Home >> California >> Santa Ana >> Medical Billing Schools


Medical Coding and Billing Courses Online Santa Ana CA

How to Enroll In the Right Medical Biller and Coder College near Santa Ana California

Santa Ana California female medical biller and coder at her computerNow that you have made a decision to become part of the healthcare field by enrolling in a medical billing and coding school near Santa Ana CA, it's essential that you choose the right program to ensure that you receive the necessary education to ensure your success. As you probably know, healthcare is among the fastest growing fields in the United States, and a growing number of options are available both online and on campus to receive the training that you need. But just where does one start? A number of aspiring students begin by searching for colleges that are within travelling distance of their residences and then comparing tuition. Or they may search the internet looking for online courses and choose the cheapest one. But while cost and location are important issues when making your selection, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifiers as reputation and accreditation must be taken into account also. 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 must know before making your decision. But first, let's take a look at what medical billers and coders do and the training and certification options offered.

Medical Coder Job Functions

Santa Ana California patient medical history

Medical coders are on the front line of the billing systems for Santa Ana CA private practices and healthcare organizations. They have the responsibility to analyze the medical records of patients and convert all services provided into universal codes. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. 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 including physician and nursing notes, patient charts, and lab and radiology reports. Medical Coders must not only know what services were provided in total for accurate reporting, but must have a functioning knowledge of all private payer and government rules that influence coding as well. Improperly coded claims may result in services not being covered, services being paid at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can actually cost Santa Ana CA doctors and hospitals many thousands of dollars in revenue annually, a good medical coder is a vital asset for any healthcare organization. They can work in every 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 Biller Job Description

Santa Ana California health insurance forms

As important as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose labors generate revenue. Medical billing clerks are very important to Santa Ana CA healthcare organizations and are essentially responsible for keeping them in business. In many cases the coder and biller can be the same person within a medical facility, but they can also be two individual specialists. When the coder has carried out her or his duty, the biller utilizes the codes supplied to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After they have been paid by the appropriate organization, patients can then be billed for deductibles and other out of pocket costs. On a routine basis, a medical billing clerk might also do any of the following:

  • Check medical insurance coverages for patients and help them with billing questions or concerns
  • Follow up on submitted patient claims and appeal any that have been denied
  • Work as an intermediate between the medical provider, the insurance carriers and the patients for proper claim resolution
  • Generate and control Accounts Receivables reports
  • Produce and handle 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 practice in every kind of healthcare facility that relies on the revenues generated from billing third party payers and patients.

Medical Coder and Biller Online Training and Certification

cash and stethoscope Santa Ana CaliforniaIt's important that you get your training from a reputable school, whether it's a trade school, vocational school or community college. While it is not a requirement in most cases to obtain a professional certification, the school you enroll in should be accredited (more on the benefits of accreditation later). Most California schools simply require that you earn either a high school diploma or a GED to apply. The fastest way to become either a medical coder or biller (or both) is to attain a certificate, which normally takes about a year to complete. An Associate Degree is an alternative for a more extensive education, which for most schools calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. When your training has been concluded, although not required in most states, you may wish to attain a professional certification. Certification is an excellent method for those new to the field to show potential employers that they are not only qualified but committed to their occupation. A few 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, in conjunction with attaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Online Medical Billing and Coding Programs

Santa Ana California female attending medical biller and coder online coursesIf you are interested in flexibility and the convenience of attending classes at home, then enrolling in an online medical billing and coding course might be an excellent alternative. They can be especially attractive to students living in Santa Ana CA who plan on attending school while still working or have additional obligations that make going to classes on campus challenging. And as an added benefit, online schools are in many cases less expensive than the standard classroom alternatives. Costs for such items as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online schools are reputable. That's why it's important to confirm that any online college you select is accredited to guarantee a premium education. We will address the advantages of accreditation in the next segment. Just make sure to establish that any online school you are looking at is accredited by one of the national accrediting organizations, for example 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.

Questions to Ask Medical Coding and Billing Programs

Now that you have a general idea what a medical coder and biller does, in addition to what training options are offered, you must begin the process of researching schools. But since there many training options available at community colleges and trade, vocational and technical schools within the Santa Ana CA area, you need to have a ready list of questions to analyze each one. And when you add all of the online colleges that offer medical coding and billing classes, the project can become somewhat daunting. As we have already covered, expense and location are going to be significant factors, especially if you have a limited budget and will be traveling to classes from your Santa Ana residence. And confirming that the program and school are accredited should be part of your vetting process as well. 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 crucial that the program and college you select are accredited by a recognized accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, it might 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 may help secure future employment as well. Many Santa Ana CA healthcare organizations will only employ entry level applicants that have completed an accredited medical billing and coding training course. And financial assistance and student loans are often only offered for colleges that have obtained an accreditation.

What is the Program's Reputation? Before enrolling in a medical billing and coding program, find out what its ranking and reputation are among other colleges. This is especially relevant if you have no experience in the field, since potential employers will mostly be evaluating you based on the quality of your training. As we have discussed, confirming that the college is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can validate the quality of the school also. An alternative is to call a few Santa Ana CA healthcare organizations that you might be interested in working for and ask which schools they suggest. 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 a Job Assistance Program? Obtaining a job in Santa Ana CA after graduation in your new field might be difficult without the help of a job assistance program. Ask if the colleges you are reviewing 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 significant 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 College Located? If you are planning on driving to class from your Santa Ana CA residence, then the location of the campus will be of significant importance. Naturally if you enroll in an medical billing and coding online program, then the location of the school will not be important. One thing to bear in mind is that if you attend classes at a junior or community college, many require a higher tuition for enrollees that reside outside of their districts. So you may want to first consider those schools that are within your local area.

What is the Overall Expense? Medical billing and coding certification courses can fluctuate in cost depending on the type of credential obtained 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 supplies, books and commuting. Financial aid might be accessible to help reduce a portion of the expense, so don't forget to contact the college's financial aid department to see what is offered in Santa Ana CA. Naturally if you decide to enroll in an online college, a portion of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Accessible that Match your Schedule? A number of students continue working while attending college and require a flexible class schedule. If you can only go to classes in the evenings or on weekends near Santa Ana CA, confirm that they are available at those times. If you can only enroll on a part time basis, confirm that the school you enroll in provides that option. Also, ask what the protocol is for making up classes missed due to illness, work or family responsibilities.

Find Out More on How to Choose a Billing and Coding School

Choose the Best Santa Ana CA Medical Billing and Coding Program 

Choosing the right medical coding and billing certificate or degree program is a very important first step to help guarantee your success in this rewarding sector of medical care. Medical billing and medical coding are two of the fastest growing jobs in the health sector. Because of this, there are numerous vocational schools, junior colleges and other institutions that provide instruction and training in medical coding and billing. As we have discussed, you can decide to attend classes either on campus or online. It's also imperative that the college you pick offers an accredited program with an exceptional reputation within the healthcare industry. But however you choose to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better qualified to assess your options and pick the ideal medical billing and coding school. And with the appropriate education, you can achieve your career objective to become a medical billing and coding clerk in Santa Ana California.