Home >> California >> Santa Cruz >> Medical Billing Schools


Medical Billing and Coding Classes Online Santa Cruz CA

How to Select the Best Medical Billing School near Santa Cruz California

Santa Cruz California woman medical biller entering dataNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Santa Cruz CA, it's essential that you choose the right program to ensure that you receive the proper education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the USA, and a growing number of options are available both on campus and online to receive the training that you need. But just where do you begin? Many potential students start by looking for colleges that are within travelling distance of their residences and then comparing tuition. Or they may search the internet looking for online schools and pick the least expensive one. But while location and cost are significant 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 should be taken into account also. We will review a list of topics that you should ask the medical billing and coding schools you are assessing in order to find out what you must know before making your selection. But first, let's take a look at what medical coders and billers do.

Medical Coder Job Summary

Santa Cruz California patient health history

Medical coders work on the forefront of the billing systems for Santa Cruz CA medical practices and healthcare organizations. Coders have the responsibility to examine the treatment records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. 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 use information from sources including nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all private payer and government regulations that impact coding also. Incorrectly coded claims may result in services not being covered, services being paid for at a reduced rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can in fact cost Santa Cruz CA doctors and hospitals many thousands of dollars in revenue annually, a good medical coder is an important asset for any healthcare team. They can operate in every kind of healthcare facility, including private practices, clinics, hospitals and urgent care centers. It is not unusual for professional medical coders to work at home as an offsite employee or an independent contractor.

Medical Billing Job Description

Santa Cruz California medical insurance paperwork

As essential as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Santa Cruz CA medical organizations and are essentially responsible for keeping them in business. In many cases the biller and coder may be the same man or woman within a healthcare facility, but they can also be two individual professionals. After the coder has performed his or her duty, the biller uses the codes supplied to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable organization, patients can then be billed for deductibles or additional out of pocket expenses. On a routine basis, a medical billing clerk can also do any of the following:

  • Verify health insurance benefits for patients and assist them with billing questions or concerns
  • Check on submitted patient claims and appeal those that have been denied
  • Function as an intermediate between the medical provider, the insurance companies and the patients for accurate claim resolution
  • Create and oversee Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Medical Biller and Coder Online Training

Santa Cruz California woman attending medical billing and coding online schoolIf you are looking for convenience and the flexibility of attending classes from home, then enrolling in an online medical billing and coding school might be a great alternative. They can be particularly attractive to individuals living in Santa Cruz CA who plan on going to school while continuing to work or have additional responsibilities that make going to classes on campus challenging. And as an additional advantage, online schools are frequently less expensive than the traditional classroom options. Costs for such items as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online colleges are reputable. For that reason it's essential to confirm that the online school you enroll in is accredited to ensure a quality education. We will cover the advantages of accreditation in the next segment. Just make sure to establish that any online school you are researching is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this mode of learning, then acquiring your degree or certificate online may be the ideal choice for you.

Questions to Ask Medical Coding and Billing Courses

Now that you have a better idea just what a medical coder and biller does, as well as what training options are offered, you must begin the process of comparing schools. But since there many training options available at community colleges as well as trade, vocational and technical schools within the Santa Cruz CA area, you need to have a ready list of questions in order to analyze each one. And when you include all of the online colleges that offer medical coding and billing classes, the task can become rather formidable. As we have already discussed, cost and location are going to be significant factors, particularly if you have a limited budget and will be traveling to classes from your Santa Cruz residence. And whether or not the program and school are accredited must be part of your vetting process also. So let's take a look at some of the other questions that you should ask the schools you are considering so that you can compare each one and make the appropriate choice.

Is the Program Accredited? It's essential that the program and college you decide on are accredited by a respected accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it can also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you get will be of the highest quality, it may help with your future employment also. Many Santa Cruz CA medical facilities will only employ entry level applicants that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only offered for colleges that have earned an accreditation.

What is the Program's Reputation? Before picking a medical billing and coding program, find out what its reputation and ranking are compared to other programs. This is especially important if you have no experience in the field, since potential employers will primarily be relying on the quality of your education. As we have addressed, verifying that the school is accredited is a first step. Checking with school rating organizations, for example U.S. News and World Report, can validate the quality of the school also. An alternative is to contact a few Santa Cruz CA medical organizations that you might be interested in working for and ask which schools they suggest. Remember that even if the college itself does not have an outstanding reputation, its medical billing and coding program may still be highly regarded.

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

Where is the College's Location? If you are intending on commuting to class from your Santa Cruz CA residence, then the location of the college will be of prime importance. Of course if you select an medical coding and billing online program, then the location of the college will not be a consideration. One thing to remember is that if you go to classes at a community or junior college, many charge a higher tuition for pupils that reside outside of their districts. So you might prefer to first research those colleges that are within your local area.

What is the Complete Cost? Medical coding and billing training courses can fluctuate in cost depending on the type of credential earned and the amount of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenses also include such things as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the expense, so don't forget to contact the school's financial assistance department to find out what is available in Santa Cruz CA. Naturally if you decide to attend an online college, some 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 continue working while going to college and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Santa Cruz CA, confirm that they are available at those times. If you can only attend on a part-time schedule, make sure that the college you choose offers that option. Also, find out what the procedure is for making up classes missed because of sickness, work or family responsibilities.

Find Out More on How to Choose a Medical Biller and Coder School

Select the Right Santa Cruz CA Medical Billing and Coding Training 

Choosing the right medical coding and billing degree or certificate course is a very important first step to help assure your success in this rewarding specialty of healthcare. Medical billing and medical coding are two of the most rapidly expanding careers in the health sector. Because of this, there are a lot of vocational schools, junior colleges and other institutions that furnish training and education in medical coding and billing. As we have covered, you can choose 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 field. But however you decide to receive your training, by following the previous guidelines and asking the right questions, you will be better qualified to assess your options and select the ideal medical billing and coding school. And with the appropriate education, you can realize your career goal to become a medical billing and coding specialist in Santa Cruz California.