Home >> California >> Santa Monica >> Medical Coding Programs


Medical Coding and Billing Online Programs Santa Monica CA

How to Find the Best Medical Billing and Coding Course near Santa Monica California

Santa Monica California woman medical biller at her computerOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Santa Monica CA, it's crucial that you choose the appropriate school to ensure that you receive the proper education to guarantee your success. As you probably know, healthcare is one of the fastest growing fields in the USA, and a growing number of options are available both on campus and online to get the training that you need. But just where does one start? A number of potential students start by looking for colleges that are within driving distance of their residences and then comparing cost. Or they may surf the internet looking for online courses and choose the cheapest one. But while location and cost are significant issues when making your determination, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifications as accreditation and reputation must be considered as well. We will cover a list of topics that you should ask the medical billing and coding training programs you are researching so that you can learn what you must know before making your decision. Before we do that, let's take a look at what medical coders and billers do and the academic and certification options offered.

Medical Coding Job Description

Santa Monica California patient health files

Medical coders work on the forefront of the billing systems for Santa Monica CA private practices and healthcare organizations. They have the responsibility to review the medical records of patients and assign universal codes to all services provided. These services can be for medical, diagnosis or dental procedures, or any medical supplies or equipment 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 rely on information from sources such as nursing and physician notes, patient charts, and radiology and lab reports. Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that affect coding also. Inaccurately coded claims may lead to services not being covered, services being paid at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Santa Monica CA doctors and hospitals multiple thousands of dollars in earnings each year, a reliable medical coder is an important asset to the healthcare team. They can work in any type of healthcare facility, including private practices, hospitals, clinics and emergency care centers. It is not unusual for experienced medical coders to operate at home as an independent contractor or offsite employee.

Medical Billing Job Duties

Santa Monica California medical insurance paperwork

As crucial as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Santa Monica CA medical organizations and are essentially responsible for keeping them in business. Often the biller and coder can be the same individual within a medical facility, but they can also be two independent professionals. Once the coder has carried out his or her task, the biller utilizes the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been adjusted by the appropriate 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:

  • Confirm health insurance coverages for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal any that have been denied
  • Function as an intermediary between the healthcare provider, the insurance companies and the patients for proper claim settlement
  • Produce and control Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

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

Medical Coder and Biller Online Programs and Certification

money and stethoscope Santa Monica CaliforniaIt's important that you receive 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 attain a professional certification, the program you enroll in should be accredited (more on the benefits of accreditation later). Most California colleges only require that you have either a high school diploma or a GED to qualify. The most expedient way to becoming either a medical coder or biller (or both) is to attain a certificate, which typically takes about a year to complete. An Associate Degree is also an option for a more extensive education, which for the majority of colleges requires two years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. After your education has been completed, although not mandated in most states, you might wish to acquire a professional certification. Certification is an effective method for those new to the field to show potential employers that they are not only qualified but dedicated to their career. 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, together with obtaining a professional certification, are the best ways to advance your new vocation and succeed in the fast growing healthcare industry.

Online Medical Billing and Coding Training

Santa Monica California woman attending medical biller and coder online coursesIf you are interested in convenience and the flexibility of attending classes at home, then selecting an online medical billing and coding course may be an excellent alternative. They can be especially attractive to individuals living in Santa Monica CA who plan on going to school while still working or have additional commitments that make going to classes on campus difficult. And as an added benefit, online colleges are in many cases less expensive than the standard classroom options. Costs for such items as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online colleges are reputable. For that reason it's essential to establish that the online course you enroll in is accredited to ensure a superior education. We will review the benefits of accreditation in the next section. Just be sure to check that any online classes you are researching is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this style of learning, then acquiring your certificate or degree online might be the right choice for you.

Points to Ask Medical Coder and Biller Colleges

Now that you have a better idea just what a medical coder and biller does, as well as what training options are available, you must start the process of evaluating schools. But since there a large number of training options available at community colleges as well as trade, vocational and technical schools within the Santa Monica CA area, you should have a prepared list of questions to evaluate each one. And when you add all of the online schools that offer medical coding and billing classes, the task can become somewhat formidable. As we have already covered, location and cost are going to be relevant issues, especially if you have a limited budget and will be driving to classes from your Santa Monica home. And whether or not the program and school are accredited should be part of your vetting procedure as well. So let's review a few of the additional questions that you should ask the schools you are looking at so that you can compare each one and make the appropriate choice.

Is the Training Accredited? It's essential that the program and school you choose are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, 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 the highest quality, it could help with your future employment as well. Many Santa Monica CA medical organizations will only employ entry level candidates that have completed an accredited medical coding and billing training program. And financial assistance and student loans are often only obtainable for schools that have received an accreditation.

What is the Program's Reputation? Prior to picking a medical billing and coding program, find out what its ranking and reputation are among other schools. This is particularly relevant if you have no experience in the industry, since potential employers will primarily be relying on the quality of your training. As we have covered, making sure that the program 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. Another option is to get in touch with a few Santa Monica CA healthcare organizations that you may be interested in working for and ask which colleges they recommend. Remember that even when the college itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Referral Program? Finding a job in Santa Monica CA after graduation in your new field may be challenging without the help of a job placement program. Ask if the schools 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 coding and billing college has a sizable network of healthcare employers where they can place 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 commuting to class from your Santa Monica CA home, then the location of the college will be of significant importance. Obviously if you select an medical coding and billing online program, then the location of the school will not be a factor. One thing to remember is that if you attend classes at a junior or community college, most require a higher tuition for enrollees 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 Overall Expense? Medical billing and coding certification programs can fluctuate in cost based on the type of credential acquired and the length of training provided. But remember, tuition is not the only cost of your education. Expenditures also consist of such items as the cost of supplies, books and commuting. Financial aid might be obtainable to help reduce a portion of the expense, so be sure to check with the school's financial assistance department to see what is available in Santa Monica CA. Naturally if you decide to enroll in an online school, a portion of these additional costs, such as for commuting may be reduced or even eliminated.

Are Classes Offered that Fit your Schedule? A number of students continue working while going to school and require a convenient class schedule. If you can only attend classes at night or on weekends near Santa Monica CA, make sure that they are available at those times. If you can only attend on a part time basis, check that the school you pick offers that alternative. Also, ask what the process is for making up classes missed because of work, illness or family responsibilities.

Learn How to Choose a Billing and Coding Program

Enroll in the Right Santa Monica CA Medical Billing and Coding School 

Enrolling in the ideal medical billing and coding degree or certificate course is a very important first step to help assure your success in this exciting field of medical care. Medical billing and medical coding are 2 of the most rapidly expanding careers in the health sector. Because of this, there are many vocational schools, community colleges and companies that offer training and instruction in medical coding and billing. As we have discussed, you can opt to attend classes either online or on campus. It's also essential that the college you choose has an accredited program with an exceptional reputation within the medical care field. But however you decide to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and choose the ideal medical billing and coding program. And with the appropriate education, you can accomplish your career goal to become a medical coding and billing specialist in Santa Monica California.