Home >> Illinois >> Elmhurst >> How To Become A Medical Coder


Medical Coding and Billing Online Courses Elmhurst IL

How to Pick the Right Medical Billing and Coding College near Elmhurst Illinois

Elmhurst Illinois woman medical coder entering dataNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Elmhurst IL, it's essential that you select the right school to ensure that you receive the necessary education to ensure your success. As you probably know, healthcare is one of the fastest growing industries in the Country, and a growing number of options are offered both on campus and online to receive the training that you need. But just where does one start? Many potential students start by looking for schools that are within driving distance of their homes and then comparing cost. Or they may surf the internet looking for online courses and pick the cheapest one. But while cost and location are significant issues when making your selection, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation must be taken into consideration also. We will go over a checklist of topics that you need to ask the medical billing and coding training programs you are assessing so that you can learn what you need to know prior to making your selection. But first, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Coder and Biller Online Education and Certification

money under stethoscope Elmhurst IllinoisIt's imperative that you receive your instruction from a reputable school, whether it's a technical school, vocational school or community college. While it is not a requirement in many cases to earn a professional certification, the program you choose should be accredited (more on the benefits of accreditation later). Most Illinois colleges simply require that you earn either a high school diploma or a GED to qualify. The fastest way to become either a medical biller or coder (or both) is to obtain a certificate, which usually takes about 1 year to complete. An Associate Degree is an alternative for a more extensive education, which for the majority of programs calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely available. When your training has been completed, although not mandated in the majority of states, you might desire to earn a professional certification. Certification is a great way for those new to the profession to show potential employers that they are not only qualified but dedicated to their career. Some of the organizations that provide 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 course, combined with earning a professional certification, are the most effective ways to advance your new career and succeed in the rapid growing healthcare industry.

Medical Coding Job Functions

Elmhurst Illinois patient health history

Medical coders are on the forefront of the billing systems for Elmhurst IL medical practices and hospitals. Coders have the responsibility to review the treatment records of patients and assign universal codes to all services provided. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. 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 use information from sources such as nursing and physician notes, patient charts, and radiology and lab reports. Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all government and private payer rules that affect coding as well. Improperly coded claims may lead to services not being covered, services being paid at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Elmhurst IL doctors and hospitals many thousands of dollars in revenue annually, a good medical coder is an important asset for any healthcare team. They can work in every type of healthcare facility, including family practices, hospitals, clinics and emergency care centers. It is not unusual for seasoned medical coders to operate at home as an independent contractor or offsite employee.

Medical Biller Job Description

Elmhurst Illinois health insurance forms

As essential as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Elmhurst IL medical facilities and are essentially responsible for keeping them in business. Frequently the biller and coder are the same person within a medical organization, but they can also be two separate specialists. When the coder has performed his or her duty, the biller uses the codes provided to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being paid by the applicable entity, patients can then be billed for deductibles and other out of pocket costs. On a regular basis, a medical billing clerk may also do any of the following:

  • Check medical insurance benefits for patients and help them with billing concerns or questions
  • Follow up on submitted patient claims and appeal those that have been declined
  • Work as an intermediate between the medical provider, the insurance carriers and the patients for proper claim resolution
  • Generate and manage Accounts Receivables reports
  • Generate and manage unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Elmhurst IL hospitals, urgent care facilities, nursing homes or medical groups. They can work in every kind of medical facility that relies on the revenues generated from billing third party payers and patients.

Online Medical Biller and Coder Classes

Elmhurst Illinois female enrolled in medical billing and coding online coursesIf you are interested in convenience and the flexibility of attending classes from home, then choosing an online medical billing and coding program might be a good alternative. They can be particularly appealing to those living in Elmhurst IL who plan on attending school while continuing to work or have other commitments that make going to 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, course materials and commuting may be minimized or eliminated. But be cautious, as not all online courses are reputable. For that reason it's important to confirm that the online course you choose is accredited to ensure a quality education. We will review the advantages of accreditation in the next section. Just be sure to establish that any online college 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 apply yourself to this style of learning, then obtaining your certificate or degree online might be the right choice for you.

Questions to Ask Medical Coding and Billing Colleges

Now that you have a general idea just what a medical biller and coder does, as well as what education options are available, you need to start the process of comparing colleges. But since there are numerous training options available at community colleges and trade, vocational and technical schools within the Elmhurst IL area, you should have a ready list of questions 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 daunting. As we have already addressed, cost and location are going to be significant factors, especially if you have a limited budget and will be commuting to classes from your Elmhurst residence. And whether or not the school and program are accredited must be part of your vetting procedure as well. So let's take a look at a few of the additional questions that you should ask the colleges you are reviewing so that you can analyze each one and make the appropriate choice.

Is the Program Accredited? It's vital that the school and program you select are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online school, it can also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the training you get will be of superior quality, it may help with your future employment as well. Many Elmhurst IL medical organizations will only hire entry level candidates that have completed an accredited medical billing and coding training course. And financial assistance and student loans are frequently only obtainable for programs that have received an accreditation.

What is the School's Reputation? Before enrolling in a medical coding and billing school, check out what its reputation and ranking are among other programs. This is particularly relevant if you have no experience in the profession, since potential employers will basically be relying on the quality of your training. As we have discussed, confirming that the school is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can validate the quality of the school as well. An alternative is to contact a few Elmhurst IL medical organizations that you may have an interest in working for and find out which programs they suggest. Remember that even when the school itself does not have an exceptional reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Assistance Program? Obtaining a job in Elmhurst IL after graduating in your new profession might be difficult without the help of a job placement program. Check if the colleges you are looking at 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 sizable network of medical care employers where they can refer their graduates. It also suggests that the college's graduates are sought after in the marketplace.

Where is the College's Location? If you are intending on commuting to class from your Elmhurst IL residence, then the location of the program will be of significant importance. Naturally if you enroll in an online medical coding and billing program, then the location of the college will not be important. 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 enrollees that live outside of their districts. So you might prefer to first research those schools that are within your local area.

What is the Complete Cost? Medical coding and billing certification courses can fluctuate in cost based on the type of credential acquired and the amount of training provided. But remember, tuition is not the only expense for your education. Expenses also consist of such items as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the cost, so don't forget to check with the school's financial assistance department to see what is offered in Elmhurst IL. Naturally if you decide to attend an online school, some of these additional costs, such as for commuting may be minimized or even eliminated.

Are Classes Offered that Match your Schedule? A number of 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 Elmhurst IL, make sure that they are available at those times. If you can only enroll on a part time basis, confirm that the college you choose offers that alternative. Also, find out what the procedure is for making up classes missed because of work, illness or family emergencies.

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

Choose the Right Elmhurst IL Medical Billing and Coding Program 

Selecting the ideal medical coding and billing degree or certificate course is a crucial first step to help guarantee your success in this rewarding sector of medical care. Medical billing and medical coding are two of the fastest expanding occupations in the medical sector. Because of this, there are numerous trade schools, junior colleges and companies that offer training and instruction in medical coding and billing. As we have covered, you can choose to attend classes either online or on campus. It's also important that the college you pick has an accredited program with an outstanding reputation within the medical care community. But however you decide to receive your education, 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 program. And with the appropriate education, you can accomplish your career objective to become a medical billing and coding specialist in Elmhurst Illinois.