Home >> Maryland >> Rockville >> How To Become A Medical Coder


Medical Billing and Coding Classes Online Rockville MD

How to Choose the Best Medical Billing and Coding Program near Rockville Maryland

Rockville Maryland female medical biller and coder entering dataNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Rockville MD, it's crucial that you select 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 industries in the USA, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where does one start? A number of aspiring students begin by looking for programs that are within driving distance of their residences and then comparing cost. Or they may surf the internet looking for online schools and choose the least expensive one. But while cost and location are relevant issues when making your selection, they should not be the only ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation must be taken into consideration as well. We will cover a checklist of topics that you need to ask the medical billing and coding training programs you are assessing so that you can learn what you must know prior to making your decision. But first, let's take a look at what medical coders and billers do and the educational and certification options offered.

Medical Coder and Biller Online Programs and Certification

cash and stethoscope Rockville MarylandIt'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 a requirement in many cases to attain a professional certification, the program you select should be accredited (more on the benefits of accreditation later). Most Maryland programs just require that you earn either a high school diploma or a GED to apply. The most expedient way to becoming either a medical coder or biller (or both) is to earn a certificate, which normally takes about 1 year to complete. An Associate Degree is an alternative for a more comprehensive education, which for most schools requires 2 years of studies. Bachelor's Degrees for medical billing and coding are not widely available. When your training has been completed, although not required in most states, you might want to attain 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 committed 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 billing and coding course, in conjunction with attaining a professional certification, are the most effective ways to accelerate your new career and succeed in the rapid growing healthcare industry.

Medical Coding Job Summary

Rockville Maryland patient medical history

Medical coders work on the front line of the billing systems for Rockville MD medical practices and hospitals. They have the responsibility to examine the treatment records of patients and convert all services provided into universal codes. These services may 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 such as nursing and physician notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accurate reporting, but must have a functioning knowledge of all government and private payer regulations that affect coding also. Inaccurately coded claims may lead to services not being covered, services being paid at a reduced rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Rockville MD physicians and medical facilities multiple thousands of dollars in income every year, a reliable medical coder is a necessary asset to the healthcare organization. They can operate in any kind of healthcare facility, including family practices, clinics, hospitals and critical care centers. It is not unusual for experienced medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Functions

Rockville Maryland health insurance documents

As essential as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are very important to Rockville MD medical facilities and are literally responsible for keeping them in business. Sometimes the biller and coder may be the same man or woman within a medical organization, but they can also be two separate professionals. After the coder has performed his or her job, the biller uses the codes provided to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been paid by the appropriate organization, patients can then be billed for deductibles or additional out of pocket costs. On a regular basis, a medical billing professional might also do any of the following:

  • Check medical insurance coverages for patients and help them with billing questions or concerns
  • Follow up on patient claims submitted and appeal any that have been denied
  • Function as an intermediary between the medical provider, the insurance companies and the patients for accurate claim settlement
  • Generate and control Accounts Receivables reports
  • Generate and take care of unpaid patient collections accounts

Medical billers not only are employed by private practices, but also Rockville MD emergency care facilities, hospitals, medical groups or nursing homes. They can work in any type of medical facility that relies on the revenues generated from billing patients and third party payers.

Medical Billing and Coding Online Classes

Rockville Maryland student enrolled in medical billing and coding online classesIf you are looking for convenience and the flexibility of attending classes in your home, then selecting a medical billing and coding online school might be a great option. They can be particularly appealing to individuals living in Rockville MD who anticipate going to school while still working or have other commitments that make attending classes on campus difficult. And as an added advantage, online colleges are often less expensive than the traditional classroom alternatives. Costs for such things as tuition, course materials and commuting may be minimized or eliminated. But be cautious, as not all online schools are reputable. For that reason it's imperative to verify that the online program you select is accredited to ensure a superior education. We will address the advantages of accreditation in the next segment. Just make sure to confirm that any online instruction you are looking at is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this type of learning, then earning your certificate or degree online may be the right choice for you.

What to Ask Medical Biller and Coder Programs

Now that you have a general idea what a medical coder and biller does, along with what training options are offered, you must begin the process of comparing schools. But since there many training options offered at community colleges as well as vocational, technical and trade schools within the Rockville MD area, you should have a ready list of questions in order to analyze each one. And when you include all of the online schools that offer medical coding and billing classes, the project can become somewhat formidable. As we have already covered, expense and location are going to be significant issues, particularly if you have a limited budget and will be driving to classes from your Rockville residence. And verifying that the school and program are accredited should be part of your vetting process also. So let's take a look at a few 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 essential that the program and college you decide on are accredited by a highly regarded accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online college, it might also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help ensure that the training you receive will be of the highest quality, it may help with your future employment as well. Many Rockville MD healthcare organizations will only hire entry level applicants that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only offered for programs that have earned an accreditation.

What is the School's Reputation? Before choosing a medical coding and billing program, find out what its ranking and reputation are compared to other programs. This is particularly important if you have no experience in the profession, since potential employers will mostly be evaluating you based on the quality of your education. As we have covered, verifying that the school is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can validate the quality of the school also. An alternative is to get in touch with some Rockville MD healthcare organizations that you may have an interest in working for and find out which colleges they suggest. Keep in mind 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 Referral Program? Obtaining a job in Rockville MD after graduating in your new profession may be challenging without the support of a job placement program. Ask if the colleges you are looking at have job assistance programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the coding and billing school has a considerable network of healthcare employers where they can refer their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the College's Location? If you are anticipating commuting to class from your Rockville MD home, then the location of the college will be of prime importance. Naturally if you select an medical coding and billing online program, then the location of the school will not be a consideration. One thing to bear in mind is that if you go to classes at a community or junior college, many require a higher tuition for enrollees that reside outside of their districts. So you might want to first research those schools that are within your local area.

What is the Complete Cost? Medical coding and billing certification courses can vary in cost depending on the type of credential earned and the length of training provided. But remember, tuition is not the only cost of your education. Costs also include such things as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the cost, so be sure to get in touch with the college's financial aid department to find out what is available in Rockville MD. Naturally if you decide to attend an online school, a portion of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Accessible that Fit your Schedule? Many students continue working while attending college and need a flexible class schedule. If you can only go to classes in the evenings or on weekends near Rockville MD, make sure that they are offered at those times. If you can only attend on a part-time schedule, verify that the college you select provides that alternative. Also, ask what the process is for making up classes missed due to sickness, work or family responsibilities.

Find Out More on How to Enroll in a Billing and Coding Course

Enroll in the Right Rockville MD Medical Billing and Coding School 

Choosing the right medical coding and billing certificate or degree course is a critical first step to help guarantee your success in this rewarding field of medical care. Medical coding and medical billing are two of the fastest growing professions in the health sector. As a result, there are numerous trade schools, junior colleges and companies that provide instruction 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 essential that the college you select has an accredited program with an exceptional reputation within the healthcare field. But however you choose to receive your education, by adhering to the previous guidelines and asking the right questions, you will be better qualified to evaluate your options and choose the right medical billing and coding program. And with the proper training, you can achieve your career goal to become a medical billing and coding specialist in Rockville Maryland.