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Medical Billing and Coding Programs Online Portland ME

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

Portland Maine woman medical biller at her computerNow that you have made a decision to become part of the healthcare field by enrolling in a medical billing and coding school near Portland ME, it's crucial that you select the right program to ensure that you receive the necessary education to ensure your success. As you may already know, healthcare is among the fastest growing sectors in the Country, and more and more options are available both on campus and online to receive the training that you need. But just where do you start? A number of future students start by looking for programs that are within commuting distance of their homes and then comparing tuition. Or they might search the internet looking for online classes and pick the cheapest one. But while cost and location are significant issues when making your determination, they should not be the sole ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation must be taken into account as well. We will review a list of questions that you need to ask the medical billing and coding schools you are assessing in order to find out what you need to know before making your selection. Before we do that, let's take a look at what medical coders and billers do and the academic and certification options available.

Medical Coding Job Summary

Portland Maine patient health history

Medical coders work on the forefront of the billing systems for Portland ME medical practices and healthcare organizations. They have the responsibility to review 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 multiple 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 nursing and physician notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accurate reporting, but must have a functioning knowledge of all private payer and government regulations that influence coding as well. Incorrectly coded claims can result in services not being paid for, services being paid at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Portland ME hospitals and doctors many thousands of dollars in earnings annually, a proficient medical coder is a vital asset to the healthcare organization. They can operate in any kind of healthcare facility, including private practices, clinics, hospitals 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 Duties

Portland Maine health insurance paperwork

As crucial as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Portland ME medical organizations and are literally responsible for keeping them in business. Sometimes the coder and biller can be the same man or woman within a medical facility, but they can also be 2 individual specialists. When the coder has performed his or her duty, the biller utilizes the codes supplied to complete and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the appropriate entity, patients can then be charged for deductibles and other out of pocket costs. On a regular basis, a medical billing professional may also do any of the following:

  • Confirm health insurance benefits for patients and help them with billing questions or concerns
  • Check on patient claims submitted and appeal those that have been denied
  • Act as an intermediate between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Produce and oversee Accounts Receivables reports
  • Generate and take care of unpaid patient collections accounts

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

Medical Billing and Coding Online Training and Certification

money and stethoscope Portland MaineIt's essential that you obtain your education from a reputable school, whether it's a trade school, vocational school or community college. Although it is not required in many cases to obtain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). The majority of Maine schools only require that you have either a high school diploma or a GED to qualify. The most expedient way to become either a medical coder or biller (or both) is to obtain a certificate, which generally takes about one year to accomplish. An Associate Degree is an alternative for a more expansive education, which for almost all programs calls for two years of studies. Bachelor's Degrees in medical billing and coding are not abundantly available. When your education has been concluded, although not mandated in the majority of states, you might want to acquire a professional certification. Certification is a great way for those new to the field to show prospective employers that they are not only qualified but committed to their career. Just 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 program, combined with attaining a professional certification, are the most effective ways to advance your new career and succeed in the rapid growing healthcare industry.

Medical Biller and Coder Online Courses

Portland Maine female enrolled in medical billing and coding online coursesIf you are looking for convenience and the flexibility of attending classes at home, then selecting an online medical billing and coding school may be a great option. They can be particularly attractive to individuals living in Portland ME who plan on going to school while still working or have other responsibilities that make going to classes on campus difficult. And as an added advantage, online programs are frequently less expensive than the traditional classroom alternatives. Expenses for such items as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online courses are reputable. For that reason it's important to verify that the online college you enroll in is accredited to ensure a quality education. We will review the advantages of accreditation in the next segment. Just be sure to establish that any online school you are researching is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this mode of learning, then acquiring your certificate or degree online might be the ideal choice for you.

Things to Ask Medical Coder and Biller Colleges

Once you have a general idea just what a medical coder and biller does, in addition to what training options are offered, you must start the process of evaluating colleges. But since there a large number of training options offered at community colleges and trade, vocational and technical schools within the Portland ME area, you must have a ready list of questions in order to evaluate each one. And when you add all of the online schools that offer medical billing and coding classes, the task can become somewhat daunting. As we have already discussed, expense and location are going to be important issues, especially if you have a modest budget and will be traveling to classes from your Portland home. And whether or not the school and program are accredited should be part of your vetting procedure also. So let's take a look at a few of the other questions that you should ask the programs you are considering so that you can evaluate each one and make the appropriate choice.

Is the School Accredited? It's important that the program and school you choose are accredited by a highly regarded accrediting agency, for example 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 online or distance education. Not only will accreditation help guarantee that the training you receive will be of superior quality, it may help with your future employment as well. A number of Portland ME medical facilities will only hire entry level prospects that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are in many cases only offered for programs that have earned an accreditation.

What is the School's Reputation? Before selecting a medical billing and coding program, check out what its ranking and reputation are among other schools. This is particularly important if you have no experience in the field, since potential employers will primarily be evaluating you based on the quality of your education. As we have addressed, confirming that the program is accredited is a first step. Checking with school rating organizations, such as U.S. News and World Report, can verify the quality of the school as well. Another option is to get in touch with a few Portland ME healthcare organizations that you may be interested in working for and find out which programs they suggest. Bear in mind that even when the college itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Referral Program? Finding a job in Portland ME after graduating in your new field may be challenging without the support of a job placement program. Ask if the colleges you are looking at have job assistance programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing school has a significant network of healthcare employers where they can refer their graduates. It also implies that the school's graduates are sought after in the marketplace.

Where is the College Located? If you are intending on driving to class from your Portland ME home, then the location of the college will be of significant importance. Of course if you choose an online medical coding and billing program, then the location of the school will not be a factor. One thing to bear in mind is that if you attend classes at a junior or community college, many require a higher tuition for pupils that reside outside of their districts. So you might want to first research those colleges that are within your local area.

What is the Total Expense? Medical billing and coding training programs can differ in cost depending on the type of credential acquired and the amount of training provided. But remember, tuition is not the only cost of your education. Costs also consist of such items as the cost of books, supplies and commuting. Financial assistance might be obtainable to help offset some of the expense, so don't forget to contact the school's financial aid department to see what is available in Portland ME. Naturally if you decide to attend an online college, a portion of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Available that Accommodate your Schedule? A number of students keep working while attending college and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Portland ME, verify that they are offered at those times. If you can only enroll on a part time schedule, verify that the school you select provides that alternative. Also, find out what the process is for making up classes missed due to sickness, work or family emergencies.

Find Out More on How to Select a Billing and Coding Class

Enroll in the Right Portland ME Medical Billing and Coding Program 

Selecting the right medical coding and billing degree or certificate program is a crucial first step to help guarantee your success in this exciting sector of healthcare. Medical billing and medical coding are 2 of the fastest growing occupations in the health industry. Because of this, there are numerous vocational schools, junior colleges and companies that provide training and education in medical coding and billing. As we have discussed, you can choose to attend classes either online or on campus. It's also important that the school you choose offers an accredited program with an excellent reputation within the medical care community. But however you choose to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better prepared to assess your options and pick the right medical billing and coding college. And with the appropriate education, you can accomplish your career objective to become a medical coding and billing clerk in Portland Maine.