Home >> Connecticut >> Shelton >> Medical Billing And Coding Programs


Medical Coding and Billing Online Schools Shelton CT

How to Choose the Right Medical Biller and Coder School near Shelton Connecticut

Shelton Connecticut woman medical biller and coder entering dataOnce you have decided to become part of the healthcare profession by enrolling in a medical billing and coding school near Shelton CT, it's essential that you find the right program to ensure that you receive the necessary education to guarantee your success. As you probably know, healthcare is among the fastest growing sectors in the United States, and more and more options are available both online and on campus to obtain the training that you need. But just where do you start? A number of aspiring students start by searching for schools that are within commuting distance of their homes and then comparing cost. Or they might surf the internet looking for online classes and select 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 qualifications as reputation and accreditation should be taken into account also. We will review a checklist of topics that you need to ask the medical billing and coding schools you are researching in order to learn what you need to know prior to making your selection. But first, let's take a look at what medical coders and billers do and the educational and certification options available.

Medical Coding Job Duties

Shelton Connecticut patient medical files

Medical coders are on the forefront of the billing systems for Shelton CT private practices and hospitals. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services may be for diagnosis, medical or dental procedures, or any medical supplies or equipment utilized. There are several 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 physician and nursing 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 working knowledge of all government and private payer rules that influence coding also. Incorrectly coded claims may result in services not being covered, services being paid at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost Shelton CT hospitals and doctors many thousands of dollars in income annually, a proficient medical coder is a vital asset for any healthcare organization. They can work in any type of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not uncommon for professional medical coders to work at home as an independent contractor or offsite employee.

Medical Billing Job Duties

Shelton Connecticut health insurance documents

As crucial as the medical coder's role is, it would be for naught without the contribution of the medical biller whose efforts bring in revenue. Medical billing clerks are extremely important to Shelton CT medical organizations and are literally responsible for keeping them in business. Frequently the biller and coder can be the same man or woman within a medical organization, but they can also be 2 individual specialists. After the coder has performed his or her duty, the biller uses the codes furnished to complete and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable organization, patients can then be charged for deductibles or additional out of pocket expenses. On a routine basis, a medical billing clerk may also do any of the following:

  • Check medical insurance coverages for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal those that have been denied
  • Work as an intermediate between the healthcare provider, the insurance companies and the patients for proper claim settlement
  • Create and oversee Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

Medical billers not only are employed by family practices, but also Shelton CT emergency care facilities, hospitals, medical groups or nursing homes. They may work in every kind of medical facility that depends on the incomes generated by billing third party payers and patients.

Medical Coder and Biller Online Education and Certification

money under stethoscope Shelton ConnecticutIt's important that you get your training from a reputable school, whether it's a technical school, vocational school or community college. While it is not required in most cases to attain a professional certification, the program you choose should be accredited (more on the benefits of accreditation later). The majority of Connecticut colleges simply require that you earn either a high school diploma or a GED to apply. The most expedient way to become either a medical coder or biller (or both) is to obtain a certificate, which typically takes about a year to complete. An Associate Degree is an alternative for a more comprehensive education, which for most colleges calls for two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly available. When your education has been completed, although not required in most states, you might want to acquire a professional certification. Certification is an effective way for those new to the profession to show prospective 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).

Completing an accredited medical billing and coding program, combined with attaining a professional certification, are the best ways to accelerate your new career and succeed in the rapid growing medical care industry.

Online Medical Billing and Coding Training

Shelton Connecticut woman enrolled in medical billing and coding online schoolIf you are searching for convenience and the flexibility of attending classes in your home, then choosing an online medical billing and coding school may be an excellent option. They can be particularly appealing to students living in Shelton CT who anticipate attending school while continuing to work or have additional obligations that make attending classes on campus difficult. And as an added benefit, online schools are frequently cheaper than the standard classroom options. Costs for such things as tuition, commuting and study materials may be reduced or eliminated. But be cautious, as not all online programs are reputable. That's why it's important to establish that any online program you select is accredited to ensure a superior education. We will review the advantages of accreditation in the next segment. Just be sure to verify that any online classes you are researching 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 style of learning, then acquiring your certificate or degree online might be the ideal choice for you.

Points to Ask Medical Billing and Coding Colleges

Once you have a better idea what a medical biller and coder does, in addition to what education options are offered, you need to begin the process of evaluating colleges. But since there many training options offered at community colleges as well as trade, vocational and technical schools within the Shelton CT area, you should have a prepared list of questions to evaluate each one. And when you include all of the online colleges that offer medical billing and coding classes, the task can become rather daunting. As we have already discussed, expense and location are going to be significant issues, particularly if you have a modest budget and will be driving to classes from your Shelton home. And confirming that the school and program are accredited must be part of your vetting process as well. So let's review several of the additional questions that you should ask the schools you are reviewing so that you can analyze each one and make the best choice.

Is the Program Accredited? It's crucial that the program and school you choose are accredited by a recognized accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online college, it may also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the training you get will be of superior quality, it may help secure future employment also. Many Shelton CT healthcare organizations will only employ entry level applicants that have completed an accredited medical coding and billing training course. And financial assistance and student loans are often only available for programs that have earned an accreditation.

What is the School's Reputation? Prior to picking a medical billing and coding program, find out what its ranking and reputation are compared to other schools. This is especially important if you have no experience in the industry, since potential employers will basically be evaluating you based on the quality of your training. As we have covered, verifying that the program 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. An alternative is to get in touch with several Shelton CT healthcare organizations that you may have an interest in working for and ask which colleges they recommend. Keep in mind that even when the college itself does not have an excellent reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Finding a job in Shelton CT after graduation in your new profession can be challenging without the help of a job placement program. Ask if the schools you are looking at 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 school has a considerable network of healthcare employers where they can place their graduates. It also implies that the college's graduates are sought after in the marketplace.

Where is the School Located? If you are intending on driving to class from your Shelton CT home, then the location of the college will be of significant importance. Of course if you select an medical billing and coding online program, then the location of the school will not be important. One thing to bear in mind is that if you go to classes at a junior or community college, many charge a higher tuition for students that reside outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Total Expense? Medical coding and billing training courses can fluctuate in cost depending on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also include such items as the cost of supplies, books and commuting. Financial assistance may be accessible to help reduce a portion of the cost, so don't forget to contact the college's financial assistance department to find out what is available in Shelton CT. Naturally if you decide to enroll in an online school, a portion of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Accessible that Match your Schedule? Many students continue working while attending college and require a convenient class schedule. If you can only attend classes at night or on weekends near Shelton CT, verify that they are offered at those times. If you can only attend on a part-time schedule, check that the college you enroll in provides that option. Also, ask what the procedure is for making up classes missed because of work, illness or family responsibilities.

Learn How to Select a Medical Biller and Coder Class

Select the Right Shelton CT Medical Billing and Coding Program 

Selecting the ideal medical coding and billing certificate or degree program is a very important initial step to help guarantee your success in this exciting field of medical care. Medical billing and medical coding are two of the most rapidly growing professions in the medical sector. Because of this, there are a lot of vocational schools, junior colleges and other institutions that provide instruction and training in medical coding and billing. As we have reviewed, you can decide to attend classes either online or on campus. It's also imperative that the college you select has an accredited program with an excellent reputation within the healthcare field. But however you decide to receive your training, by adhering to the previous guidelines and asking the right questions, you will be better qualified to evaluate your options and choose the right medical billing and coding school. And with the proper training, you can realize your career objective to become a medical billing and coding clerk in Shelton Connecticut.