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Medical Coding and Billing Programs Online Portland ME

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

Portland Maine woman medical biller entering dataNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Portland ME, it's essential that you choose the appropriate school so that you receive the necessary education to guarantee your success. As you no doubt know, healthcare is one of the fastest growing fields in the Country, and increasingly more options are available both on campus and online to obtain the training that you need. But just where do you begin? Many potential students start by looking for colleges that are within driving distance of their homes and then comparing tuition. Or they may surf the internet looking for online schools and select the cheapest one. But while location and cost are relevant factors when making your selection, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation need to be considered as well. We will cover a checklist of topics that you should ask the medical billing and coding schools you are researching so that you can learn what you need to know prior to making your selection. Before we do that, let's take a look at what medical billers and coders do.

Medical Coder Job Summary

Portland Maine patient health records

Medical coders are on the forefront of the billing systems for Portland ME medical practices and healthcare organizations. Coders have the responsibility to review the medical records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical 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 including physician and nursing notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all private payer and government regulations that affect coding also. Inaccurately coded claims can lead to services not being paid for, services being paid for at a reduced rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Portland ME physicians and medical facilities multiple thousands of dollars in income each year, a good medical coder is a vital asset to the healthcare organization. They can work in any kind of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not unusual for professional medical coders to work at home as an offsite employee or an independent contractor.

Medical Billing Job Description

Portland Maine medical insurance paperwork

As vital as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are very important to Portland ME healthcare organizations and are essentially responsible for keeping them in business. Frequently the coder and biller can be the same man or woman within a healthcare organization, but they can also be 2 separate specialists. Once the coder has completed her or his duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance carriers, Medicaid or Medicare. After they have been adjusted by the appropriate entity, patients can then be invoiced for deductibles and 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 concerns or questions
  • Check on patient claims submitted and appeal those that have been declined
  • Act as an intermediary between the healthcare provider, the insurance companies and the patients for proper claim settlement
  • Produce and manage Accounts Receivables reports
  • Generate and take care of unpaid patient collections accounts

Medical billers not only work for private practices, but also Portland ME hospitals, urgent care facilities, medical groups or nursing homes. They can work in any kind of healthcare facility that relies on the revenues generated by billing patients and third party payers.

Online Medical Billing and Coding Classes

Portland Maine woman enrolled in medical billing and coding online trainingIf you are looking for convenience and the flexibility of attending classes from home, then choosing a medical billing and coding online school might be a great alternative. They can be especially attractive to those living in Portland ME who anticipate going to school while still working or have other obligations that make attending classes on campus challenging. And as an additional advantage, online programs are often less expensive than the standard classroom options. Expenses for such things as tuition, course materials and commuting may be reduced or eliminated. But be careful, as not all online courses are reputable. That's why it's important to establish that any online course you choose is accredited to guarantee a premium education. We will review the advantages of accreditation in the next section. Just be sure to confirm that any online college you are researching is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then obtaining your degree or certificate online might be the ideal choice for you.

What to Ask Medical Biller and Coder Colleges

Now that you have a better idea just what a medical coder and biller does, in addition to what training options are offered, you need to begin the process of comparing colleges. But since there many training options available at community colleges as well as vocational, technical and trade schools within the Portland ME area, you must have a prepared list of questions to analyze each one. And when you add all of the online programs that offer medical coding and billing classes, the task can become rather daunting. As we have already discussed, cost and location are going to be significant factors, especially if you have a modest budget and will be traveling to classes from your Portland home. And verifying that the program and school are accredited should be part of your vetting process also. So let's review several of the other questions that you should ask the programs you are reviewing so that you can compare each one and make the right choice.

Is the Training Accredited? It's crucial that the school and program you pick are accredited by a recognized accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online school, it can also earn accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help guarantee that the training you receive will be of superior quality, it could help secure future employment also. Many Portland ME healthcare facilities will only hire entry level candidates that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are in many cases only available for programs that have earned an accreditation.

What is the Program's Reputation? Before enrolling in a medical coding and billing school, check out what its reputation and ranking are among other colleges. This is particularly important if you have no experience in the field, since potential employers will basically be evaluating you based on the quality of your education. As we have discussed, confirming that the program is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school as well. An alternative is to contact some Portland ME healthcare organizations that you might be interested in working for and ask which schools they suggest. Remember 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 Placement Program? Finding a job in Portland ME after graduation in your new profession can be difficult without the help of a job placement program. Check if the schools you are considering have job assistance 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 significant network of medical care employers where they can place 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 planning on driving to class from your Portland ME 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 remember is that if you attend classes at a junior or community college, most require a higher tuition for pupils that live outside of their districts. So you may prefer to first look at those colleges that are within your local area.

What is the Complete Cost? Medical coding and billing training courses can vary in cost based on the type of credential acquired and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Expenses also include such items as the cost of books, supplies and commuting. Financial assistance might be obtainable to help offset some of the cost, so be sure to get in touch with the school's financial aid department to see what is offered in Portland ME. Of course if you decide to enroll in an online college, some of these additional costs, such as for commuting may be minimized or even eliminated.

Are Classes Available that Accommodate your Schedule? Many students keep working while attending school and need a flexible class schedule. If you can only go to classes during the evenings or on weekends near Portland ME, make sure that they are offered at those times. If you can only enroll on a part time schedule, make certain that the college you decide on offers that option. Also, ask what the procedure is for making up classes missed because of work, illness or family responsibilities.

Get Info on How to Select a Medical Billing Course

Select the Right Portland ME Medical Billing and Coding Training 

Choosing the right medical billing and coding degree or certificate program is a very important first step to help ensure your success in this exciting field of medical care. Medical coding and medical billing are 2 of the most rapidly growing careers in the medical industry. Because of this, there are a lot of vocational schools, junior colleges and companies that furnish instruction and training in medical coding and billing. As we have discussed, you can opt to attend classes either on campus or online. It's also imperative that the college you pick offers an accredited program with an excellent reputation within the medical care community. But however you elect to receive your training, by following the previous guidelines and asking the right questions, you will be better qualified to evaluate your options and select the ideal medical billing and coding school. And with the proper training, you can accomplish your career goal to become a medical coding and billing clerk in Portland Maine.