Home >> Connecticut >> Fairfield >> How To Become A Medical Coder


Medical Billing and Coding Online Classes Fairfield CT

How to Choose the Right Medical Biller and Coder Course near Fairfield Connecticut

Fairfield Connecticut woman medical biller and coder at her computerNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Fairfield CT, it's essential that you select the right program to ensure that you receive the necessary education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the United States, and increasingly more options are offered both on campus and online to obtain the training that you need. But just where do you begin? A number of potential students begin by searching for programs that are within driving distance of their homes and then comparing cost. Or they might surf the internet looking for online schools and choose the least expensive one. But while location and cost are relevant issues when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation must be taken into account as well. We will review a checklist of topics that you need to ask the medical billing and coding courses you are assessing in order to find out what you need to know prior to making your selection. Before we do that, let's take a look at what medical coders and billers do and the educational and certification options offered.

Medical Coding Job Functions

Fairfield Connecticut patient health files

Medical coders work on the forefront of the billing systems for Fairfield CT private practices and hospitals. They have the responsibility to analyze the treatment records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis or dental procedures, or any medical supplies or equipment 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 use information from sources including physician and nursing notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all private payer and government rules that influence 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 in fact cost Fairfield CT doctors and hospitals many thousands of dollars in income annually, a proficient medical coder is a necessary asset to the healthcare team. They can operate in every type of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not uncommon for experienced medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Description

Fairfield Connecticut medical insurance documents

As important as the medical coder's role is, it would be for nothing without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are very important to Fairfield CT healthcare facilities and are essentially responsible for keeping their doors open. Often the coder and biller may be the same person within a medical facility, but they can also be two separate professionals. After the coder has completed his or her duty, the biller utilizes the codes provided to complete and submit claim forms to insurance companies, Medicaid or Medicare. After they have been paid by the applicable organization, patients can then be invoiced for deductibles or other out of pocket costs. On a regular basis, a medical billing clerk can also do any of the following:

  • Verify health insurance coverages for patients and assist them with billing questions or concerns
  • Follow up on submitted patient claims and appeal any that have been denied
  • Act as a mediator between the medical provider, the insurance carriers and the patients for accurate claim settlement
  • Generate and control Accounts Receivables reports
  • Generate and take care of unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Fairfield CT hospitals, urgent care facilities, medical groups or nursing homes. They may practice in every kind of medical facility that depends on the revenues generated from billing third party payers and patients.

Medical Coding and Billing Online Training and Certification

money with stethoscope Fairfield ConnecticutIt's essential that you receive your training from a reputable school, whether it's a community college, technical or trade school. Although it is not required in many cases to attain a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). Most Connecticut colleges only require that you have either a high school diploma or a GED to be eligible. The quickest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which usually takes about one year to complete. An Associate Degree is also an option for a more extensive education, which for most colleges requires two years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. When your training has been concluded, although not required in most states, you may desire to earn 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 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).

Graduating from an accredited medical coding and billing course, in conjunction with earning a professional certification, are the best ways to accelerate your new vocation and succeed in the fast growing medical care field.

Medical Billing and Coding Online Programs

Fairfield Connecticut student attending medical biller and coder online trainingIf you are interested in convenience and the flexibility of attending classes from home, then choosing a medical billing and coding online program might be a great option. They can be especially attractive to students living in Fairfield CT who plan on going to school while continuing to work or have additional responsibilities that make going to classes on campus difficult. And as an added advantage, online programs are frequently less expensive than the conventional classroom options. Expenses for such items as tuition, study materials and commuting may be reduced or eliminated. But be careful, as not all online courses are reputable. That's why it's essential to establish that any online course you select is accredited to ensure a quality education. We will address the benefits of accreditation in the next section. Just make sure to confirm that any online training you are considering 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 mode of learning, then obtaining your degree or certificate online may be the right choice for you.

What to Ask Medical Biller and Coder Courses

Now that you have a general idea just what a medical coder and biller does, along with what education options are available, you need to start the process of researching colleges. But since there many training options available at community colleges as well as vocational, technical and trade schools within the Fairfield CT area, you need to have a prepared list of questions to assess each one. And when you add all of the online schools that offer medical billing and coding classes, the project can become rather daunting. As we have already discussed, cost and location are going to be relevant issues, particularly if you have a limited budget and will be driving to classes from your Fairfield home. And whether or not the school and program are accredited should be part of your vetting process as well. So let's take a look at several of the additional questions that you should ask the schools you are considering so that you can analyze each one and make the appropriate choice.

Is the Training Accredited? It's vital that the school and program you decide on are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it can also earn accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the education you get will be of superior quality, it could help secure future employment also. A number of Fairfield CT medical organizations will only hire 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 offered for schools that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical billing and coding program, find out what its reputation and ranking are among other schools. This is especially imperative if you have no experience in the profession, since potential employers will basically be evaluating you based on the quality of your education. As we have addressed, making sure that the college is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can verify the quality of the school as well. Another option is to check with a few Fairfield CT healthcare organizations that you may be interested in working for and ask which programs they suggest. Remember that even when the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there a Job Referral Program? Finding employment in Fairfield CT after graduating in your new field might be challenging without the help of a job placement program. Ask if the schools you are considering have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the coding and billing college has a substantial network of healthcare employers where they can place their graduates. It also indicates that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are planning on commuting to class from your Fairfield CT residence, then the location of the college will be of significant importance. Obviously if you choose 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 community or junior college, most charge a higher tuition for students that live outside of their districts. So you might prefer to first research those schools that are within your local area.

What is the Total Expense? Medical coding and billing certification courses can fluctuate in cost depending on the type of credential earned and the amount of training provided. But remember, tuition is not the only cost of your education. Expenses also include such things as the cost of books, supplies and commuting. Financial aid may be available to help reduce a portion of the expense, so don't forget to get in touch with the school's financial assistance department to find out what is available in Fairfield CT. Naturally if you decide to enroll in an online college, a portion of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Fit your Schedule? Many students keep working while attending school and require a convenient class schedule. If you can only go to classes in the evenings or on weekends near Fairfield CT, confirm that they are available at those times. If you can only attend on a part time schedule, check that the college you choose offers that option. Also, find out what the process is for making up classes missed because of work, illness or family emergencies.

Get Info on How to Select a Billing and Coding Course

Enroll in the Best Fairfield CT Medical Billing and Coding Training 

Enrolling in the right medical billing and coding certificate or degree course is a very important initial step to help guarantee your success in this rewarding field of healthcare. Medical coding and medical billing are 2 of the most rapidly expanding jobs in the health industry. As a result, there are a lot of trade schools, junior colleges and companies that furnish instruction and training in medical billing and coding. As we have discussed, you can decide to attend classes either online or on campus. It's also essential that the college you pick offers an accredited program with an exceptional reputation within the healthcare community. But however you decide to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better prepared to evaluate your options and pick the right medical billing and coding program. And with the appropriate training, you can accomplish your career goal to become a medical coding and billing specialist in Fairfield Connecticut.