Home >> California >> Santa Clara >> Medical Biller And Coder Schools


Medical Billing and Coding Courses Online Santa Clara CA

How to Select the Right Medical Biller and Coder Training Classes near Santa Clara California

Santa Clara California woman medical biller at her computerOnce you have made a decision to become part of the healthcare field by enrolling in a medical billing and coding school near Santa Clara CA, it's essential that you choose the right school to ensure that you receive the proper education to ensure your success. As you no doubt know, healthcare is one of the fastest growing fields in the Country, 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? Many future students start by searching for programs that are within travelling distance of their residences and then comparing tuition. Or they might surf the internet looking for online courses and choose the cheapest one. But while location and cost are important issues when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation should be taken into account also. We will review a list of questions that you need to ask the medical billing and coding schools you are researching so that you can learn what you must know prior to making your decision. But first, let's take a look at what medical billers and coders do and the academic and certification options offered.

Medical Coder and Biller Online Instruction and Certification

money and stethoscope Santa Clara CaliforniaIt's essential that you receive your training from a reputable school, whether it's a technical school, vocational school or community college. Even though it is not required in most cases to obtain a professional certification, the program you select should be accredited (more on the benefits of accreditation later). The majority of California schools only require that you earn either a high school diploma or a GED to apply. The most expedient way to become either a medical biller or coder (or both) is to earn a certificate, which normally takes about 1 year to accomplish. An Associate Degree is an alternative for a more expansive education, which for the majority of schools calls for 2 years of studies. Bachelor's Degrees for medical coding and billing are not abundantly offered. When your education has been concluded, although not required in most states, you might desire to attain a professional certification. Certification is a great means for those new to the field to show potential employers that they are not only qualified but dedicated to their occupation. 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).

Completing an accredited medical coding and billing program, in conjunction with earning a professional certification, are the best ways to accelerate your new profession and succeed in the fast growing medical care industry.

Medical Coder Job Duties

Santa Clara California patient health history

Medical coders work on the forefront of the billing systems for Santa Clara CA medical practices and hospitals. Coders have the responsibility to examine the treatment records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis 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 use information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all government and private payer regulations that affect coding also. Inaccurately coded claims may result in services not being covered, services being paid for at a reduced rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Santa Clara CA physicians and medical facilities multiple thousands of dollars in revenue each year, a good medical coder is a necessary asset for any healthcare team. They can operate in any kind of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not uncommon for professional medical coders to work at home as an independent contractor or offsite employee.

Medical Billing Job Duties

Santa Clara California medical insurance forms

As essential as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Santa Clara CA medical facilities and are literally responsible for keeping them in business. Sometimes the coder and biller can be the same man or woman within a healthcare organization, but they can also be two independent professionals. Once the coder has carried out his or her job, the biller utilizes the codes furnished to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be invoiced for deductibles or other out of pocket expenses. On a routine basis, a medical billing clerk can also do any of the following:

  • Verify medical insurance coverages for patients and assist them with billing concerns or questions
  • Follow up on submitted patient claims and appeal any that have been denied
  • Function as an intermediate between the medical provider, the insurance companies and the patients for accurate claim settlement
  • Create and manage Accounts Receivables reports
  • Generate and manage unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Santa Clara CA emergency care facilities, hospitals, medical groups or nursing homes. They may work in every kind of medical facility that relies on the revenues generated from billing patients and third party payers.

Medical Billing and Coding Online Programs

Santa Clara California female attending medical billing and coding online trainingIf you are interested in flexibility and the convenience of attending classes in your home, then selecting an online medical billing and coding course might be a good alternative. They can be especially appealing to individuals living in Santa Clara CA who anticipate going to school while still working or have other obligations that make going to classes on campus difficult. And as an additional benefit, online schools are often cheaper than the standard classroom alternatives. Expenses for such things as tuition, course materials and commuting may be reduced or eliminated. But be careful, as not all online programs are reputable. That's why it's essential to confirm that any online college you choose is accredited to ensure a superior education. We will address the benefits of accreditation in the next section. Just be sure to establish that any online college 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 style of learning, then earning your degree or certificate online may be the right choice for you.

What to Ask Medical Coder and Biller Training Programs

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

Is the Program Accredited? It's essential that the program and school you choose are accredited by a recognized accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online college, it may also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help confirm that the training you receive will be of the highest quality, it could help with your future employment also. Many Santa Clara CA healthcare organizations will only hire entry level applicants that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are frequently only available for schools that have received an accreditation.

What is the School's Reputation? Before enrolling in a medical coding and billing school, find out what its ranking and reputation are among other colleges. This is particularly important if you have no experience in the profession, since potential employers will primarily be relying on the quality of your education. As we have addressed, making sure that the school is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can verify the quality of the school as well. An alternative is to check with a few Santa Clara CA healthcare organizations that you may be interested in working for and ask which schools they recommend. Keep in mind that even if the college itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Obtaining employment in Santa Clara CA after graduating in your new profession might be challenging without the help of a job placement program. Check if the colleges you are considering have job placement programs and what their job placement rates are. A rapid and high placement rate is a good indication that the coding and billing school has a considerable network of healthcare employers where they can refer their graduates. It also indicates that the college's graduates are sought after in the marketplace.

Where is the College's Location? If you are intending on driving to class from your Santa Clara CA home, then the location of the program will be of significant importance. Obviously if you enroll in an medical coding and billing online program, then the location of the school will not be a consideration. One thing to remember 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 might prefer to first research those schools that are within your local area.

What is the Complete Expense? Medical billing and coding certification programs can differ 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. 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 make sure to contact the school's financial aid department to see what is offered in Santa Clara CA. Naturally if you decide to attend an online college, some of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Offered that Fit your Schedule? Many students keep working while going to school and require a convenient class schedule. If you can only attend classes at night or on weekends near Santa Clara CA, make sure that they are available at those times. If you can only enroll on a part-time basis, confirm that the college you select provides that alternative. Also, find out what the protocol is for making up classes missed because of sickness, work or family responsibilities.

Learn How to Enroll in a Billing and Coding Class

Select the Best Santa Clara CA Medical Billing and Coding School 

Picking the right medical billing and coding degree or certificate course is a crucial first step to help guarantee your success in this exciting sector of medical care. Medical billing and medical coding are two of the fastest expanding jobs in the medical sector. Because of this, there are numerous vocational schools, junior colleges and companies that furnish training and education in medical billing and coding. As we have covered, you can decide to attend classes either on campus or online. It's also imperative that the school you pick has an accredited program with an excellent reputation within the medical care community. But however you elect to receive your training, by adhering to the previous guidelines and asking the right questions, you will be better prepared to evaluate your options and choose the right medical billing and coding college. And with the appropriate training, you can realize your career objective to become a medical coding and billing clerk in Santa Clara California.