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Medical Coding and Billing Schools Online South Portland ME

How to Select the Right Medical Billing Training Program near South Portland Maine

South Portland Maine woman medical coder entering dataOnce you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near South Portland ME, it's important that you choose the right school so 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 obtain the training that you need. But just where does one start? A number of aspiring students begin by searching for schools that are within commuting distance of their homes and then comparing tuition. Or they may surf the internet looking for online classes and select the least expensive one. But while cost and location are relevant issues when making your choice, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation must be considered also. We will review a checklist of topics that you need to ask the medical billing and coding courses you are researching in order to learn what you need to know before making your decision. But first, let's take a look at what medical coders and billers do and the training and certification options available.

Medical Biller and Coder Online Training and Certification

money under stethoscope South Portland MaineIt's essential that you receive your education from a reputable school, whether it's a technical school, vocational school or community college. While it is not required in most cases to attain a professional certification, the school you select should be accredited (more on the benefits of accreditation later). The majority of Maine colleges simply require that you earn either a high school diploma or a GED to apply. The quickest way to become either a medical coder or biller (or both) is to earn a certificate, which normally takes about one year to complete. An Associate Degree is also an option for a more expansive education, which for almost all colleges calls for two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. Once your training has been concluded, although not mandated in the majority of states, you may desire to acquire a professional certification. Certification is a great method for those new to the field to show prospective employers that they are not only qualified but dedicated to their career. Just some 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).

Graduating from an accredited medical coding and billing course, in conjunction with obtaining a professional certification, are the most effective ways to advance your new vocation and succeed in the rapid growing medical care industry.

Medical Coder Job Summary

South Portland Maine patient medical files

Medical coders work on the forefront of the billing systems for South Portland ME medical practices and hospitals. They have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis or dental procedures, or any equipment or medical supplies 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 lab and radiology reports. Coders must know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all private payer and government rules that impact coding also. Incorrectly coded claims may result in services not being covered, services being paid at a reduced rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can in fact cost South Portland ME hospitals and doctors many thousands of dollars in revenue every year, a good medical coder is an important asset for any healthcare organization. They can work in every kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not uncommon for seasoned medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Summary

South Portland Maine medical insurance paperwork

As crucial 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 extremely important to South Portland ME healthcare organizations and are essentially responsible for keeping them in business. In many cases the biller and coder can be the same man or woman within a medical facility, but they can also be 2 independent specialists. When the coder has carried out her or his task, the biller uses the codes supplied to complete and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the appropriate organization, patients can then be billed for deductibles or other out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

  • Confirm medical insurance benefits for patients and assist them with billing concerns or questions
  • Check on submitted patient claims and appeal those that have been declined
  • Function as a mediator between the healthcare provider, the insurance companies and the patients for proper claim resolution
  • Create and control Accounts Receivables reports
  • Produce and handle unpaid patient collections accounts

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

Online Medical Billing and Coding Courses

South Portland Maine female enrolled in medical biller and coder online classesIf you are interested in convenience and the flexibility of attending classes in your home, then choosing an online medical billing and coding course might be an excellent alternative. They can be particularly appealing to individuals living in South Portland ME who plan on attending school while continuing to work or have additional commitments that make attending classes on campus difficult. And as an additional advantage, online schools are frequently cheaper than the standard classroom options. Expenses for such things as tuition, course materials and commuting may be minimized or eliminated. But be cautious, as not all online courses are reputable. That's why it's imperative to confirm that any online school you select is accredited to guarantee a superior education. We will address the advantages of accreditation in the next segment. Just be sure to confirm that any online instruction you are looking at is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then attaining your degree or certificate online might be the ideal choice for you.

What to Ask Medical Coding and Billing Colleges

Once you have a general idea what a medical biller and coder does, as well as what education options are offered, you need to begin the process of researching schools. But since there a large number of training options offered at community colleges and trade, vocational and technical schools within the South Portland ME area, you must have a prepared list of questions in order to evaluate each one. And when you add all of the online programs 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 relevant factors, especially if you have a modest budget and will be driving to classes from your South Portland residence. And verifying that the school and program are accredited should be part of your vetting process as well. So let's review a few of the other questions that you should ask the schools you are looking at so that you can analyze each one and make the best choice.

Is the Training Accredited? It's crucial that the program and school you decide on are accredited by a respected accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it can also receive accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help guarantee that the training you get will be of superior quality, it could help with your future employment also. A number of South Portland ME medical facilities will only hire entry level candidates that have completed an accredited medical coding and billing training course. And financial assistance and student loans are in many cases only obtainable for programs that have received an accreditation.

What is the Program's Reputation? Before choosing a medical coding and billing school, check out what its ranking and reputation are compared to other programs. This is especially imperative if you have no experience in the industry, since potential employers will mainly be relying on the quality of your education. As we have discussed, confirming that the school is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can confirm the quality of the school also. Another option is to call several South Portland ME medical organizations that you might have an interest in working for and ask which schools they suggest. Remember that even if the college itself does not have an exceptional reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Assistance Program? Obtaining a job in South Portland ME after graduating in your new profession can be difficult without the support of a job placement program. Check if the colleges you are considering have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the coding and billing college has a sizable network of medical care employers where they can place their graduates. It also suggests that the school's graduates are sought after in the marketplace.

Where is the School's Location? If you are intending on commuting to class from your South Portland ME home, then the location of the campus will be of prime importance. Naturally if you choose an medical coding and billing online program, then the location of the college will not be a factor. One thing to remember is that if you attend classes at a community or junior college, many charge 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 Total Expense? Medical coding and billing certification programs can fluctuate in cost based 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. Expenditures also include such items as the cost of supplies, books and commuting. Financial assistance may be available to help offset some of the cost, so make sure to get in touch with the college's financial aid department to see what is available in South Portland ME. Naturally if you decide to attend an online school, a portion of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Accommodate your Schedule? A number of students continue working while going to college and require a flexible class schedule. If you can only attend classes in the evenings or on weekends near South Portland ME, confirm that they are offered at those times. If you can only attend on a part time schedule, make sure that the college you select offers that option. Also, find out what the procedure is for making up classes missed because of illness, work or family responsibilities.

Get Info on How to Choose a Billing and Coding School

Enroll in the Best South Portland ME Medical Billing and Coding School 

Selecting the ideal medical coding and billing certificate or degree program is a critical initial step to help assure your success in this rewarding specialty of medical care. Medical coding and medical billing are 2 of the fastest expanding careers in the health sector. As a result, there are many trade schools, junior colleges and companies that provide training and instruction in medical billing and coding. As we have covered, 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 outstanding reputation within the healthcare community. But however you choose to receive your education, by following the previous guidelines and posing the appropriate questions, you will be better qualified to evaluate your options and choose the right medical billing and coding program. And with the proper education, you can achieve your career objective to become a medical coding and billing clerk in South Portland Maine.