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Medical Coding and Billing Programs Online Petaluma CA

How to Choose the Right Medical Biller and Coder College near Petaluma California

Petaluma California woman medical coder at her computerNow that you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Petaluma CA, it's crucial that you find the right school so that you receive the necessary education to ensure your success. As you may already know, healthcare is one of the fastest growing fields in the USA, and more and more options are offered both online and on campus to get the training that you need. But just where do you begin? A number of potential students start by searching for schools that are within driving distance of their homes and then comparing cost. Or they might search the internet looking for online classes and select the cheapest one. But while cost and location are relevant factors when making your choice, they should not be the only ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation should be considered as well. We will cover a checklist of topics that you need to ask the medical billing and coding courses you are evaluating so that you can learn what you need to know prior to making your selection. But first, let's take a look at what medical billers and coders do and the academic and certification options available.

Medical Coder Job Description

Petaluma California patient medical history

Medical coders work on the front line of the billing systems for Petaluma CA medical practices and hospitals. Coders have the responsibility to analyze the treatment records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies used. 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 depend on information from sources such as physician and nursing notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that influence coding also. Inaccurately 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 improper or fraudulent billing. Since improper coding can literally cost Petaluma CA physicians and medical facilities multiple thousands of dollars in income annually, a proficient medical coder is a vital asset to the healthcare organization. They can work in every type of healthcare facility, including family practices, clinics, hospitals and emergency care centers. It is not unusual for experienced medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Duties

Petaluma California medical insurance documents

As important as the medical coder's function is, it would be for naught without the collaboration of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Petaluma CA medical facilities and are essentially responsible for keeping them in business. Sometimes the coder and biller can be the same person within a medical organization, but they can also be 2 independent specialists. After the coder has carried out his or her duty, the biller uses the codes provided to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be charged for deductibles and additional out of pocket costs. On a routine basis, a medical billing professional may also do any of the following:

  • Verify medical insurance benefits for patients and help them with billing concerns or questions
  • Follow up on patient claims submitted and appeal those that have been declined
  • Work as an intermediary between the healthcare provider, the insurance companies and the patients for proper claim settlement
  • Generate and oversee Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

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

Medical Billing and Coding Online Instruction and Certification

money under stethoscope Petaluma CaliforniaIt's imperative 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 advantages of accreditation later). Most California colleges simply require that you have either a high school diploma or a GED to be eligible. The quickest way to become either a medical coder or biller (or both) is to earn a certificate, which typically takes about a year to complete. An Associate Degree is an alternative for a more extensive education, which for most colleges calls for 2 years of studies. Bachelor's Degrees for medical coding and billing are not abundantly available. Once your training has been concluded, although not mandated in the majority of states, you might want to attain a professional certification. Certification is a great method for those new to the field to show potential 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 coding and billing course, along with obtaining a professional certification, are the best ways to accelerate your new career and succeed in the rapid growing healthcare field.

Online Medical Billing and Coding Classes

Petaluma California student enrolled in medical billing and coding online schoolIf you are looking for convenience and the flexibility of attending classes in your home, then enrolling in an online medical billing and coding college may be an excellent option. They can be especially appealing to individuals living in Petaluma CA who anticipate going to school while continuing to work or have additional commitments that make going to classes on campus difficult. And as an additional advantage, online programs are often cheaper than the standard classroom alternatives. Costs for such things as tuition, course materials and commuting may be reduced or eliminated. But be cautious, as not all online programs are reputable. That's why it's essential to establish that the online course you enroll in is accredited to guarantee a premium education. We will review the advantages of accreditation in the next section. Just be sure to check that any online college you are looking at is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this mode of learning, then attaining your degree or certificate online may be the right choice for you.

Things to Ask Medical Billing and Coding Colleges

Once you have a general idea what a medical coder and biller does, along with what training options are available, you need to start the process of researching colleges. But since there are numerous training options available at community colleges and trade, vocational and technical schools within the Petaluma CA area, you must have a prepared list of questions in order to assess each one. And when you add all of the online schools that offer medical coding and billing classes, the project can become rather formidable. As we have already discussed, cost and location are going to be important factors, particularly if you have a limited budget and will be traveling to classes from your Petaluma home. And confirming that the program and school are accredited must be part of your vetting procedure also. So let's take a look at a few of the other questions that you should ask the colleges you are considering so that you can evaluate each one and make the right choice.

Is the School Accredited? It's essential that the school and program you choose are accredited by a highly regarded accrediting organization, 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 learning. Not only will accreditation help ensure that the training you receive will be of the highest quality, it may help with your future employment as well. Many Petaluma CA healthcare facilities will only hire entry level applicants that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are in many cases only offered for schools that have obtained an accreditation.

What is the Program's Reputation? Prior to selecting a medical coding and billing program, find out what its ranking and reputation are compared to other schools. This is especially imperative if you have no experience in the field, since potential employers will basically be relying on the quality of your training. As we have discussed, making sure that the program is accredited is a first 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 Petaluma CA healthcare organizations that you may have an interest in working for and find out which colleges they suggest. Keep in mind that even if the school itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

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

Where is the College Located? If you are anticipating driving to class from your Petaluma CA home, then the location of the campus will be of prime importance. Of course if you enroll in an online medical coding and billing program, then the location of the school will not be a factor. One thing to bear in mind is that if you attend classes at a junior or community college, many require a higher tuition for students that live outside of their districts. So you may want 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 acquired and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Expenses also include such items as the cost of books, supplies and commuting. Financial aid might be available to help reduce some of the cost, so don't forget to check with the college's financial aid department to find out what is available in Petaluma CA. Of course if you decide to attend an online college, some of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Fit your Schedule? A number of students keep working while attending school and require a flexible class schedule. If you can only go to classes at night or on weekends near Petaluma CA, verify that they are offered at those times. If you can only enroll on a part-time basis, verify that the program you pick provides that option. Also, find out what the protocol is for making up classes missed due to illness, work or family responsibilities.

Learn How to Choose a Medical Coding School

Select the Right Petaluma CA Medical Billing and Coding School 

Enrolling in the right medical coding and billing certificate or degree program is a crucial initial step to help assure your success in this rewarding field of healthcare. Medical coding and medical billing are two of the most rapidly expanding occupations in the health sector. As a result, there are numerous trade schools, community colleges and companies that furnish training and education in medical billing and coding. As we have covered, you can elect to attend classes either on campus or online. It's also essential that the school you select offers an accredited program with an excellent reputation within the healthcare industry. But however you elect to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better prepared to analyze your options and select the ideal medical billing and coding program. And with the proper training, you can achieve your career goal to become a medical billing and coding clerk in Petaluma California.