Home >> California >> Sunnyvale >> Billing And Coding Classes


Medical Billing and Coding Schools Online Sunnyvale CA

How to Select the Right Medical Coding College near Sunnyvale California

Sunnyvale California woman medical biller and coder entering dataOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Sunnyvale CA, it's crucial that you select the right 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 Country, and a growing number of options are offered both on campus and online to get the training that you need. But just where do you begin? A number of potential students begin by searching for schools that are within travelling distance of their residences and then comparing tuition. Or they may search the internet looking for online schools and go with the least expensive one. But while cost and location are relevant issues when making your determination, they should not be the only ones when evaluating medical billing and coding schools. Such qualifications as accreditation and reputation need to be taken into consideration as well. We will review a list of questions that you should ask the medical billing and coding courses you are assessing so that you can learn what you must know before making your selection. Before we do that, let's take a look at what medical coders and billers do.

Medical Coding Job Duties

Sunnyvale California patient health records

Medical coders work on the front line of the billing systems for Sunnyvale CA private practices and hospitals. They have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are multiple 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 depend on information from sources such as nursing and physician 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 functioning knowledge of all government and private payer regulations that affect coding also. Improperly coded claims may lead to services not being covered, services being paid at a decreased rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Sunnyvale CA hospitals and doctors multiple thousands of dollars in income annually, a reliable medical coder is a vital asset to the healthcare organization. They can operate in any kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not uncommon for seasoned medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Description

Sunnyvale California medical insurance forms

As essential as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Sunnyvale CA healthcare facilities and are practically responsible for keeping their doors open. Often the biller and coder are the same person within a healthcare facility, but they can also be two separate professionals. When the coder has completed his or her job, the biller utilizes the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been paid by the applicable organization, patients can then be charged for deductibles and other out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

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

Medical billers not only work for family practices, but also Sunnyvale CA hospitals, urgent care facilities, nursing homes or medical groups. They can practice in every type of medical facility that depends on the revenues generated by billing patients and third party payers.

Medical Biller and Coder Online Schools

Sunnyvale California student attending medical biller and coder online classesIf you are looking for convenience and the flexibility of attending classes from home, then choosing an online medical billing and coding college might be a good option. They can be particularly appealing to individuals living in Sunnyvale CA who anticipate going to school while still working or have other obligations that make going to classes on campus challenging. And as an additional benefit, online colleges are frequently cheaper than the standard classroom options. Expenses for such things as tuition, commuting and study materials may be decreased or eliminated. But be cautious, as not all online colleges are reputable. That's why it's important to establish that the online college you select is accredited to guarantee a premium education. We will cover the benefits of accreditation in the next section. Just make sure to verify 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 devote yourself to this type of learning, then attaining your degree or certificate online might be the ideal choice for you.

Points to Ask Medical Biller and Coder Schools

Once you have a better idea just what a medical biller and coder does, along with what training options are offered, you must start the process of comparing colleges. But since there a large number of training options offered at community colleges as well as vocational, technical and trade schools within the Sunnyvale CA area, you must have a prepared list of questions in order to assess each one. And when you include all of the online programs that offer medical billing and coding classes, the project can become somewhat formidable. As we have already addressed, expense and location are going to be important factors, particularly if you have a modest budget and will be commuting to classes from your Sunnyvale home. And verifying that the program and school are accredited must be part of your vetting process also. So let's take a look at a few of the additional questions that you should ask the colleges you are looking at so that you can compare each one and make the right choice.

Is the Training Accredited? It's essential that the program and college you select are accredited by a highly regarded accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, it can also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the training you get will be of superior quality, it might help secure future employment as well. Many Sunnyvale CA healthcare organizations will only hire entry level applicants that have completed an accredited medical billing and coding educational program. And financial aid and student loans are frequently only available for schools that have received an accreditation.

What is the School's Reputation? Prior to choosing a medical billing and coding college, check out what its ranking and reputation are compared to other schools. This is particularly important 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 covered, verifying that the college is accredited is a first step. Checking with school rating organizations, such as U.S. News and World Report, can verify the quality of the school also. Another option is to get in touch with some Sunnyvale CA healthcare organizations that you may be interested in working for and ask which schools they recommend. Keep in mind that even when the college itself does not have an exceptional reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Placement Program? Finding a job in Sunnyvale CA after graduating in your new profession might be difficult without the help of a job placement program. Find out if the colleges you are reviewing 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 substantial network of healthcare employers where they can refer their graduates. It also indicates that the college's graduates are in high demand in the marketplace.

Where is the School's Location? If you are anticipating driving to class from your Sunnyvale CA home, then the location of the school will be of prime importance. Obviously if you enroll in an online medical coding and billing program, then the location of the school will not be a factor. One thing to remember is that if you go to classes at a community or junior college, most charge a higher tuition for students that reside outside of their districts. So you might want to first consider those colleges that are within your local area.

What is the Overall Cost? Medical coding and billing training programs 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 expense for your education. Costs also consist of such items as the cost of supplies, books and commuting. Financial assistance might be accessible to help offset some of the cost, so make sure to contact the school's financial aid department to see what is available in Sunnyvale CA. Of course if you decide to enroll in an online school, some of these added costs, particularly for commuting may be lessened or even eliminated.

Are Classes Available that Fit your Schedule? Many students keep working while going to school and need a convenient class schedule. If you can only attend classes in the evenings or on weekends near Sunnyvale CA, confirm that they are offered at those times. If you can only attend on a part time schedule, verify that the college you pick offers that alternative. Also, ask what the procedure is for making up classes missed because of sickness, work or family responsibilities.

Find Out More on How to Enroll in a Medical Coding School

Select the Best Sunnyvale CA Medical Billing and Coding Program 

Selecting the ideal medical coding and billing degree or certificate program is a critical initial step to help guarantee your success in this exciting sector of healthcare. Medical coding and medical billing are two of the fastest growing jobs in the medical industry. As a result, there are numerous trade schools, community colleges and companies that furnish training and instruction in medical billing and coding. As we have covered, you can opt to attend classes either on campus or online. It's also important that the school you select has an accredited program with an exceptional reputation within the healthcare field. But however you elect to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and pick the ideal medical billing and coding college. And with the proper training, you can realize your career goal to become a medical billing and coding clerk in Sunnyvale California.