Home >> California >> Sunnyvale >> How To Become A Medical Coder


Medical Billing and Coding Courses Online Sunnyvale CA

How to Enroll In the Best Medical Biller and Coder Course near Sunnyvale California

Sunnyvale California female medical biller entering dataOnce you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Sunnyvale CA, it's important that you find the right program to ensure that you receive the proper education to ensure your success. As you may already know, healthcare is among the fastest growing sectors in the United States, and a growing number of options are offered both online and on campus to get the training that you need. But just where does one start? Many future students begin by searching for programs that are within driving distance of their residences and then comparing cost. Or they may surf the internet looking for online classes and choose the least expensive one. But while cost and location are significant issues when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into account also. We will cover a list of topics that you should ask the medical billing and coding training programs you are researching in order to find out what you need to know prior to making your decision. But first, let's take a look at what medical coders and billers do and the academic and certification options available.

Medical Biller and Coder Online Training and Certification

cash under stethoscope Sunnyvale CaliforniaIt's imperative that you obtain your education from a reputable school, whether it's a community college, technical or trade school. While it is not required in most cases to obtain a professional certification, the program you select should be accredited (more on the advantages of accreditation later). Most California programs just require that you earn either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which typically takes about one year to complete. An Associate Degree is also an option for a more comprehensive education, which for the majority of programs requires two years of studies. Bachelor's Degrees for medical coding and billing are not widely available. After your education has been concluded, although not required in the majority of states, you may want to earn a professional certification. Certification is an excellent way for those new to the field to show potential employers that they are not only qualified but committed to their career. Just some of the organizations that make available 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 course, in conjunction with attaining a professional certification, are the best ways to advance your new profession and succeed in the rapid growing medical care field.

Medical Coding Job Duties

Sunnyvale California patient medical files

Medical coders are on the forefront 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 may be for medical, diagnosis 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 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 accuracy, but must have a functioning knowledge of all government and private payer regulations that impact coding also. Improperly coded claims may result in services not being covered, services being paid at a decreased rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can in fact cost Sunnyvale CA physicians and medical facilities many thousands of dollars in earnings each year, a reliable medical coder is a necessary asset for any healthcare organization. They can work in every kind of healthcare facility, including private practices, hospitals, clinics and urgent care centers. It is not uncommon for experienced medical coders to operate at home as an offsite employee or an independent contractor.

Medical Billing Job Duties

Sunnyvale California medical insurance forms

As vital as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose efforts bring in revenue. Medical billing clerks are very important to Sunnyvale CA healthcare organizations and are essentially responsible for keeping them in business. Frequently the biller and coder can be the same person within a medical facility, but they can also be 2 individual specialists. When the coder has completed her or his duty, the biller uses the codes supplied to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be invoiced for deductibles or additional out of pocket costs. On a routine basis, a medical billing clerk can also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing concerns or questions
  • Check on submitted patient claims and appeal any that have been denied
  • Function as a mediator between the healthcare provider, the insurance carriers and the patients for correct claim settlement
  • Create and oversee Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Sunnyvale CA emergency care facilities, hospitals, medical groups or nursing homes. They may work in any type of medical facility that relies on the revenues generated from billing third party payers and patients.

Medical Biller and Coder Online Classes

Sunnyvale California student enrolled in medical billing and coding online trainingIf you are looking for convenience and the flexibility of attending classes at home, then enrolling in an online medical billing and coding course might be a great alternative. They can be particularly appealing to individuals living in Sunnyvale CA who anticipate going to school while still working or have additional responsibilities that make attending classes on campus difficult. And as an added advantage, online schools are often cheaper than the standard classroom alternatives. Expenses for such items as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online schools are reputable. That's why it's important to verify that any online program you select is accredited to guarantee a quality education. We will cover the benefits of accreditation in the next section. Just be sure to verify that any online training you are looking at 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 earning your certificate or degree online may be the ideal choice for you.

Points to Ask Medical Biller and Coder Courses

Once you have a general idea just what a medical coder and biller does, in addition to what education options are available, you need to start the process of evaluating 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 should have a ready list of questions in order to analyze each one. And when you add all of the online schools that offer medical billing and coding classes, the task can become rather daunting. 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 Sunnyvale home. And whether or not the program and school are accredited should be part of your vetting procedure also. So let's take a look at a few of the other questions that you should ask the schools you are considering so that you can analyze each one and make the right choice.

Is the Training Accredited? It's crucial that the school and program you pick are accredited by a highly regarded accrediting organization, such as 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 learning. Not only will accreditation help confirm that the training you receive will be of the highest quality, it may help secure future employment as well. Many Sunnyvale CA healthcare organizations will only employ entry level candidates that have completed an accredited medical billing and coding training course. And financial aid and student loans are in many cases only available for schools that have obtained an accreditation.

What is the Program's Reputation? Before enrolling in a medical coding and billing college, find out what its reputation and ranking are compared to other schools. This is especially imperative if you have no experience in the profession, since potential employers will primarily be evaluating you based on the quality of your education. As we have covered, confirming that the program is accredited is a first step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school also. An alternative is to contact some Sunnyvale CA healthcare organizations that you may have an interest in working for and find out which schools they recommend. Remember that even if the college itself does not have an outstanding reputation, its medical billing and coding program may still be well regarded.

Is there a Job Placement Program? Obtaining a job in Sunnyvale CA after graduating in your new field can be difficult without the help of a job placement program. Ask if the colleges you are looking at have job assistance 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 sizable network of healthcare employers where they can place their graduates. It also implies that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are planning on driving to class from your Sunnyvale CA residence, then the location of the school will be of prime 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 keep in mind is that if you go to classes at a junior or community college, many require a higher tuition for pupils that reside outside of their districts. So you might prefer to first look at those schools that are within your local area.

What is the Overall Expense? Medical billing and coding training courses can vary 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 include such items as the cost of supplies, books and commuting. Financial aid might be obtainable to help reduce a portion of the cost, so make sure to get in touch with the college's financial assistance department to see what is offered in Sunnyvale CA. Naturally if you decide to attend an online school, a portion of these additional costs, such as for commuting may be reduced or even eliminated.

Are Classes Accessible that Accommodate your Schedule? A number of students continue working while going to college and need a convenient class schedule. If you can only go to classes during the evenings or on weekends near Sunnyvale CA, verify that they are available at those times. If you can only enroll on a part time basis, make sure that the program you decide on offers that alternative. Also, find out what the process is for making up classes missed due to illness, work or family emergencies.

Find Out More on How to Choose a Billing and Coding Course

Select the Best Sunnyvale CA Medical Billing and Coding School 

Picking the right medical coding and billing degree or certificate course is a very important first step to help ensure your success in this rewarding sector of medical care. Medical billing and medical coding are two of the most rapidly expanding occupations in the health sector. As a result, there are a lot of vocational schools, community colleges and other institutions that offer training and education in medical billing and coding. As we have reviewed, you can opt to attend classes either online or on campus. It's also important that the college you choose has an accredited program with an excellent reputation within the healthcare industry. But however you elect to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better able to assess your options and select the ideal medical billing and coding program. And with the appropriate training, you can achieve your career goal to become a medical coding and billing clerk in Sunnyvale California.