Home >> Kentucky >> Richmond >> How To Become A Medical Coder


Medical Billing and Coding Schools Online Richmond KY

How to Choose the Right Medical Billing Training Program near Richmond Kentucky

Richmond Kentucky woman medical biller entering dataOnce you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Richmond KY, it's crucial that you choose the right school so that you receive the proper education to guarantee your success. As you no doubt know, healthcare is one of the fastest growing industries in the United States, and a growing number of options are available both on campus and online to obtain the training that you need. But just where does one start? A number of aspiring students start by searching for programs that are within commuting distance of their homes and then comparing cost. Or they may search the internet looking for online courses and choose the least expensive one. But while location and cost are significant 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 consideration also. We will review a list of topics that you should ask the medical billing and coding courses you are assessing in order to 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 Summary

Richmond Kentucky patient health history

Medical coders are on the front line of the billing systems for Richmond KY private practices and healthcare organizations. They have the responsibility to review the treatment 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 use information from sources such as physician and nursing notes, patient charts, and radiology and lab 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 affect coding also. Inaccurately 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 actually cost Richmond KY hospitals and doctors multiple thousands of dollars in revenue annually, a good medical coder is a necessary asset for any healthcare organization. They can work in every kind of healthcare facility, including family practices, hospitals, clinics and emergency care centers. It is not unusual for professional medical coders to work at home as an independent contractor or offsite employee.

Medical Biller Job Functions

Richmond Kentucky medical insurance documents

As vital 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 Richmond KY healthcare organizations and are practically responsible for keeping their doors open. Sometimes the coder and biller may be the same individual within a medical organization, but they can also be 2 independent professionals. When the coder has carried out her or his duty, the biller uses the codes furnished to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the applicable organization, patients can then be charged for deductibles or other out of pocket expenses. On a routine 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 patient claims submitted and appeal those that have been denied
  • Act as a mediator between the medical provider, the insurance companies and the patients for proper claim resolution
  • Produce and control Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Richmond KY emergency care facilities, hospitals, nursing homes or medical groups. They can practice in any kind of healthcare facility that depends on the revenues generated by billing third party payers and patients.

Online Medical Biller and Coder Colleges

Richmond Kentucky woman enrolled in medical billing and coding online schoolIf you are interested in flexibility and the convenience of attending classes in your home, then selecting a medical billing and coding online school might be a great alternative. They can be especially appealing to students living in Richmond KY who anticipate attending school while still working or have additional responsibilities that make attending classes on campus challenging. And as an added advantage, online colleges are frequently cheaper than the standard classroom alternatives. Costs for such items as tuition, course materials and commuting may be minimized or eliminated. But be careful, as not all online programs are reputable. That's why it's important to confirm that the online program you select is accredited to ensure a quality education. We will review the benefits of accreditation in the next section. Just be sure to confirm that any online college you are looking at is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this type of learning, then obtaining your degree or certificate online may be the ideal choice for you.

Things to Ask Medical Biller and Coder Training Programs

Now that you have a general idea what a medical coder and biller does, along with what training options are available, you must start the process of evaluating colleges. But since there are numerous training options offered at community colleges as well as trade, vocational and technical schools within the Richmond KY area, you must have a prepared list of questions in order to evaluate each one. And when you include all of the online programs that offer medical billing and coding classes, the project can become rather formidable. As we have already covered, cost and location are going to be important issues, particularly if you have a modest budget and will be driving to classes from your Richmond residence. And verifying that the school and program are accredited should 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 schools you are reviewing so that you can compare each one and make the right choice.

Is the Training Accredited? It's important that the program and college you pick are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online school, it may also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you receive will be of superior quality, it may help with your future employment also. A number of Richmond KY healthcare organizations will only employ entry level applicants that have completed an accredited medical billing and coding training program. And financial aid and student loans are often only offered for colleges that have earned an accreditation.

What is the Program's Reputation? Before picking a medical billing and coding school, check out what its ranking and reputation are compared to other colleges. This is especially important if you have no experience in the profession, since potential employers will mostly be evaluating you based on the quality of your training. As we have covered, confirming that the college is accredited is an initial step. Checking with school rating organizations, such as U.S. News and World Report, can confirm the quality of the school as well. An alternative is to get in touch with a few Richmond KY medical organizations that you may have an interest in working for and find out which programs they recommend. Remember that even when the college itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Referral Program? Finding a job in Richmond KY after graduation in your new field can be difficult without the support of a job placement program. Ask if the schools 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 considerable network of medical care employers where they can refer their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are intending on commuting to class from your Richmond KY residence, then the location of the program will be of significant importance. Of course if you select an online medical billing and coding program, then the location of the college will not be a consideration. One thing to bear in mind is that if you attend classes at a community or junior college, many require a higher tuition for pupils that reside outside of their districts. So you might want to first research those schools that are within your local area.

What is the Complete Expense? Medical billing and coding certification programs can vary in cost depending on the type of credential earned and the amount 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 might be accessible to help offset some of the cost, so make sure to check with the school's financial aid department to find out what is available in Richmond KY. Naturally if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Offered that Match your Schedule? A number of students continue working while attending college and need a flexible class schedule. If you can only attend classes at night or on weekends near Richmond KY, confirm that they are offered at those times. If you can only attend on a part time basis, make sure that the program you decide on provides that alternative. Also, find out what the process is for making up classes missed because of work, illness or family responsibilities.

Learn How to Select a Billing and Coding School

Select the Right Richmond KY Medical Billing and Coding Program 

Choosing the right medical billing and coding certificate or degree program is a very important initial step to help guarantee your success in this rewarding field of medical care. Medical billing and medical coding are two of the fastest growing jobs in the medical sector. Because of this, there are many vocational schools, junior colleges and companies that furnish training and education in medical coding and billing. As we have discussed, you can elect to attend classes either on campus or online. It's also important that the college you select has an accredited program with an outstanding reputation within the medical care field. But however you elect to receive your education, by adhering to the previous guidelines and asking the right questions, you will be better able to assess your options and pick the ideal medical billing and coding school. And with the proper training, you can realize your career goal to become a medical coding and billing specialist in Richmond Kentucky.