Home >> California >> Santa Ana >> How To Become A Medical Coder


Medical Coding and Billing Online Schools Santa Ana CA

How to Select the Right Medical Billing Training Classes near Santa Ana California

Santa Ana California female medical biller and coder at her computerOnce you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Santa Ana CA, it's important that you find the right school to ensure that you receive the necessary education to ensure your success. As you probably know, healthcare is among the fastest growing sectors in the USA, and a growing number of options are offered both on campus and online to obtain the training that you need. But just where does one start? Many aspiring students begin by searching for colleges that are within commuting distance of their homes and then comparing tuition. Or they might search the internet looking for online classes and go with the least expensive one. But while location and cost are significant factors when making your determination, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as reputation and accreditation need to be taken into consideration also. We will go over a list of topics that you need to ask the medical billing and coding courses you are evaluating in order to learn what you must know prior to making your selection. Before we do that, let's take a look at what medical coders and billers do and the training and certification options offered.

Medical Coder and Biller Online Programs and Certification

hundred dollar bills with stethoscope Santa Ana CaliforniaIt's imperative that you obtain your education from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in many cases to obtain a professional certification, the school you enroll in should be accredited (more on the benefits of accreditation later). The majority of California schools just require that you earn either a high school diploma or a GED to be eligible. The quickest way to become either a medical biller or coder (or both) is to obtain a certificate, which usually takes about a year to finish. An Associate Degree is also an option for a more expansive education, which for most colleges calls for two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly available. When your education has been completed, although not mandated in the majority of states, you might want to earn a professional certification. Certification is a great way for those new to the field to show potential employers that they are not only qualified but committed to their career. A few 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 course, combined with obtaining a professional certification, are the most effective ways to accelerate your new career and succeed in the fast growing medical care field.

Medical Coder Job Functions

Santa Ana California patient health records

Medical coders work on the front line of the billing systems for Santa Ana CA private practices and hospitals. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are several 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 such as physician and nursing notes, patient charts, and radiology and lab reports. Coders must know not only what total services were provided for accurate reporting, but must have a working knowledge of all government and private payer rules that impact coding also. Inaccurately coded claims may lead to services not being paid for, services being paid for at a lower rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can in fact cost Santa Ana CA physicians and medical facilities multiple thousands of dollars in income annually, a reliable medical coder is a necessary asset for any healthcare organization. They can operate in any kind of healthcare facility, including private practices, hospitals, clinics and urgent care centers. It is not unusual for professional medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Functions

Santa Ana California health insurance documents

As essential as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Santa Ana CA medical organizations and are essentially responsible for keeping their doors open. Often the biller and coder may be the same person within a healthcare facility, but they can also be two separate professionals. After the coder has completed her or his task, the biller uses the codes supplied to fill out and submit claim forms to insurance carriers, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be billed for deductibles or additional out of pocket costs. On a regular basis, a medical biller can also do any of the following:

  • Check health insurance benefits for patients and help them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Work as an intermediary between the healthcare provider, the insurance carriers and the patients for correct claim resolution
  • Produce and oversee Accounts Receivables reports
  • Create and take care of unpaid patient collections accounts

Medical billers not only work for private practices, but also Santa Ana CA emergency care facilities, hospitals, medical groups or nursing homes. They can work in any kind of medical facility that depends on the incomes generated by billing third party payers and patients.

Medical Biller and Coder Online Colleges

Santa Ana California female enrolled in medical billing and coding online trainingIf you are searching for flexibility and the convenience of attending classes from home, then enrolling in an online medical billing and coding course might be a good option. They can be particularly appealing to individuals living in Santa Ana CA who anticipate going to school while still working or have other commitments that make going to classes on campus difficult. And as an added advantage, online programs are in many cases cheaper than the standard classroom options. Costs for such things as tuition, course materials and commuting may be reduced or eliminated. But be cautious, as not all online schools are reputable. That's why it's important to establish that any online school you enroll in is accredited to ensure a quality education. We will cover the advantages of accreditation in the next section. Just make sure to confirm that any online instruction you are researching 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 type of learning, then attaining your certificate or degree online may be the right choice for you.

Points to Ask Medical Coding and Billing Schools

Now that you have a general idea what a medical coder and biller does, in addition to what training options are offered, you need to begin the process of researching colleges. But since there many training options available at community colleges as well as technical, trade and vocational schools within the Santa Ana CA area, you must have a ready list of questions in order to evaluate each one. And when you add all of the online schools that offer medical billing and coding classes, the project can become rather daunting. As we have already discussed, location and cost are going to be relevant issues, especially if you have a modest budget and will be traveling to classes from your Santa Ana home. And confirming that the school and program are accredited must be part of your vetting process also. So let's review a few of the other questions that you should ask the programs you are reviewing so that you can analyze each one and make the best choice.

Is the Program Accredited? It's vital that the program and school you decide on are accredited by a respected accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online school, it may also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help confirm that the training you receive will be of the highest quality, it could help secure future employment also. Many Santa Ana CA healthcare organizations will only employ entry level candidates that have completed an accredited medical coding and billing educational course. And financial aid and student loans are often only obtainable for programs that have earned an accreditation.

What is the Program's Reputation? Before picking a medical coding and billing program, check out what its reputation and ranking are compared to other schools. This is particularly relevant if you have no experience in the industry, since potential employers will mainly be relying on the quality of your education. As we have addressed, verifying that the college is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can validate the quality of the school as well. An alternative is to contact some Santa Ana CA medical organizations that you may be interested in working for and find out which colleges they recommend. Keep in mind that even when the school itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Placement Program? Finding employment in Santa Ana CA after graduating in your new profession might be difficult without the support of a job assistance program. Check 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 school has a sizable network of healthcare employers where they can refer their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are intending on driving to class from your Santa Ana CA residence, then the location of the college will be of prime importance. Naturally if you select an online medical coding and billing program, then the location of the college will not be a factor. One thing to bear in mind is that if you attend classes at a junior or community college, many charge a higher tuition for students that live outside of their districts. So you may want to first look at those colleges that are within your local area.

What is the Total Expense? Medical coding and billing training programs can differ in cost based on the type of credential obtained and the amount of training provided. But remember, tuition is not the only expense for your education. Expenses also consist of such items as the cost of books, supplies and commuting. Financial aid might be accessible to help offset some of the cost, so make sure to contact the college's financial assistance department to see what is available in Santa Ana CA. Of course if you decide to attend an online college, some of these added costs, such as for commuting may be lessened or even eliminated.

Are Classes Offered that Fit your Schedule? Many students continue working while going to school and require a flexible class schedule. If you can only go to classes at night or on weekends near Santa Ana CA, confirm that they are offered at those times. If you can only attend on a part-time basis, confirm that the college you enroll in offers that alternative. Also, find out what the protocol is for making up classes missed because of illness, work or family responsibilities.

Find Out More on How to Choose a Medical Coding School

Enroll in the Best Santa Ana CA Medical Billing and Coding School 

Picking the ideal medical coding and billing certificate or degree course is a very important first step to help ensure your success in this exciting sector of healthcare. Medical billing and medical coding are two of the fastest expanding careers in the medical industry. As a result, there are a lot of trade schools, junior colleges and companies that provide education and training in medical billing and coding. As we have covered, you can elect to attend classes either online or on campus. It's also imperative that the school you choose offers an accredited program with an outstanding reputation within the healthcare industry. But however you elect to receive your education, by adhering to the previous guidelines and asking the right questions, you will be better qualified to assess your options and choose the right medical billing and coding program. And with the proper training, you can achieve your career goal to become a medical billing and coding specialist in Santa Ana California.