Home >> Massachusetts >> Boston >> Medical Billing And Coding Online


Medical Coding and Billing Online Programs Boston MA

How to Pick the Best Medical Coding College near Boston Massachusetts

Boston Massachusetts woman medical biller and coder at her computerOnce you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Boston MA, it's crucial that you choose the right school so that you receive the necessary education to guarantee your success. As you probably know, healthcare is one of the fastest growing sectors in the Country, and increasingly more options are offered both on campus and online to get the training that you need. But just where does one start? Many aspiring students begin by searching for programs that are within driving distance of their residences and then comparing tuition. Or they might search the internet looking for online schools and select the least expensive one. But while location and cost are important issues when making your determination, they should not be the only ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation should be taken into account as well. We will review a checklist of questions that you should ask the medical billing and coding training programs you are evaluating so that you can learn what you need to know before making your decision. Before we do that, let's take a look at what medical coders and billers do and the academic and certification options available.

Medical Coding Job Description

Boston Massachusetts patient health files

Medical coders work on the front line of the billing systems for Boston MA medical practices and healthcare organizations. Coders have the responsibility to review the medical records of patients and assign universal codes to all services provided. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies utilized. 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 rely on information from sources such as nursing and physician notes, patient charts, and radiology and lab 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 regulations that influence coding also. Incorrectly coded claims can result in services not being covered, 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 Boston MA hospitals and doctors many thousands of dollars in income each year, a proficient medical coder is an important asset to the healthcare organization. They can operate in every kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for professional medical coders to work at home as an independent contractor or offsite employee.

Medical Billing Job Summary

Boston Massachusetts medical insurance paperwork

As crucial as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Boston MA medical organizations and are essentially responsible for keeping their doors open. Frequently the coder and biller may be the same person within a medical organization, but they can also be 2 separate professionals. When the coder has completed her or his task, the biller uses the codes furnished to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the appropriate organization, patients can then be billed for deductibles or other out of pocket costs. On a regular basis, a medical billing professional can also do any of the following:

  • Verify medical insurance benefits for patients and assist them with billing questions or concerns
  • Check on submitted patient claims and appeal those that have been declined
  • Work as a mediator between the medical provider, the insurance carriers and the patients for correct claim settlement
  • Create and control Accounts Receivables reports
  • Create and handle unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Boston MA emergency care facilities, hospitals, medical groups or nursing homes. They may practice in any kind of medical facility that relies on the revenues generated by billing third party payers and patients.

Medical Coder and Biller Online Instruction and Certification

cash and stethoscope Boston MassachusettsIt's imperative that you get your instruction from a reputable school, whether it's a community college, technical or trade school. Even though it is not required in most cases to attain a professional certification, the program you enroll in should be accredited (more on the advantages of accreditation later). Most Massachusetts colleges simply require that you have 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 normally takes about one year to accomplish. An Associate Degree is also an option for a more comprehensive education, which for almost all schools calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely available. When your training has been completed, although not required in most states, you might want to earn a professional certification. Certification is an effective means for those new to the field to show prospective employers that they are not only qualified but dedicated to their occupation. 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, along with obtaining a professional certification, are the most effective ways to advance your new career and succeed in the rapid growing healthcare industry.

Online Medical Biller and Coder Colleges

Boston Massachusetts female enrolled in medical billing and coding online trainingIf you are searching for convenience and the flexibility of attending classes at home, then selecting an online medical billing and coding college may be an excellent alternative. They can be particularly appealing to students living in Boston MA who anticipate attending school while continuing to work or have additional obligations that make going to classes on campus difficult. And as an additional advantage, online schools are often less expensive than the standard classroom options. Costs for such things as tuition, study materials and commuting may be reduced or eliminated. But be careful, as not all online programs are reputable. That's why it's important to verify that any online course you choose is accredited to guarantee a quality education. We will review the advantages of accreditation in the next segment. Just be sure to check that any online classes you are researching 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 mode of learning, then earning your degree or certificate online might be the right choice for you.

Questions to Ask Medical Coder and Biller Schools

Once you have a better idea what a medical biller and coder does, in addition to what training options are available, you must start the process of comparing schools. But since there a large number of training options offered at community colleges and technical, trade and vocational schools within the Boston MA area, you need to have a ready list of questions to evaluate each one. And when you include all of the online schools that offer medical billing and coding classes, the project can become somewhat daunting. As we have already discussed, location and cost are going to be relevant issues, particularly if you have a modest budget and will be traveling to classes from your Boston home. And confirming that the program and school are accredited should be part of your vetting process as well. So let's take a look at several of the additional questions that you should ask the programs you are considering so that you can analyze each one and make the ideal choice.

Is the Training Accredited? It's vital that the program and school you select are accredited by a recognized accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it might also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help guarantee that the training you receive will be of the highest quality, it may help secure future employment as well. A number of Boston MA medical organizations will only employ entry level applicants that have completed an accredited medical coding and billing training program. And financial assistance and student loans are frequently only obtainable for programs that have obtained an accreditation.

What is the Program's Reputation? Prior to choosing a medical coding and billing program, check out what its reputation and ranking are compared to other schools. This is particularly imperative if you have no experience in the industry, since potential employers will mostly be relying on the quality of your education. As we have addressed, making sure 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 also. Another option is to call a few Boston MA healthcare organizations that you might be interested in working for and find out which programs they recommend. Keep in mind that even when the school itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there a Job Assistance Program? Finding a job in Boston MA after graduation in your new profession can be challenging without the help of a job assistance program. Check if the schools you are reviewing have job placement programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the billing and coding school has a considerable network of medical care 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 School's Location? If you are planning on commuting to class from your Boston MA home, then the location of the college will be of prime importance. Of course if you enroll in an online medical coding and billing program, then the location of the college will not be a consideration. One thing to remember is that if you go to classes at a community or junior college, many require a higher tuition for pupils that reside outside of their districts. So you might prefer to first look at those schools that are within your local area.

What is the Complete Expense? Medical coding and billing training courses can vary in cost depending on the type of credential earned and the length of training furnished. But remember, tuition is not the only cost of your education. Expenses also consist of such items as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the expense, so make sure to check with the college's financial assistance department to find out what is available in Boston MA. Naturally if you decide to attend an online school, a portion of these added costs, particularly for commuting may be lessened or even eliminated.

Are Classes Accessible that Accommodate your Schedule? Many students keep working while attending school and require a convenient class schedule. If you can only attend classes at night or on weekends near Boston MA, make sure that they are offered at those times. If you can only enroll on a part-time basis, verify that the school you pick offers that alternative. Also, find out what the process is for making up classes missed because of sickness, work or family emergencies.

Learn How to Select a Billing and Coding Course

Choose the Best Boston MA Medical Billing and Coding Training 

Picking the ideal medical coding and billing degree or certificate course is a very important initial step to help guarantee your success in this exciting field of medical care. Medical billing and medical coding are two of the fastest growing occupations in the health sector. As a result, there are a lot of trade schools, community colleges and companies that provide education and training in medical billing and coding. As we have discussed, you can elect to attend classes either on campus or online. It's also imperative that the school you select offers an accredited program with an excellent reputation within the healthcare industry. But however you decide to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better able to evaluate your options and pick the ideal medical billing and coding college. And with the appropriate training, you can realize your career goal to become a medical coding and billing clerk in Boston Massachusetts.