Home >> Maine >> Portland >> Medical Billing And Coding Schools


Medical Billing and Coding Online Programs Portland ME

How to Enroll In the Best Medical Billing College near Portland Maine

Portland Maine female medical biller and coder entering dataOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Portland ME, it's crucial that you select the right school to ensure that you receive the proper education to ensure your success. As you may already know, healthcare is among the fastest growing sectors in the Country, and a growing number of options are offered both online and on campus to obtain the training that you need. But just where does one start? A number of aspiring students start by searching for schools that are within travelling distance of their homes and then comparing cost. Or they might surf the internet looking for online classes and select the least expensive one. But while location and cost are significant factors when making your choice, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation should be taken into consideration as well. We will review a list of questions that you need to ask the medical billing and coding training programs you are assessing in order to find out what you must know before making your decision. But first, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Coder Job Duties

Portland Maine patient health records

Medical coders work on the forefront of the billing systems for Portland ME medical practices and hospitals. They have the responsibility to examine the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any medical supplies or equipment utilized. 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 rely on information from sources such as physician and nursing notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all private payer and government rules that impact coding also. Improperly coded claims may lead to services not being paid for, services being paid at a lower rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Portland ME physicians and medical facilities multiple thousands of dollars in income every year, a good medical coder is a vital asset for any healthcare organization. They can operate in any kind of healthcare facility, including family 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 Functions

Portland Maine health insurance forms

As important as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Portland ME healthcare facilities and are essentially responsible for keeping them in business. Frequently the biller and coder can be the same person within a medical organization, but they can also be two separate professionals. When the coder has carried out her or his task, the biller utilizes the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been adjusted by the appropriate organization, patients can then be charged for deductibles and additional out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been denied
  • Work as an intermediate between the healthcare provider, the insurance carriers and the patients for accurate claim settlement
  • Create and manage Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

Medical billing clerks not only are employed by private practices, but also Portland ME hospitals, urgent care facilities, medical groups or nursing homes. They may practice in every type of medical facility that depends on the revenues generated by billing patients and third party payers.

Medical Biller and Coder Online Education and Certification

cash with 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. While it is not a requirement in many cases to obtain a professional certification, the program you select should be accredited (more on the benefits of accreditation later). Most Maine schools simply require that you have either a high school diploma or a GED to qualify. The quickest way to become either a medical coder or biller (or both) is to attain a certificate, which typically takes about a year to finish. An Associate Degree is an alternative for a more extensive education, which for almost all colleges calls for two years of studies. Bachelor's Degrees for medical billing and coding are not widely available. When your training has been concluded, although not required in most states, you may want to acquire a professional certification. Certification is a great means 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 coding and billing program, together with earning a professional certification, are the most effective ways to advance your new vocation and succeed in the fast growing healthcare industry.

Online Medical Biller and Coder Schools

Portland Maine student enrolled in medical billing and coding online schoolIf you are searching for convenience and the flexibility of attending classes in your home, then enrolling in a medical billing and coding online school might be a great option. They can be especially appealing to those living in Portland ME who anticipate attending school while still working or have other commitments that make attending classes on campus difficult. And as an added advantage, online schools are often less expensive than the traditional classroom options. Expenses for such things as tuition, course materials and commuting may be minimized or eliminated. But be cautious, as not all online schools are reputable. For that reason it's imperative to confirm that the online college you enroll in is accredited to guarantee a quality education. We will review the benefits of accreditation in the next segment. Just be sure to establish that any online school you are considering is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this mode of learning, then acquiring your degree or certificate online may be the ideal choice for you.

Questions to Ask Medical Coding and Billing Colleges

Now that you have a general idea just what a medical coder and biller does, along with what education options are available, you must start the process of researching colleges. But since there a large number of training options offered at community colleges and vocational, technical and trade schools within the Portland ME area, you should have a ready list of questions to evaluate each one. And when you add all of the online colleges that offer medical billing and coding classes, the project can become somewhat daunting. As we have already addressed, location and cost are going to be relevant issues, especially if you have a modest budget and will be commuting to classes from your Portland home. And verifying that the program and school are accredited must be part of your vetting process also. So let's review several of the other questions that you should ask the colleges you are considering so that you can analyze each one and make the best choice.

Is the School Accredited? It's vital that the program and school you choose are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online school, it might also receive accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help confirm that the education you receive will be of the highest quality, it could help with your future employment as well. Many Portland ME medical organizations will only employ entry level prospects that have completed an accredited medical billing and coding educational course. And financial aid and student loans are often only obtainable for programs that have received an accreditation.

What is the Program's Reputation? Prior to selecting a medical coding and billing college, find out what its reputation and ranking are compared to other programs. This is especially important if you have no experience in the profession, since potential employers will basically be relying on the quality of your training. As we have covered, verifying that the school is accredited is an initial step. Checking with college rating organizations, for instance U.S. News and World Report, can confirm the quality of the school as well. An alternative is to call some Portland ME healthcare organizations that you may be interested in working for and ask which colleges they recommend. Remember that even when the school itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Assistance Program? Finding a job in Portland ME after graduation in your new profession might be difficult without the support of a job assistance program. Check if the schools you are reviewing have job assistance programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the billing and coding school has a sizable network of healthcare employers where they can refer their graduates. It also suggests that the college's graduates are in high demand in the marketplace.

Where is the College Located? If you are intending on driving to class from your Portland ME residence, then the location of the campus will be of prime importance. Naturally if you select an medical coding and billing online 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 community or junior college, most require a higher tuition for students that reside outside of their districts. So you might prefer to first consider those colleges that are within your local area.

What is the Overall Expense? Medical coding and billing training programs can vary in cost depending on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only expense for your education. Costs also consist of such items as the cost of books, supplies and commuting. Financial aid might be available to help reduce a portion of the cost, so don't forget to contact the school's financial aid department to find out what is available in Portland ME. Of course if you decide to enroll in an online college, some of these added costs, such as for commuting may be minimized or even eliminated.

Are Classes Accessible that Match your Schedule? Many students continue working while going to school and need a convenient class schedule. If you can only attend classes in the evenings or on weekends near Portland ME, verify that they are available at those times. If you can only attend on a part time schedule, check that the school you enroll in provides that alternative. Also, ask what the procedure is for making up classes missed because of sickness, work or family emergencies.

Find Out More on How to Enroll in a Medical Biller and Coder Program

Enroll in the Right Portland ME Medical Billing and Coding Program 

Choosing the ideal medical billing and coding degree or certificate course is a crucial initial step to help assure your success in this exciting field of medical care. Medical coding and medical billing are 2 of the most rapidly growing jobs in the medical sector. As a result, there are many trade schools, community colleges and other institutions that provide education 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 important that the college you select has an accredited program with an excellent 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 able to analyze your options and select the right medical billing and coding school. And with the appropriate training, you can achieve your career objective to become a medical coding and billing specialist in Portland Maine.