its reputation and ranking are among other programs. This is especially important if you have no experience in the field, since potential employers will primarily be relying on the quality of your training. As we have discussed, confirming that the school is accredited is an initial step. Checking with school rating organizations, such as U.S. News and World Report, can confirm the quality of the school also. Another option is to call some Los Gatos CA medical organizations that you may have an interest in working for and ask which programs they recommend. Bear in mind that even when the school itself does not have an outstanding reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Placement Program? Finding employment in Los Gatos CA after graduation in your new profession may be difficult without the help of a job assistance program. Check if the colleges you are looking at have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the coding and billing college has a significant network of healthcare employers where they can place their graduates. It also indicates that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are planning on commuting to class from your Los Gatos CA home, then the location of the school will be of significant importance. Obviously if you select an online medical coding and billing program, then the location of the school will not be important. One thing to remember is that if you attend classes at a community or junior college, many require a higher tuition for pupils that live outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Overall Expense? Medical billing and coding training courses can fluctuate in cost depending on the type of credential obtained and the length of training provided. Just keep in mind, tuition is not the only expense for your education. Expenditures also include such things as the cost of books, supplies and commuting. Financial aid may be accessible to help offset some of the cost, so be sure to check with the school's financial aid department to find out what is offered in Los Gatos CA. Of course if you decide to enroll in an online school, a portion of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Offered that Accommodate your Schedule? Many students keep working while attending school and require a flexible class schedule. If you can only go to classes in the evenings or on weekends near Los Gatos CA, verify that they are offered at those times. If you can only enroll on a part time schedule, confirm that the college you enroll in offers that alternative. Also, find out what the procedure is for making up classes missed due to illness, work or family emergencies.

Find Out More on How to Select a Medical Billing School

Choose the Best Los Gatos CA Medical Billing and Coding School 

Enrolling in the ideal medical billing and coding certificate or degree program is a very important initial step to help guarantee your success in this exciting specialty of medical care. Medical coding and medical billing are two of the fastest expanding careers in the medical industry. Because of this, there are a lot of trade schools, community colleges and other institutions that offer instruction and training in medical coding and billing. As we have covered, you can elect to attend classes either on campus or online. It's also essential that the school you pick offers an accredited program with an exceptional reputation within the healthcare community. But however you decide to receive your training, by following the previous guidelines and asking the right questions, you will be better prepared to evaluate your options and choose the ideal medical billing and coding college. And with the appropriate training, you can achieve your career goal to become a medical coding and billing specialist in Los Gatos California.