Home >> Maine >> Bangor >> How To Become A Medical Coder


Medical Billing and Coding Courses Online Bangor ME

How to Select the Best Medical Billing and Coding Training Program near Bangor Maine

Bangor Maine woman medical coder entering dataNow that you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Bangor ME, it's essential that you choose the appropriate school so that you receive the proper education to guarantee your success. As you probably know, healthcare is one of the fastest growing sectors in the Country, and increasingly more options are available both online and on campus to get the training that you need. But just where do you begin? A number of future students begin by looking for colleges that are within commuting distance of their residences and then comparing tuition. Or they might search 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 evaluating medical billing and coding schools. Such qualifications as reputation and accreditation need to be considered as well. We will cover a checklist of questions that you should ask the medical billing and coding schools you are evaluating so that you can learn what you must know before making your decision. But first, let's take a look at what medical coders and billers do.

Medical Coder Job Functions

Bangor Maine patient health history

Medical coders are on the front line of the billing systems for Bangor ME medical practices and hospitals. They have the responsibility to analyze the treatment records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies used. There are multiple codes that are utilized 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 such as nursing and physician notes, patient charts, and radiology and lab reports. Medical Coders must know not only what total services were provided for accuracy, but must have a working knowledge of all government and private payer rules that affect coding as well. Improperly coded claims can result in services not being covered, services being paid for at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Bangor ME doctors and hospitals many thousands of dollars in revenue every year, a proficient medical coder is a necessary asset to the healthcare team. They can operate in every type of healthcare facility, including private practices, hospitals, clinics and urgent care centers. It is not unusual for seasoned medical coders to operate at home as an independent contractor or offsite employee.

Medical Billing Job Description

Bangor Maine medical insurance documents

As crucial as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Bangor ME medical facilities and are practically responsible for keeping them in business. Sometimes the coder and biller are the same individual within a medical organization, but they can also be two independent specialists. Once the coder has carried out her or his duty, the biller uses the codes furnished to complete and submit claim forms to insurance carriers, Medicaid or Medicare. After they have been paid by the appropriate organization, patients can then be invoiced for deductibles or other out of pocket expenses. On a routine basis, a medical biller might also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing questions or concerns
  • Check on submitted patient claims and appeal those that have been declined
  • Work as an intermediary between the medical provider, the insurance companies and the patients for correct claim settlement
  • Create and manage Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

Medical billers not only work for family practices, but also Bangor ME emergency care facilities, hospitals, medical groups or nursing homes. They can practice in every kind of healthcare facility that relies on the incomes generated from billing third party payers and patients.

Medical Biller and Coder Online Classes

Bangor Maine woman attending medical biller and coder online classesIf you are looking for convenience and the flexibility of attending classes in your home, then selecting an online medical billing and coding school might be a great alternative. They can be especially appealing to individuals living in Bangor ME who anticipate going to school while continuing to work or have other responsibilities that make attending classes on campus challenging. And as an added benefit, online schools are in many cases less expensive than the conventional classroom alternatives. Costs for such items as tuition, study materials and commuting may be decreased or eliminated. But be cautious, as not all online courses are reputable. For that reason it's imperative to verify that any online program you enroll in is accredited to ensure a superior education. We will address the benefits of accreditation in the next segment. Just be sure to confirm that any online school 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 type of learning, then attaining your degree or certificate online might be the ideal choice for you.

Things to Ask Medical Billing and Coding Courses

Now that you have a general idea what a medical biller and coder does, in addition to what education options are available, you need to start the process of comparing colleges. But since there a large number of training options offered at community colleges as well as technical, trade and vocational schools within the Bangor ME area, you should have a ready list of questions to evaluate each one. And when you include all of the online schools that offer medical billing and coding classes, the task can become rather daunting. As we have already addressed, expense and location are going to be important issues, especially if you have a modest budget and will be driving to classes from your Bangor home. And confirming that the program and school are accredited should be part of your vetting process also. So let's take a look at several of the additional questions that you should ask the programs you are considering so that you can evaluate each one and make the ideal choice.

Is the Program Accredited? It's crucial that the school and program you choose are accredited by a respected accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, it might also receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the education you get will be of superior quality, it may help with your future employment as well. Many Bangor ME medical organizations will only hire entry level applicants that have completed an accredited medical coding and billing educational course. And financial aid and student loans are frequently only offered for programs that have received an accreditation.

What is the Program's Reputation? Before enrolling in a medical coding and billing college, find out what its ranking and reputation are compared to other colleges. 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 discussed, verifying that the school is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school as well. An alternative is to call a few Bangor ME healthcare organizations that you might have an interest in working for and ask which schools they recommend. Bear in mind that even if the school itself does not have an outstanding reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Assistance Program? Obtaining a job in Bangor ME after graduating in your new profession can be difficult without the support of a job assistance program. Find out if the schools you are considering have job placement programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the billing and coding college has a substantial network of healthcare employers where they can place their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the College's Location? If you are planning on commuting to class from your Bangor ME home, then the location of the school will be of significant importance. Of course if you enroll in an medical billing and coding online program, then the location of the college will not be important. One thing to bear in mind is that if you go to classes at a junior or community college, most charge a higher tuition for enrollees that reside outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Overall Expense? Medical billing and coding training programs can vary in cost depending on the type of credential acquired and the amount of training furnished. But remember, tuition is not the only cost of your education. Expenditures also consist of such things as the cost of supplies, books and commuting. Financial aid might be obtainable to help offset some of the cost, so don't forget to get in touch with the college's financial aid department to find out what is available in Bangor ME. Naturally if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be minimized or even eliminated.

Are Classes Offered that Fit your Schedule? Many students keep working while going to school and need a flexible class schedule. If you can only go to classes at night or on weekends near Bangor ME, confirm that they are available at those times. If you can only enroll on a part-time schedule, make certain that the school you choose provides that alternative. Also, find out what the procedure is for making up classes missed due to work, illness or family responsibilities.

Get Info on How to Enroll in a Medical Coding School

Choose the Best Bangor ME Medical Billing and Coding Program 

Enrolling in the ideal medical coding and billing certificate or degree program is a critical initial step to help ensure your success in this exciting specialty of medical care. Medical billing and medical coding are two of the fastest expanding careers in the health sector. As a result, there are numerous trade schools, junior colleges and other institutions that furnish instruction and training in medical billing and coding. As we have discussed, you can decide to attend classes either on campus or online. It's also imperative that the school you pick has an accredited program with an excellent reputation within the healthcare industry. But however you choose to receive your education, by following the previous guidelines and posing the right questions, you will be better able to analyze your options and select the ideal medical billing and coding college. And with the appropriate training, you can realize your career goal to become a medical billing and coding clerk in Bangor Maine.