How to Pick the Best Medical Billing and Coding Program near Palo Alto California
Now that you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Palo Alto CA, it's important that you select the right program so that you receive the proper education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the USA, and more and more options are offered both on campus and online to get the training that you need. But just where does one start? Many aspiring students begin by looking for schools that are within travelling distance of their residences and then comparing cost. Or they might search the internet looking for online schools and go with the least expensive one. But while location and cost are important factors when making your choice, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifications as reputation and accreditation need to be taken into account also. We will cover a list of topics that you should ask the medical billing and coding schools you are researching so that you can find out what you must know before making your selection. Before we do that, let's take a look at what medical coders and billers do and the educational and certification options offered.
Medical Biller and Coder Online Education and Certification
It's important that you obtain your education from a reputable school, whether it's a technical school, vocational school or community college. While it is not a requirement in many cases to attain a professional certification, the school you enroll in should be accredited (more on the benefits of accreditation later). Most California programs only require that you earn either a high school diploma or a GED to be eligible. The most expedient way to become either a medical coder or biller (or both) is to earn a certificate, which typically takes about 1 year to finish. An Associate Degree is an alternative for a more comprehensive education, which for the majority of schools requires two years of studies. Bachelor's Degrees in medical coding and billing are not abundantly offered. When your education has been completed, although not required in most states, you may desire to acquire a professional certification. Certification is an excellent way for those new to the profession to show potential employers that they are not only qualified but dedicated to their career. Just 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 program, in conjunction with attaining a professional certification, are the best ways to advance your new career and succeed in the fast growing healthcare industry.
Medical Coder Job Duties
Medical coders are on the forefront of the billing systems for Palo Alto CA medical practices and healthcare organizations. They have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. There are several 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 depend on information from sources such as physician and nursing notes, patient charts, and radiology and lab reports. Coders must not only know what services were provided in total for accurate reporting, but must have a functioning knowledge of all government and private payer rules that impact coding as well. Inaccurately coded claims may result in services not being paid for, services being paid for at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can in fact cost Palo Alto CA hospitals and doctors multiple thousands of dollars in income every year, a good medical coder is a necessary asset for any healthcare team. They can operate in any type of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for professional medical coders to work at home as an offsite employee or an independent contractor.
Medical Billing Job Duties
As crucial as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose efforts bring in revenue. Medical billing clerks are very important to Palo Alto CA medical facilities and are essentially responsible for keeping them in business. Sometimes the biller and coder may be the same man or woman within a medical facility, but they can also be two separate professionals. When the coder has performed his or her task, the biller utilizes the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being adjusted by the applicable entity, patients can then be invoiced for deductibles or additional out of pocket expenses. On a routine basis, a medical billing clerk can also do any of the following:
- Confirm health insurance benefits for patients and assist them with billing concerns or questions
- Check on patient claims submitted and appeal those that have been declined
- Act as an intermediary between the healthcare provider, the insurance companies and the patients for correct claim resolution
- Create and control Accounts Receivables reports
- Generate and handle unpaid patient collections accounts
Medical billers not only are employed by private practices, but also Palo Alto CA emergency care facilities, hospitals, medical groups or nursing homes. They may practice in any kind of medical facility that relies on the incomes generated from billing third party payers and patients.
Medical Billing and Coding Online Courses
If you are interested in flexibility and the convenience of attending classes in your home, then choosing an online medical billing and coding course might be an excellent option. They can be especially attractive to those living in Palo Alto CA who plan on attending school while continuing to work or have other responsibilities that make attending classes on campus challenging. And as an additional benefit, online programs are frequently less expensive than the standard classroom alternatives. Expenses for such items as tuition, study materials and commuting may be decreased or eliminated. But be careful, as not all online courses are reputable. That's why it's imperative to establish that any online school you choose is accredited to ensure a quality education. We will cover the benefits of accreditation in the next section. Just make sure to confirm that any online school you are considering is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this mode of learning, then acquiring your degree or certificate online may be the ideal choice for you.
What to Ask Medical Coder and Biller Schools
Now that you have a general idea what a medical biller and coder does, in addition to what training options are offered, you need to start the process of researching colleges. But since there many training options available at community colleges as well as trade, vocational and technical schools within the Palo Alto CA area, you need to have a ready list of questions to analyze each one. And when you include all of the online programs that offer medical coding and billing classes, the task can become rather daunting. As we have already discussed, location and cost are going to be relevant factors, especially if you have a modest budget and will be commuting to classes from your Palo Alto residence. And verifying that the school and program are accredited should be part of your vetting process also. So let's take a look at several of the additional questions that you should ask the colleges you are considering so that you can analyze each one and make the right choice.
Is the Training Accredited? It's vital that the school and program you choose are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it can also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help guarantee that the training you get will be of superior quality, it may help secure future employment also. A number of Palo Alto CA medical facilities will only hire entry level prospects that have completed an accredited medical billing and coding training program. And financial assistance and student loans are in many cases only offered for colleges that have earned an accreditation.
What is the Program's Reputation? Prior to picking a medical billing and coding college, check out what its reputation and ranking are among other programs. This is particularly important 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, verifying that the program is accredited is an initial step. Checking with college rating organizations, for instance U.S. News and World Report, can confirm the quality of the school as well. Another option is to get in touch with some Palo Alto CA medical organizations that you might be interested in working for and find out which schools they recommend. Remember that even when the school itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.
Is there a Job Referral Program? Finding employment in Palo Alto CA after graduation in your new profession can be difficult without the support of a job assistance program. Ask if the colleges you are reviewing have job assistance programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the billing and coding college has a sizable network of medical care employers where they can place their graduates. It also indicates that the school's graduates are sought after in the marketplace.
Where is the School Located? If you are planning on commuting to class from your Palo Alto CA home, then the location of the program will be of significant importance. Naturally if you choose an medical billing and coding online program, then the location of the school will not be important. One thing to remember is that if you go to classes at a junior or community college, most charge a higher tuition for pupils that reside outside of their districts. So you may prefer to first consider those schools that are within your local area.
What is the Complete Expense? Medical coding and billing certification courses can vary in cost depending on the type of credential earned and the amount of training furnished. But remember, tuition is not the only expense for your education. Expenditures also include such items as the cost of supplies, books and commuting. Financial assistance might be obtainable to help offset a portion of the expense, so don't forget to contact the school's financial assistance department to see what is available in Palo Alto CA. Of course if you decide to enroll in an online college, some of these added costs, such as for commuting may be lessened or even eliminated.
Are Classes Accessible that Match your Schedule? Many students continue working while going to college and need a flexible class schedule. If you can only go to classes at night or on weekends near Palo Alto CA, verify that they are offered at those times. If you can only enroll on a part-time schedule, check that the school you pick offers that option. Also, ask what the process is for making up classes missed due to sickness, work or family responsibilities.
Learn How to Select a Medical Biller and Coder Class
Enroll in the Right Palo Alto CA Medical Billing and Coding School
Picking the ideal medical billing and coding certificate or degree program is a critical initial step to help assure your success in this exciting sector of healthcare. Medical billing and medical coding are two of the most rapidly growing careers in the health sector. Because of this, there are numerous trade schools, community colleges and other institutions that provide training and education in medical billing and coding. As we have discussed, you can choose to attend classes either on campus or online. It's also important that the school you select offers an accredited program with an excellent reputation within the healthcare community. But however you choose to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better able to evaluate your options and choose the right medical billing and coding program. And with the proper training, you can realize your career goal to become a medical coding and billing specialist in Palo Alto California.