How to Choose the Best Medical Billing Program near South Portland Maine
Now that you have made a decision to become part of 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 to ensure that you receive the proper education to ensure your success. As you no doubt know, healthcare is one of the fastest growing sectors in the United States, and more and more options are available both online and on campus to receive the training that you need. But just where does one begin? Many potential students begin by searching for programs that are within commuting distance of their residences and then comparing tuition. Or they may surf the internet looking for online courses and pick the cheapest one. But while location and cost are important factors when making your determination, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into consideration as well. We will cover a list of topics that you should ask the medical billing and coding schools you are researching so that you can find out what you need to know prior to making your decision. Before we do that, let's take a look at what medical coders and billers do.
Medical Coding Job Description
Medical coders work on the forefront of the billing systems for South Portland ME medical practices and healthcare organizations. Coders have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. 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 use information from sources such as physician and nursing notes, patient charts, and radiology and lab reports. 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 rules that influence coding also. Improperly coded claims can lead to services not being covered, services being paid for at a decreased rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost South Portland ME hospitals and doctors multiple thousands of dollars in income each year, a proficient medical coder is a necessary asset for any healthcare organization. They can work in any type of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not unusual for seasoned medical coders to working from home as an independent contractor or offsite employee.
Medical Billing Job Description
As important as the medical coder's function is, it would be for naught without the collaboration of the medical biller whose labors generate revenue. Medical billing clerks are very important to South Portland ME healthcare organizations and are practically responsible for keeping their doors open. In many cases the biller and coder may be the same individual within a healthcare organization, but they can also be 2 separate professionals. When the coder has carried out his or her task, the biller uses the codes supplied to complete and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the applicable organization, patients can then be invoiced for deductibles or other out of pocket expenses. 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
- Check on patient claims submitted and appeal any that have been denied
- Function as a mediator between the medical provider, the insurance companies and the patients for proper claim settlement
- Create and control Accounts Receivables reports
- Produce and take care of unpaid patient collections accounts
Medical billers not only work for family practices, but also South Portland ME hospitals, urgent care facilities, nursing homes or medical groups. They may practice in any type of medical facility that relies on the revenues generated by billing patients and third party payers.
Online Medical Billing and Coding Colleges
If you are interested in convenience and the flexibility of attending classes from home, then enrolling in a medical billing and coding online course might be a good alternative. They can be especially attractive to students living in South Portland ME who plan on going to school while continuing to work or have additional commitments that make going to classes on campus difficult. And as an additional advantage, online colleges are in many cases less expensive than the standard classroom alternatives. Costs for such items as tuition, commuting and study materials may be decreased or eliminated. But be cautious, as not all online schools are reputable. For that reason it's important to confirm that the online course you enroll in is accredited to ensure a premium education. We will cover the benefits of accreditation in the next segment. Just make sure to verify that any online instruction you are looking at is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this type of learning, then attaining your certificate or degree online might be the right choice for you.
What to Ask Medical Coding and Billing Courses
Now that you have a better idea what a medical coder and biller does, as well as what training options are offered, you must start the process of researching colleges. But since there many training options offered at community colleges as well as vocational, technical and trade schools within the South Portland ME area, you must have a prepared list of questions to evaluate each one. And when you include all of the online colleges that offer medical billing and coding classes, the task can become somewhat daunting. As we have already discussed, location and cost are going to be significant factors, particularly if you have a limited budget and will be traveling to classes from your South Portland residence. And verifying that the school and program are accredited must be part of your vetting process also. So let's take a look at a few of the additional questions that you should ask the colleges you are looking at so that you can analyze each one and make the ideal choice.
Is the Program Accredited? It's important that the program and college 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 receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the education you receive will be of superior quality, it may help with your future employment also. Many South Portland ME healthcare facilities will only employ entry level applicants that have completed an accredited medical billing and coding training program. And financial aid and student loans are frequently only offered for programs that have obtained an accreditation.
What is the School's Reputation? Prior to enrolling in a medical billing and coding program, find out what its reputation and ranking are among other programs. This is particularly imperative if you have no experience in the field, since potential employers will basically be relying on the quality of your training. As we have covered, 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. An alternative is to check with a few South Portland ME healthcare organizations that you might have an interest in working for and ask which schools they recommend. 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 Placement Program? Obtaining a job in South Portland ME after graduation in your new field might be difficult without the support of a job placement program. Find out if the colleges 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 coding and billing college has a sizable 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 School Located? If you are intending on commuting to class from your South Portland ME home, then the location of the campus 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 factor. One thing to bear in mind is that if you attend classes at a junior or community college, many charge a higher tuition for pupils that live outside of their districts. So you might want to first look at those colleges that are within your local area.
What is the Complete Expense? Medical coding and billing training courses can differ in cost depending on the type of credential acquired and the amount 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 books, supplies and commuting. Financial assistance might be available to help offset some of the expense, so don't forget to check with the school's financial aid department to find out what is offered in South Portland ME. Of course if you decide to enroll in an online school, some of these added costs, such as 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, verify that they are available at those times. If you can only enroll on a part-time schedule, make sure that the program you pick provides that alternative. Also, find out what the protocol 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
Choose the Best South Portland ME Medical Billing and Coding School
Selecting the ideal medical coding and billing degree or certificate program is a crucial initial step to help ensure your success in this rewarding specialty of healthcare. Medical coding and medical billing are two of the fastest expanding careers in the health industry. As a result, there are many vocational schools, junior colleges and other institutions that provide education and training in medical coding and billing. As we have discussed, you can opt to attend classes either online or on campus. It's also important that the college you select offers an accredited program with an excellent reputation within the medical care field. But however you elect to receive your training, by adhering to the previous guidelines and asking the appropriate questions, you will be better qualified to evaluate your options and select the right medical billing and coding program. And with the appropriate training, you can accomplish your career goal to become a medical billing and coding clerk in South Portland Maine.