Home >> California >> South San Francisco >> How To Become A Medical Coder


Medical Billing and Coding Programs Online South San Francisco CA

How to Pick the Best Medical Billing and Coding Training Program near South San Francisco California

South San Francisco California female medical biller at her computerNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near South San Francisco CA, it's crucial that you find the appropriate program to ensure that you receive the necessary education to guarantee your success. As you probably know, healthcare is among the fastest growing industries in the USA, and a growing number of options are offered both on campus and online to obtain the training that you need. But just where do you begin? Many aspiring students start by looking for schools that are within commuting distance of their homes and then comparing tuition. Or they might surf the internet looking for online schools and pick the cheapest one. But while cost and location are relevant factors when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation should be considered also. We will go over a list of questions that you should ask the medical billing and coding training programs you are assessing so that you can find out 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 available.

Medical Biller and Coder Online Instruction and Certification

cash and stethoscope South San Francisco CaliforniaIt's imperative that you get your training from a reputable school, whether it's a trade school, vocational school or community college. Although it is not required in most cases to earn a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). The majority of California schools simply require that you earn either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical biller or coder (or both) is to obtain a certificate, which normally takes about a year to accomplish. An Associate Degree is an alternative for a more extensive education, which for most schools requires 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. After your education has been concluded, although not required in the majority of states, you may want to attain a professional certification. Certification is an excellent method for those new to the field to show potential employers that they are not only qualified but committed to their career. A few 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).

Graduating from an accredited medical billing and coding program, combined with attaining a professional certification, are the most effective ways to accelerate your new vocation and succeed in the rapid growing healthcare industry.

Medical Coding Job Functions

South San Francisco California patient medical history

Medical coders are on the front line of the billing systems for South San Francisco CA private practices and hospitals. They have the responsibility to analyze 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 utilized. 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 depend on information from sources such as physician and nursing 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 working knowledge of all private payer and government rules that affect coding as well. Improperly coded claims may result in services not being covered, services being paid for at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost South San Francisco CA hospitals and doctors many thousands of dollars in revenue every year, a proficient medical coder is a necessary asset for any healthcare organization. They can work in any kind of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not uncommon for experienced medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Functions

South San Francisco California health insurance forms

As essential as the medical coder's role is, it would be for naught without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are very important to South San Francisco CA healthcare facilities and are literally responsible for keeping them in business. In many cases the coder and biller are the same person within a healthcare organization, but they can also be two individual specialists. Once the coder has completed her or his task, the biller uses the codes provided to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable entity, patients can then be charged for deductibles and additional out of pocket costs. On a routine basis, a medical biller might also do any of the following:

  • Confirm health insurance coverages for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been declined
  • Act as a mediator between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Produce and control Accounts Receivables reports
  • Produce and handle unpaid patient collections accounts

Medical billers not only work for family practices, but also South San Francisco CA hospitals, urgent care facilities, medical groups or nursing homes. They can work in any kind of healthcare facility that depends on the revenues generated from billing patients and third party payers.

Medical Biller and Coder Online Schools

South San Francisco California woman attending medical billing and coding online trainingIf you are looking for flexibility and the convenience of attending classes at home, then choosing a medical billing and coding online program might be a great alternative. They can be particularly attractive to those living in South San Francisco CA who plan on attending school while continuing to work or have other responsibilities that make attending classes on campus difficult. And as an additional advantage, online programs are often cheaper than the conventional classroom options. Costs for such things as tuition, course materials and commuting may be minimized or eliminated. But be careful, as not all online programs are reputable. That's why it's important to verify that the online course you enroll in is accredited to ensure a premium education. We will cover the benefits of accreditation in the next segment. Just make sure to verify that any online school you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this mode of learning, then attaining your certificate or degree online might be the right choice for you.

Things to Ask Medical Coding and Billing Schools

Now that you have a general idea what a medical biller and coder does, as well as what education 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 and vocational, technical and trade schools within the South San Francisco CA area, you must have a prepared list of questions in order to assess each one. And when you add all of the online schools that offer medical coding and billing classes, the task can become somewhat daunting. As we have already addressed, location and cost are going to be important issues, especially if you have a modest budget and will be commuting to classes from your South San Francisco residence. And confirming that the school and program are accredited should be part of your vetting procedure as well. So let's review a few of the other questions that you should ask the schools you are looking at so that you can evaluate each one and make the right choice.

Is the School Accredited? It's crucial that the school and program you decide on are accredited by a recognized accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it may also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help confirm that the education you get will be of the highest quality, it could help secure future employment as well. Many South San Francisco CA healthcare organizations will only hire entry level prospects that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only available for programs that have earned an accreditation.

What is the Program's Reputation? Before enrolling in a medical billing and coding program, check out what its reputation and ranking are among other schools. This is especially important if you have no experience in the industry, since potential employers will mainly be evaluating you based on the quality of your education. As we have discussed, confirming that the school is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can validate the quality of the school also. Another option is to contact several South San Francisco CA healthcare organizations that you may be interested in working for and find out which schools they suggest. Keep in mind that even when the college itself does not have an exceptional reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Placement Program? Obtaining employment in South San Francisco CA after graduating in your new field might be challenging without the support of a job placement program. Check if the schools 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 coding and billing school has a considerable network of healthcare employers where they can refer their graduates. It also suggests that the school's graduates are sought after in the marketplace.

Where is the College's Location? If you are anticipating driving to class from your South San Francisco CA residence, then the location of the program will be of significant importance. Naturally if you choose an medical billing and coding online program, then the location of the college will not be a consideration. One thing to keep in mind is that if you attend classes at a junior or community college, many charge a higher tuition for pupils that reside outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Overall Cost? Medical coding and billing training courses can fluctuate in cost based on the type of credential earned and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Expenses also consist of such items as the cost of books, supplies and commuting. Financial aid might be obtainable to help offset some of the cost, so be sure to check with the college's financial aid department to see what is available in South San Francisco CA. Of course if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be lessened or even eliminated.

Are Classes Accessible that Accommodate your Schedule? Many students continue working while going to college and need a flexible class schedule. If you can only go to classes at night or on weekends near South San Francisco CA, make sure that they are offered at those times. If you can only enroll on a part-time basis, confirm that the school you enroll in provides that option. Also, ask what the process is for making up classes missed because of sickness, work or family responsibilities.

Learn How to Choose a Medical Coding Course

Choose the Best South San Francisco CA Medical Billing and Coding Program 

Picking the right medical coding and billing degree or certificate course is a crucial first step to help ensure your success in this exciting field of healthcare. Medical coding and medical billing are two of the fastest expanding careers in the health industry. As a result, there are a lot of trade schools, community colleges and other institutions that provide training and education in medical coding and billing. As we have reviewed, you can choose to attend classes either on campus or online. It's also imperative that the school you choose offers 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 able to evaluate your options and pick the ideal medical billing and coding school. And with the appropriate education, you can achieve your career goal to become a medical billing and coding clerk in South San Francisco California.