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Medical Coding and Billing Online Programs Santa Clara CA

How to Enroll In the Right Medical Billing and Coding College near Santa Clara California

Santa Clara California female medical coder entering dataOnce 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 crucial that you select the appropriate school so that you receive the necessary education to ensure your success. As you may already know, healthcare is among the fastest growing industries in the United States, and more and more options are offered both online and on campus to receive the training that you need. But just where does one begin? Many potential students begin by looking for schools that are within driving distance of their homes and then comparing tuition. Or they might search the internet looking for online schools and select the cheapest one. But while location and cost are relevant issues when making your selection, they should not be the only ones when researching medical billing and coding schools. Such qualifications as accreditation and reputation should be considered also. We will review a list of questions that you should ask the medical billing and coding schools you are researching so that you can learn what you must know prior to making your selection. But first, let's take a look at what medical coders and billers do and the academic and certification options available.

Medical Coding and Billing Online Education and Certification

money under stethoscope Santa Clara CaliforniaIt's imperative that you obtain your instruction from a reputable school, whether it's a technical school, vocational school or community college. Although it is not required in many cases to attain a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). The majority of California programs only require that you have either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical coder or biller (or both) is to earn a certificate, which normally takes about 1 year to accomplish. An Associate Degree is also an option for a more comprehensive education, which for almost all colleges requires 2 years of studies. Bachelor's Degrees in medical billing and coding are not widely offered. Once your training has been completed, although not required in most states, you might wish to acquire a professional certification. Certification is a great method for those new to the field to show prospective employers that they are not only qualified but dedicated 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 billing and coding program, combined with obtaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Medical Coder Job Summary

Santa Clara California patient health files

Medical coders work on the forefront of the billing systems for Santa Clara CA private practices and healthcare organizations. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any medical supplies or equipment utilized. There are various 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 use 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 accuracy, but must have a functioning knowledge of all government and private payer rules that influence coding also. Inaccurately coded claims can result in services not being paid for, services being paid for at a reduced rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost Santa Clara CA doctors and hospitals many thousands of dollars in earnings every year, a proficient medical coder is a necessary asset for any healthcare organization. They can operate in every kind of healthcare facility, including private practices, clinics, hospitals 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

Santa Clara California health insurance documents

As vital as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Santa Clara CA medical facilities and are literally responsible for keeping their doors open. In many cases the coder and biller are the same individual within a medical facility, but they can also be 2 separate specialists. Once the coder has carried out his or her task, the biller uses the codes provided to complete and submit claim forms to insurance companies, Medicare or Medicaid. After being paid by the appropriate organization, patients can then be invoiced for deductibles and other out of pocket costs. On a regular basis, a medical billing professional can also do any of the following:

  • Verify health insurance coverages for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal those that have been denied
  • Work as a mediator between the healthcare provider, the insurance carriers and the patients for accurate claim resolution
  • Create and control Accounts Receivables reports
  • Generate and manage unpaid patient collections accounts

Medical billing clerks not only are employed by private practices, but also Santa Clara CA hospitals, urgent care facilities, nursing homes or medical groups. They can practice in every type of medical facility that relies on the incomes generated by billing patients and third party payers.

Online Medical Billing and Coding Classes

Santa Clara California woman attending medical biller and coder online schoolIf you are looking for convenience and the flexibility of attending classes from home, then enrolling in a medical billing and coding online college might be a great alternative. They can be especially attractive to students living in Santa Clara CA who anticipate attending school while still working or have other commitments that make going to classes on campus challenging. And as an additional advantage, online colleges are in many cases cheaper than the traditional classroom alternatives. Costs for such items as tuition, study materials and commuting may be reduced or eliminated. But be cautious, as not all online courses are reputable. For that reason it's imperative to establish that the online course you select is accredited to guarantee a quality education. We will review the advantages of accreditation in the next segment. Just be sure to verify that any online school you are looking at is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this type of learning, then acquiring your certificate or degree online may be the right choice for you.

Points to Ask Medical Coding and Billing Courses

Once you have a better idea what a medical coder and biller does, as well as what education options are available, you must begin the process of comparing schools. But since there are numerous training options offered at community colleges and trade, vocational and technical schools within the Santa Clara CA area, you must have a ready list of questions to analyze each one. And when you include all of the online schools that offer medical billing and coding classes, the project can become somewhat formidable. As we have already discussed, location and cost are going to be significant issues, particularly if you have a modest budget and will be commuting to classes from your Santa Clara residence. And whether or not the program and school are accredited should be part of your vetting procedure as well. So let's review several of the additional questions that you should ask the colleges you are considering so that you can evaluate each one and make the ideal choice.

Is the School Accredited? It's essential that the school and program you select are accredited by a recognized accrediting organization, for example 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 guarantee that the training you receive will be of superior quality, it could help secure future employment as well. A number of Santa Clara CA medical organizations will only employ entry level candidates that have completed an accredited medical billing and coding training program. And financial aid and student loans are often only offered for colleges that have obtained an accreditation.

What is the Program's Reputation? Prior to enrolling in a medical coding and billing school, check out what its reputation and ranking are among other schools. This is particularly important if you have no experience in the industry, since potential employers will mainly 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 verify the quality of the school also. Another option is to get in touch with some Santa Clara CA healthcare organizations that you may have an interest in working for and find out which programs they recommend. Bear in mind that even when the school itself does not have an excellent reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Placement Program? Finding employment in Santa Clara CA after graduating in your new profession may be challenging without the support of a job placement program. Ask if the schools you are looking at 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 medical care employers where they can refer their graduates. It also implies that the college's graduates are sought after in the marketplace.

Where is the College Located? If you are anticipating driving to class from your Santa Clara CA home, then the location of the college will be of significant importance. Of course if you select an online medical coding and billing program, then the location of the school will not be important. One thing to remember is that if you attend classes at a community or junior college, many require a higher tuition for pupils that live outside of their districts. So you may prefer to first look at those schools that are within your local area.

What is the Complete Expense? Medical billing and coding training courses can differ in cost depending on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only expense for your education. Costs also include such items as the cost of books, supplies and commuting. Financial assistance might be accessible to help reduce a portion of the cost, so be sure to check with the college's financial aid department to see what is offered in Santa Clara CA. Of course if you decide to attend an online college, a portion of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Accessible that Accommodate your Schedule? A number of students keep working while going to school and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Santa Clara CA, verify that they are offered at those times. If you can only enroll on a part time basis, check that the program you enroll in provides that option. Also, find out what the protocol is for making up classes missed because of illness, work or family responsibilities.

Get Info on How to Choose a Medical Billing Course

Enroll in the Best Santa Clara CA Medical Billing and Coding Program 

Enrolling in the ideal medical coding and billing degree or certificate program is a critical initial step to help assure your success in this rewarding field of medical care. Medical billing and medical coding are two of the most rapidly expanding professions in the medical sector. Because of this, there are many vocational schools, community colleges and other institutions that offer education and training in medical billing and coding. As we have discussed, you can elect to attend classes either on campus or online. It's also essential that the school you pick has an accredited program with an outstanding reputation within the medical care industry. But however you elect to receive your education, by adhering to the previous guidelines and posing the appropriate questions, you will be better able to evaluate your options and pick the right medical billing and coding school. And with the appropriate education, you can accomplish your career objective to become a medical coding and billing specialist in Santa Clara California.