Home >> California >> South Pasadena >> Medical Billing And Coding Online Programs


Medical Billing and Coding Online Schools South Pasadena CA

How to Select the Best Medical Billing and Coding College near South Pasadena California

South Pasadena California female medical coder entering dataOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near South Pasadena CA, it's important that you find the right school so that you receive the proper education to ensure your success. As you may already know, healthcare is one of the fastest growing industries in the United States, and increasingly more options are available both online and on campus to receive the training that you need. But just where does one start? Many potential students start by looking for schools that are within commuting distance of their residences and then comparing tuition. Or they may surf the internet looking for online classes and go with the cheapest one. But while location and cost are significant factors when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation need to be taken into consideration also. We will go over a checklist of questions that you should ask the medical billing and coding courses you are assessing in order to learn what you must know before making your decision. But first, let's take a look at what medical coders and billers do and the educational and certification options offered.

Medical Coding Job Functions

South Pasadena California patient medical history

Medical coders are on the forefront of the billing systems for South Pasadena CA private practices and hospitals. 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 various 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 including nursing and physician notes, patient charts, and lab and radiology reports. Coders must know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all government and private payer regulations that affect coding also. Incorrectly coded claims may result in services not being paid for, services being paid at a reduced rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost South Pasadena CA doctors and hospitals multiple thousands of dollars in earnings every year, a good medical coder is an important asset to the healthcare team. They can operate in any kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for professional medical coders to operate at home as an independent contractor or offsite employee.

Medical Billing Job Functions

South Pasadena California health insurance documents

As vital as the medical coder's job is, it would be for naught without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are very important to South Pasadena CA medical facilities and are essentially responsible for keeping them in business. Often the coder and biller are the same person within a healthcare facility, but they can also be two independent professionals. When the coder has carried out her or his job, the biller utilizes the codes furnished to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the appropriate entity, patients can then be charged for deductibles and additional out of pocket costs. On a routine basis, a medical biller can also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal any that have been declined
  • Function as a mediator between the medical provider, the insurance carriers and the patients for accurate claim resolution
  • Generate and control Accounts Receivables reports
  • Generate and manage unpaid patient collections accounts

Medical billing clerks not only are employed by private practices, but also South Pasadena CA emergency care facilities, hospitals, medical groups or nursing homes. They can practice in any type of medical facility that relies on the revenues generated from billing patients and third party payers.

Medical Biller and Coder Online Instruction and Certification

cash and stethoscope South Pasadena CaliforniaIt's imperative that you get your training from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not a requirement in many cases to earn a professional certification, the program you select should be accredited (more on the benefits of accreditation later). Most California schools just require that you earn either a high school diploma or a GED to apply. The quickest way to become either a medical biller or coder (or both) is to attain a certificate, which normally takes about a year to finish. An Associate Degree is also an option for a more comprehensive education, which for almost all schools requires 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely available. Once your training has been completed, although not mandated in most states, you might wish to attain a professional certification. Certification is an effective means for those new to the profession to show prospective employers that they are not only qualified but dedicated to their occupation. 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 coding and billing program, in conjunction with attaining a professional certification, are the most effective ways to advance your new vocation and succeed in the fast growing healthcare field.

Medical Billing and Coding Online Schools

South Pasadena California female enrolled in medical biller and coder online coursesIf you are searching for convenience and the flexibility of attending classes at home, then enrolling in a medical billing and coding online program may be a great alternative. They can be particularly attractive to those living in South Pasadena CA who anticipate attending school while still working or have additional responsibilities that make attending classes on campus difficult. And as an added advantage, online programs are in many cases less expensive than the standard classroom options. Costs for such things as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online schools are reputable. For that reason it's essential to verify that any online school you select is accredited to ensure a premium education. We will address the advantages of accreditation in the next section. Just be sure to confirm that any online training you are looking at is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this mode of learning, then obtaining your certificate or degree online may be the right choice for you.

What to Ask Medical Biller and Coder Colleges

Once you have a better idea what a medical coder and biller does, along with what education options are offered, you need to begin the process of evaluating schools. But since there are numerous training options available at community colleges as well as trade, vocational and technical schools within the South Pasadena CA area, you should have a ready list of questions to assess each one. And when you add all of the online colleges that offer medical billing and coding classes, the task can become rather daunting. As we have already covered, expense and location are going to be significant factors, particularly if you have a limited budget and will be commuting to classes from your South Pasadena home. And whether or not the school and program are accredited must be part of your vetting process as well. So let's take a look at a few of the additional questions that you should ask the schools you are considering so that you can compare each one and make the appropriate choice.

Is the Training Accredited? It's crucial that the program and school you choose are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online college, it can also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the education you get will be of superior quality, it might help secure future employment also. A number of South Pasadena CA healthcare organizations will only hire entry level applicants that have completed an accredited medical coding and billing training course. And financial aid and student loans are often only obtainable for colleges that have earned an accreditation.

What is the Program's Reputation? Prior to choosing a medical billing and coding program, find out what its reputation and ranking are compared to other programs. This is especially relevant if you have no experience in the profession, since potential employers will primarily 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, such as U.S. News and World Report, can confirm the quality of the school as well. Another option is to contact some South Pasadena CA medical organizations that you may be interested in working for and find out which colleges they suggest. Keep in mind that even when the school itself does not have an outstanding reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Referral Program? Obtaining a job in South Pasadena CA after graduating in your new field may be challenging without the help of a job placement program. Check if the schools you are considering have job assistance programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the coding and billing school has a substantial network of healthcare employers where they can refer their graduates. It also implies that the school's graduates are sought after in the marketplace.

Where is the College Located? If you are anticipating commuting to class from your South Pasadena CA residence, then the location of the school will be of prime importance. Naturally if you enroll in an medical coding and billing online program, then the location of the college will not be important. One thing to keep in mind is that if you go to classes at a junior or community college, many charge a higher tuition for pupils that reside outside of their districts. So you might want to first research those colleges that are within your local area.

What is the Total Expense? Medical coding and billing training courses can vary in cost based on the type of credential obtained and the length of training provided. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such items as the cost of books, supplies and commuting. Financial assistance may be available to help reduce a portion of the expense, so make sure to get in touch with the school's financial aid department to find out what is offered in South Pasadena CA. Of course if you decide to enroll in an online college, some of these added costs, particularly for commuting may be minimized or even eliminated.

Are Classes Offered that Accommodate your Schedule? A number of students continue working while going to school and need a flexible class schedule. If you can only attend classes at night or on weekends near South Pasadena CA, verify that they are offered at those times. If you can only enroll on a part time basis, verify that the college you select offers that alternative. Also, find out what the procedure is for making up classes missed due to illness, work or family responsibilities.

Find Out More on How to Enroll in a Medical Biller and Coder Class

Enroll in the Best South Pasadena CA Medical Billing and Coding School 

Picking the right medical billing and coding degree or certificate course is a critical initial step to help guarantee your success in this exciting field of healthcare. Medical billing and medical coding are 2 of the fastest growing occupations in the medical sector. Because of this, there are numerous trade schools, junior colleges and other institutions that offer training and instruction in medical billing and coding. As we have discussed, you can elect to attend classes either on campus or online. It's also important that the college you choose offers an accredited program with an excellent reputation within the healthcare community. But however you elect to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better prepared to analyze your options and choose the right medical billing and coding program. And with the appropriate training, you can realize your career objective to become a medical billing and coding specialist in South Pasadena California.