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Medical Billing and Coding Courses Online South Portland ME

How to Find the Right Medical Coding Training Program near South Portland Maine

South Portland Maine woman medical biller at her computerNow that you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near South Portland ME, it's essential that you select the appropriate program so that you receive the proper education to ensure your success. As you may already know, healthcare is among the fastest growing sectors in the USA, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where do you start? A number of potential students begin by searching for colleges that are within travelling distance of their homes and then comparing cost. Or they may search the internet looking for online schools and select the least expensive one. But while cost and location are relevant factors when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation should be considered as well. We will go over a list of topics that you need to ask the medical billing and coding training programs you are researching in order to learn what you must know prior to making your selection. Before we do that, let's take a look at what medical billers and coders do and the academic and certification options offered.

Medical Billing and Coding Online Education and Certification

cash under stethoscope South Portland MaineIt's imperative that you get 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 obtain a professional certification, the school you select should be accredited (more on the advantages of accreditation later). Most Maine colleges just require that you have either a high school diploma or a GED to qualify. The quickest way to becoming either a medical biller or coder (or both) is to earn a certificate, which generally takes about one year to accomplish. An Associate Degree is also an option for a more expansive education, which for the majority of programs calls for two years of studies. Bachelor's Degrees for medical coding and billing are not abundantly offered. Once your training has been completed, although not required in the majority of states, you may wish to acquire a professional certification. Certification is an excellent way for those new to the profession to show potential employers that they are not only qualified but dedicated to their career. 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 program, combined with attaining a professional certification, are the best ways to accelerate your new vocation and succeed in the rapid growing medical care industry.

Medical Coder Job Summary

South Portland Maine patient health files

Medical coders work on the forefront of the billing systems for South Portland ME medical practices and healthcare organizations. Coders have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services can 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 such as physician and nursing notes, patient charts, and lab and radiology reports. Medical Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that impact coding also. Incorrectly coded claims may result in services not being paid for, services being paid for at a lower rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost South Portland ME doctors and hospitals multiple thousands of dollars in revenue annually, a good medical coder is an important asset to the healthcare organization. They can operate in any type of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not uncommon for experienced medical coders to operate at home as an independent contractor or offsite employee.

Medical Biller Job Duties

South Portland Maine health insurance forms

As crucial as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose labors bring in revenue. Medical billing clerks are very important to South Portland ME healthcare facilities and are practically responsible for keeping them in business. In many cases the coder and biller may be the same individual within a healthcare facility, but they can also be 2 individual professionals. After the coder has carried out his or her task, the biller uses the codes furnished to fill out and submit claim forms to insurance carriers, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be charged for deductibles or additional out of pocket costs. On a routine basis, a medical biller can also do any of the following:

  • Confirm health insurance benefits for patients and help them with billing questions or concerns
  • Check on submitted patient claims and appeal those that have been declined
  • Work as an intermediate between the medical provider, the insurance carriers and the patients for proper claim resolution
  • Produce and oversee Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Online Medical Biller and Coder Colleges

South Portland Maine female enrolled in medical biller and coder online trainingIf you are searching for convenience and the flexibility of attending classes from home, then choosing a medical billing and coding online course may be a good alternative. They can be particularly appealing to students living in South Portland ME who anticipate going to school while continuing to work or have additional commitments that make going to classes on campus challenging. And as an additional advantage, online programs are often less expensive than the traditional classroom alternatives. Costs for such items as tuition, commuting and study materials may be decreased or eliminated. But be cautious, as not all online courses are reputable. That's why it's imperative to establish that any online school you choose is accredited to ensure a quality education. We will address the advantages of accreditation in the next segment. Just make sure to confirm that any online school 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 commit yourself to this mode of learning, then obtaining your certificate or degree online may be the ideal choice for you.

Questions to Ask Medical Coding and Billing Training Programs

Once you have a better idea what a medical coder and biller does, in addition to what education options are available, you need to begin the process of researching colleges. 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 should have a prepared list of questions in order to analyze each one. And when you include all of the online programs that offer medical billing and coding classes, the task can become somewhat formidable. As we have already discussed, cost and location are going to be relevant factors, particularly if you have a limited budget and will be commuting to classes from your South Portland residence. And whether or not the program and school are accredited should be part of your vetting procedure also. So let's take a look at a few of the additional questions that you should ask the schools you are looking at so that you can analyze each one and make the right choice.

Is the Training Accredited? It's vital that the school and program you pick are accredited by a respected accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it may also receive 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 the highest quality, it might help secure future employment also. Many South Portland ME medical facilities will only hire entry level applicants that have completed an accredited medical coding and billing training course. And financial assistance and student loans are often only available for programs that have earned an accreditation.

What is the Program's Reputation? Before selecting a medical coding and billing school, check out what its ranking and reputation are among other colleges. This is especially imperative if you have no experience in the profession, since potential employers will primarily be evaluating you based on the quality of your education. As we have addressed, confirming that the program is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can verify the quality of the school as well. An alternative is to check with some South Portland ME healthcare organizations that you may be interested in working for and ask which colleges they suggest. Remember that even when the college itself does not have an outstanding reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Placement Program? Obtaining employment in South Portland ME after graduation in your new profession can be challenging without the help of a job placement program. Check if the schools you are looking at 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 considerable network of medical care employers where they can place their graduates. It also implies that the college's graduates are in high demand in the marketplace.

Where is the College's Location? If you are planning on driving to class from your South Portland ME home, then the location of the campus will be of prime importance. Naturally if you select an online medical coding and billing program, then the location of the college will not be a factor. One thing to keep in mind is that if you attend classes at a community or junior college, most require a higher tuition for enrollees that live 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 certification courses can vary in cost depending on the type of credential obtained and the amount of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also include such items as the cost of books, supplies and commuting. Financial assistance may be obtainable to help reduce some of the expense, so make sure to get in touch with the college's financial aid department to find out what is offered in South Portland ME. Of course if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Offered that Match your Schedule? A number of students continue working while attending school and require a convenient class schedule. If you can only go to classes at night or on weekends near South Portland ME, make sure that they are offered at those times. If you can only attend on a part-time basis, make certain that the college you decide on offers that option. Also, ask what the process is for making up classes missed because of illness, work or family responsibilities.

Get Info on How to Choose a Billing and Coding Program

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

Enrolling in the ideal medical coding and billing certificate or degree program is a critical first step to help guarantee your success in this exciting field of healthcare. Medical coding and medical billing are 2 of the fastest expanding occupations in the medical sector. Because of this, there are numerous vocational schools, community colleges and other institutions that provide instruction and training in medical coding and billing. As we have discussed, you can elect to attend classes either on campus or online. It's also essential that the college you select offers an accredited program with an excellent reputation within the medical care industry. But however you decide to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better qualified to analyze your options and choose the right medical billing and coding school. And with the appropriate education, you can achieve your career goal to become a medical coding and billing specialist in South Portland Maine.