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Medical Billing and Coding Programs Online Billerica MA

How to Pick the Right Medical Billing and Coding School near Billerica Massachusetts

Billerica Massachusetts woman medical coder entering dataNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Billerica MA, it's important that you select the appropriate program to ensure that you receive the proper education to guarantee your success. As you no doubt know, healthcare is one of the fastest growing industries in the USA, and a growing number of options are offered both online and on campus to receive the training that you need. But just where does one begin? Many aspiring students start by looking for programs that are within driving distance of their residences and then comparing cost. Or they might search the internet looking for online schools and go with the cheapest one. But while location and cost are relevant issues when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation must be taken into account also. We will cover a list of topics that you need to ask the medical billing and coding schools you are assessing in order to find out what you need to know prior to making your selection. Before we do that, let's take a look at what medical billers and coders do and the training and certification options offered.

Medical Billing and Coding Online Instruction and Certification

money and stethoscope Billerica MassachusettsIt's imperative that you get your instruction 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 obtain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). The majority of Massachusetts programs just require that you have 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 obtain a certificate, which normally takes about 1 year to complete. An Associate Degree is also an option for a more comprehensive education, which for almost all programs requires two years of studies. Bachelor's Degrees for medical billing and coding are not widely available. Once your education has been concluded, although not required in most states, you may desire 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 occupation. Just some of the organizations that provide 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 coding and billing course, combined with attaining a professional certification, are the most effective ways to advance your new career and succeed in the fast growing healthcare industry.

Medical Coder Job Summary

Billerica Massachusetts patient medical history

Medical coders work on the forefront of the billing systems for Billerica MA private practices and hospitals. Coders have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services may be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. There are several 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 know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all government and private payer rules that impact coding also. Incorrectly coded claims may lead to services not being paid for, services being paid at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Billerica MA doctors and hospitals multiple thousands of dollars in revenue each year, a good medical coder is a vital asset for any healthcare organization. They can work in any kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not unusual for professional medical coders to operate at home as an independent contractor or offsite employee.

Medical Billing Job Description

Billerica Massachusetts medical insurance paperwork

As important as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Billerica MA healthcare facilities and are literally responsible for keeping them in business. Often the biller and coder may be the same individual within a medical facility, but they can also be 2 individual professionals. After the coder has performed his or her duty, the biller uses the codes supplied to complete and submit claim forms to insurance carriers, Medicaid or Medicare. After they have been adjusted by the appropriate entity, patients can then be billed for deductibles and additional out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing concerns or questions
  • Check on submitted patient claims and appeal those that have been declined
  • Act as an intermediary between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Create and oversee Accounts Receivables reports
  • Create and take care of unpaid patient collections accounts

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

Medical Billing and Coding Online Colleges

Billerica Massachusetts woman enrolled in medical billing and coding online trainingIf you are interested in convenience and the flexibility of attending classes at home, then enrolling in an online medical billing and coding school may be an excellent alternative. They can be especially appealing to those living in Billerica MA who plan on going to school while continuing to work or have other commitments that make going to classes on campus challenging. And as an added advantage, online colleges are in many cases less expensive than the standard classroom options. Expenses for such things as tuition, study materials and commuting may be reduced or eliminated. But be cautious, as not all online schools are reputable. For that reason it's essential to establish that the online school you choose is accredited to ensure a premium education. We will cover the benefits of accreditation in the next section. Just be sure to confirm that any online college you are looking at is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this style of learning, then attaining your certificate or degree online may be the ideal choice for you.

Things to Ask Medical Billing and Coding Programs

Now that you have a better idea just what a medical coder and biller does, along with what education options are offered, you need to begin the process of evaluating colleges. But since there are numerous training options available at community colleges and trade, vocational and technical schools within the Billerica MA area, you must have a ready list of questions to evaluate each one. And when you add all of the online colleges that offer medical billing and coding classes, the task can become somewhat formidable. As we have already addressed, location and cost are going to be significant factors, particularly if you have a limited budget and will be driving to classes from your Billerica residence. And whether or not the school and program are accredited must be part of your vetting procedure as well. So let's review several of the additional questions that you should ask the colleges you are looking at so that you can compare each one and make the right choice.

Is the Program Accredited? It's important that the program and school you select are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it can also earn 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 superior quality, it might help secure future employment also. A number of Billerica MA medical 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 obtainable for colleges that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical coding and billing college, find out what its reputation and ranking are among other colleges. This is especially relevant if you have no experience in the industry, since potential employers will primarily be evaluating you based on the quality of your education. As we have addressed, making sure that the program is accredited is an initial step. Checking with college rating organizations, for instance U.S. News and World Report, can confirm the quality of the school as well. An alternative is to get in touch with several Billerica MA healthcare organizations that you may have an interest in working for and find out which programs they recommend. Bear in mind that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Assistance Program? Finding a job in Billerica MA after graduation in your new profession may be difficult without the help of a job placement program. Find out 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 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 in high demand in the marketplace.

Where is the College Located? If you are planning on commuting to class from your Billerica MA home, then the location of the program will be of prime importance. Obviously if you choose an online medical billing and coding program, then the location of the school will not be important. One thing to bear in mind is that if you attend classes at a junior or community college, many require a higher tuition for pupils that live outside of their districts. So you may want to first consider those colleges that are within your local area.

What is the Overall Cost? Medical billing and coding certification programs can differ in cost depending on the type of credential earned and the length of training provided. Just keep in mind, tuition is not the only cost of your education. Costs also consist of such items as the cost of books, supplies and commuting. Financial aid may be available to help offset a portion of the cost, so be sure to contact the school's financial assistance department to find out what is offered in Billerica MA. Naturally if you decide to enroll in an online college, some of these additional costs, such as for commuting may be reduced or even eliminated.

Are Classes Accessible that Match your Schedule? Many students continue working while going to college and require a convenient class schedule. If you can only attend classes at night or on weekends near Billerica MA, verify that they are offered at those times. If you can only enroll on a part time schedule, check that the school you choose offers that alternative. Also, find out what the protocol is for making up classes missed due to illness, work or family emergencies.

Learn How to Choose a Medical Coding School

Enroll in the Best Billerica MA Medical Billing and Coding School 

Enrolling in the right medical coding and billing degree or certificate course is a critical first step to help assure your success in this rewarding specialty of healthcare. Medical coding and medical billing are two of the fastest expanding careers in the health industry. Because of this, there are numerous vocational schools, junior colleges and companies that provide instruction and training in medical coding and billing. As we have covered, you can decide to attend classes either online or on campus. It's also important that the school you choose offers an accredited program with an excellent reputation within the healthcare community. But however you elect to receive your training, by adhering to the previous guidelines and posing the right questions, you will be better able to assess your options and select the ideal medical billing and coding program. And with the proper education, you can achieve your career goal to become a medical coding and billing specialist in Billerica Massachusetts.