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Medical Billing and Coding Programs Online Portland ME

How to Enroll In the Right Medical Biller and Coder Training Program near Portland Maine

Portland Maine woman medical coder at her computerNow that you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Portland ME, it's crucial that you find the appropriate program so that you receive the necessary education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the Country, and increasingly more options are available both on campus and online to get the training that you need. But just where do you begin? Many aspiring students start by looking for programs that are within commuting distance of their homes and then comparing cost. Or they might search the internet looking for online classes and choose the cheapest one. But while cost and location are significant factors when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifications as accreditation and reputation need to be taken into account also. We will review a list of questions that you should ask the medical billing and coding schools you are assessing in order to learn what you need to know prior to making your selection. But first, let's take a look at what medical coders and billers do and the training and certification options available.

Medical Billing and Coding Online Instruction and Certification

cash with stethoscope Portland MaineIt's imperative that you receive your instruction from a reputable school, whether it's a community college, technical or trade school. Although it is not a requirement in many cases to attain a professional certification, the program you select should be accredited (more on the benefits of accreditation later). The majority of Maine schools only require that you have either a high school diploma or a GED to qualify. The quickest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which usually takes about 1 year to finish. An Associate Degree is also an option for a more expansive education, which for most programs calls for 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely available. After your training has been completed, although not required in most states, you might desire to earn a professional certification. Certification is a great way for those new to the profession to show potential employers that they are not only qualified but dedicated to their occupation. A few of the organizations that offer 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 course, together with attaining a professional certification, are the most effective ways to accelerate your new career and succeed in the rapid growing medical care field.

Medical Coding Job Description

Portland Maine patient health files

Medical coders are on the forefront of the billing systems for Portland ME private practices and hospitals. They have the responsibility to analyze the treatment records of patients and assign universal codes to all services provided. These services can be for medical, diagnosis 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 physician and nursing notes, patient charts, and lab and radiology reports. 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 affect coding as well. Inaccurately coded claims can result in services not being paid for, services being paid for at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can in fact cost Portland ME hospitals and doctors multiple thousands of dollars in income every year, a good medical coder is a necessary asset to the healthcare organization. They can work in every kind of healthcare facility, including private practices, hospitals, clinics and urgent care centers. It is not uncommon for professional medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Portland Maine medical insurance forms

As essential as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Portland ME healthcare facilities and are essentially responsible for keeping their doors open. Frequently the coder and biller may be the same person within a medical facility, but they can also be two independent specialists. When the coder has completed his or her task, the biller uses the codes furnished to complete and submit claim forms to insurance companies, Medicaid or Medicare. After they have been paid by the applicable organization, patients can then be billed for deductibles or additional out of pocket costs. On a routine basis, a medical billing clerk may also do any of the following:

  • Verify health insurance benefits for patients and assist them with billing questions or concerns
  • Follow up on submitted patient claims and appeal any that have been declined
  • Work as an intermediary between the medical provider, the insurance companies and the patients for proper claim settlement
  • Generate and control Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Medical Billing and Coding Online Classes

Portland Maine woman enrolled in medical biller and coder online schoolIf you are searching for flexibility and the convenience of attending classes from home, then choosing an online medical billing and coding college might be a great option. They can be particularly attractive to students living in Portland ME who plan on going to school while still working or have other commitments that make going to classes on campus difficult. And as an additional benefit, online schools are in many cases less expensive than the traditional classroom alternatives. Costs 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 imperative to confirm that any online course you choose is accredited to ensure a superior education. We will address the advantages of accreditation in the next section. Just be sure to establish that any online classes you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this type of learning, then obtaining your degree or certificate online may be the ideal choice for you.

Points to Ask Medical Coder and Biller Colleges

Now that you have a general idea just what a medical coder and biller does, as well as what education options are offered, you must start the process of evaluating schools. But since there are numerous training options available at community colleges as well as trade, vocational and technical schools within the Portland ME area, you need to have a prepared list of questions to evaluate each one. And when you include all of the online schools that offer medical coding and billing classes, the task can become somewhat formidable. As we have already covered, cost and location are going to be significant issues, especially if you have a limited budget and will be commuting to classes from your Portland residence. And confirming that the school and program are accredited must be part of your vetting process also. So let's review some of the additional questions that you should ask the programs you are reviewing so that you can analyze each one and make the right choice.

Is the Program Accredited? It's crucial that the program and school you select are accredited by a highly regarded accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online program, it can also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the education you get will be of the highest quality, it could help secure future employment as well. Many Portland ME medical organizations will only employ entry level candidates that have completed an accredited medical billing and coding educational program. And financial aid and student loans are in many cases only offered for programs that have earned an accreditation.

What is the Program's Reputation? Prior to selecting a medical coding and billing program, check out what its ranking and reputation are compared to other schools. This is particularly relevant 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 covered, verifying that the school is accredited is a first step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school as well. Another option is to get in touch with some Portland ME medical organizations that you may be interested in working for and ask which programs they recommend. Keep in mind that even if the school itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Finding a job in Portland ME after graduation in your new profession may be challenging without the support of a job assistance program. Ask if the schools you are considering have job placement programs and what their job placement rates are. A rapid and high placement rate is a good indication that the billing and coding college has a considerable network of healthcare employers where they can place their graduates. It also indicates that the school's graduates are sought after in the marketplace.

Where is the College's Location? If you are intending on driving to class from your Portland ME residence, then the location of the program will be of prime importance. Of course if you enroll in an medical coding and billing online program, then the location of the school will not be a factor. One thing to remember is that if you attend classes at a junior or community college, most require a higher tuition for pupils that reside outside of their districts. So you may want to first consider those schools that are within your local area.

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

Are Classes Accessible that Fit your Schedule? Many students keep working while going to college and require a flexible class schedule. If you can only go to classes at night or on weekends near Portland ME, verify that they are offered at those times. If you can only attend on a part time basis, check that the program you select offers that alternative. Also, ask what the procedure is for making up classes missed due to sickness, work or family responsibilities.

Get Info on How to Choose a Medical Biller and Coder School

Enroll in the Best Portland ME Medical Billing and Coding School 

Choosing the ideal medical billing and coding degree or certificate course is a crucial first step to help assure your success in this rewarding field of medical care. Medical billing and medical coding are 2 of the fastest expanding careers in the medical industry. Because of this, there are a lot of trade schools, junior colleges and companies that furnish 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 imperative that the school you pick offers an accredited program with an outstanding reputation within the medical care community. But however you elect to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better qualified to assess your options and pick the right medical billing and coding school. And with the appropriate education, you can accomplish your career goal to become a medical coding and billing clerk in Portland Maine.