Home >> Massachusetts >> Billerica >> Medical Coding Programs


Medical Billing and Coding Online Schools Billerica MA

How to Enroll In the Best Medical Billing School near Billerica Massachusetts

Billerica Massachusetts woman medical biller entering dataNow that you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Billerica MA, it's essential that you choose the right school so that you receive the proper education to ensure your success. As you may already know, healthcare is one of the fastest growing industries in the United States, and increasingly more options are offered both online and on campus to receive the training that you need. But just where do you begin? A number of potential students start by looking for programs that are within commuting distance of their residences and then comparing cost. Or they might surf the internet looking for online classes and select the least expensive 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 qualifications as accreditation and reputation should be taken into account as well. We will cover a checklist 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 before 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 Biller and Coder Online Programs and Certification

money under stethoscope Billerica MassachusettsIt's important that you obtain your instruction from a reputable school, whether it's a technical school, vocational school or community college. Although it is not a requirement in many cases to obtain a professional certification, the school you choose should be accredited (more on the advantages of accreditation later). The majority of Massachusetts colleges just require that you earn either a high school diploma or a GED to be eligible. The most expedient way to becoming either a medical biller or coder (or both) is to attain a certificate, which typically takes about a year to complete. An Associate Degree is an alternative for a more comprehensive education, which for the majority of schools requires two years of studies. Bachelor's Degrees in medical coding and billing are not abundantly available. Once your education has been completed, although not required in most states, you may desire to earn a professional certification. Certification is an excellent means for those new to the profession to show prospective employers that they are not only qualified but dedicated to their career. Just some of the organizations that make available 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, in conjunction with obtaining a professional certification, are the best ways to accelerate your new profession and succeed in the rapid growing medical care industry.

Medical Coder Job Summary

Billerica Massachusetts patient health records

Medical coders work on the forefront of the billing systems for Billerica MA medical practices and healthcare organizations. Coders have the responsibility to analyze 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 equipment or medical supplies used. There are several 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 depend on information from sources such as nursing and physician 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 government and private payer rules that impact coding as well. Improperly coded claims may result in services not being paid for, services being paid at a decreased rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can in fact cost Billerica MA doctors and hospitals multiple thousands of dollars in earnings annually, a reliable medical coder is an important asset for any healthcare organization. They can operate in every kind of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not uncommon for seasoned medical coders to work at home as an independent contractor or offsite employee.

Medical Biller Job Functions

Billerica Massachusetts health insurance documents

As crucial as the medical coder's role is, it would be for nothing without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Billerica MA medical organizations and are essentially responsible for keeping their doors open. Often the coder and biller are the same individual within a healthcare facility, but they can also be 2 independent specialists. When the coder has carried out his or her job, the biller uses the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been adjusted by the applicable entity, patients can then be invoiced for deductibles and additional out of pocket costs. On a routine basis, a medical billing professional might also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing questions or concerns
  • Follow up on submitted patient claims and appeal any that have been declined
  • Function as an intermediary between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Create and oversee Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Billerica MA hospitals, urgent care facilities, medical groups or nursing homes. They can work in any kind of healthcare facility that depends on the incomes generated by billing patients and third party payers.

Medical Biller and Coder Online Programs

Billerica Massachusetts female enrolled in medical biller and coder online trainingIf you are looking for flexibility and the convenience of attending classes from home, then selecting a medical billing and coding online program might be an excellent alternative. They can be especially appealing to those living in Billerica MA who anticipate attending school while still working or have other responsibilities that make attending classes on campus challenging. And as an additional benefit, online programs are frequently cheaper than the standard classroom alternatives. Costs for such things as tuition, study materials and commuting may be decreased or eliminated. But be careful, as not all online programs are reputable. For that reason it's important to verify that any online college you enroll in is accredited to guarantee a quality education. We will review the advantages of accreditation in the next section. Just be sure to establish that any online classes you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this style of learning, then obtaining your certificate or degree online may be the right choice for you.

Questions to Ask Medical Billing and Coding Schools

Once you have a better idea what a medical biller and coder does, along with what training options are available, you need to start the process of comparing colleges. But since there a large number of training options available at community colleges and technical, trade and vocational schools within the Billerica MA area, you should have a ready list of questions to assess each one. And when you add 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 issues, particularly if you have a modest budget and will be traveling to classes from your Billerica residence. And verifying that the program and school are accredited should be part of your vetting procedure also. So let's review some of the other questions that you should ask the schools you are considering so that you can compare each one and make the right choice.

Is the Program Accredited? It's essential that the school and program you decide on are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online college, it may also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the training you get will be of the highest quality, it could help secure future employment also. Many Billerica MA 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 colleges that have received an accreditation.

What is the Program's Reputation? Prior to enrolling in a medical billing and coding college, find out what its ranking and reputation are among other schools. This is especially imperative if you have no experience in the industry, since potential employers will mainly be relying on the quality of your training. As we have addressed, confirming that the school is accredited is a first step. Checking with college rating organizations, for instance U.S. News and World Report, can validate the quality of the school also. Another option is to get in touch with a few Billerica MA medical organizations that you might have an interest in working for and find out which programs they suggest. Keep in mind that even if the school itself does not have an excellent reputation, its medical coding and billing program may still be well regarded.

Is there a Job Placement Program? Finding employment in Billerica MA after graduation in your new field may be difficult without the support of a job placement program. Ask if the schools you are considering have job placement programs and what their job placement rates are. A rapid and high placement rate is a good indication that the coding and billing school has a substantial network of medical care employers where they can refer their graduates. It also implies that the school's graduates are sought after in the marketplace.

Where is the College Located? If you are intending on commuting to class from your Billerica MA residence, then the location of the campus will be of significant importance. Naturally if you select an medical billing and coding online program, then the location of the school will not be a consideration. One thing to keep in mind is that if you attend classes at a junior or community college, many charge a higher tuition for enrollees that live outside of their districts. So you might prefer to first look at those colleges that are within your local area.

What is the Total Cost? Medical billing and coding training courses can fluctuate in cost depending on the type of credential earned and the amount of training furnished. But remember, tuition is not the only expense for your education. Expenses also include such things as the cost of supplies, books and commuting. Financial assistance may be obtainable to help reduce some of the cost, so be sure to get in touch with the college's financial assistance department to see what is offered in Billerica MA. Of course if you decide to enroll in an online college, some of these additional costs, particularly for commuting may be minimized or even eliminated.

Are Classes Offered that Accommodate your Schedule? A number of students keep working while attending school and need a convenient class schedule. If you can only go to classes in the evenings or on weekends near Billerica MA, make sure that they are available at those times. If you can only attend on a part time basis, check that the program you pick provides that option. Also, find out what the protocol is for making up classes missed because of work, illness or family emergencies.

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

Choose the Right Billerica MA Medical Billing and Coding Training 

Selecting the ideal medical billing and coding degree or certificate course is a very important initial step to help guarantee your success in this rewarding field of healthcare. Medical coding and medical billing are 2 of the fastest expanding jobs in the medical sector. As a result, there are a lot of trade schools, community colleges and other institutions that offer training and instruction in medical billing and coding. As we have discussed, you can opt to attend classes either online or on campus. It's also imperative that the college you pick offers an accredited program with an outstanding reputation within the healthcare field. But however you choose to receive your training, by following the previous guidelines and posing the right questions, you will be better qualified to assess your options and choose the right medical billing and coding program. And with the appropriate training, you can accomplish your career goal to become a medical coding and billing clerk in Billerica Massachusetts.