Home >> Massachusetts >> Everett >> How To Become A Medical Coder


Medical Billing and Coding Classes Online Everett MA

How to Find the Right Medical Biller and Coder College near Everett Massachusetts

Everett Massachusetts female medical biller entering dataOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Everett MA, it's important that you choose the appropriate school so that you receive the proper education to ensure your success. As you probably know, healthcare is one of the fastest growing fields in the USA, and more and more options are available both online and on campus to get the training that you need. But just where do you begin? A number of potential students begin by searching for programs that are within travelling distance of their homes and then comparing tuition. Or they may surf the internet looking for online courses and go with the cheapest one. But while location and cost are relevant issues when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation must be considered also. We will cover a checklist of questions that you need to ask the medical billing and coding training programs you are researching so that you can learn what you must know prior to making your selection. But first, let's take a look at what medical billers and coders do and the training and certification options available.

Medical Coding Job Functions

Everett Massachusetts patient medical history

Medical coders are on the front line of the billing systems for Everett MA private practices and hospitals. They have the responsibility to examine the medical records of patients and convert all services provided into universal codes. These services can 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 use information from sources including physician and nursing notes, patient charts, and radiology and lab reports. Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all government and private payer rules that affect coding also. Inaccurately coded claims can result in services not being paid for, services being paid for at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Everett MA hospitals and doctors multiple thousands of dollars in earnings every year, a proficient medical coder is a necessary asset to the healthcare organization. They can work in every kind of healthcare facility, including family practices, clinics, hospitals and emergency care centers. It is not uncommon for professional medical coders to operate at home as an offsite employee or an independent contractor.

Medical Biller Job Description

Everett Massachusetts health insurance paperwork

As crucial as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts bring in revenue. Medical billing clerks are extremely important to Everett MA medical organizations and are practically responsible for keeping their doors open. Often the biller and coder are the same man or woman within a healthcare organization, but they can also be 2 separate professionals. Once the coder has performed her or his task, the biller utilizes the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the appropriate organization, patients can then be invoiced for deductibles and additional out of pocket costs. On a routine basis, a medical biller can also do any of the following:

  • Confirm health insurance coverages for patients and help them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been declined
  • Function as an intermediate between the medical provider, the insurance carriers and the patients for proper claim settlement
  • Generate and control Accounts Receivables reports
  • Generate and handle unpaid patient collections accounts

Medical billers not only work for private practices, but also Everett MA emergency care facilities, hospitals, nursing homes or medical groups. They can practice in every type of healthcare facility that depends on the incomes generated from billing patients and third party payers.

Medical Billing and Coding Online Education and Certification

hundred dollar bills with stethoscope Everett MassachusettsIt's essential that you obtain your education from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not required in most cases to attain a professional certification, the program you select should be accredited (more on the advantages of accreditation later). Most Massachusetts schools just require that you have either a high school diploma or a GED to be eligible. The most expedient way to become either a medical coder or biller (or both) is to earn a certificate, which normally takes about a year to finish. An Associate Degree is also an option for a more expansive education, which for most programs calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely available. When your education has been concluded, although not mandated in the majority of states, you may wish to acquire a professional certification. Certification is an effective 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).

Graduating from an accredited medical billing and coding course, together with attaining a professional certification, are the best ways to advance your new vocation and succeed in the rapid growing medical care industry.

Medical Billing and Coding Online Colleges

Everett Massachusetts female enrolled in medical billing and coding online classesIf you are looking for convenience and the flexibility of attending classes from home, then choosing an online medical billing and coding program might be a great option. They can be particularly appealing to students living in Everett MA who plan on attending school while continuing to work or have additional responsibilities that make attending classes on campus challenging. And as an added advantage, online colleges are in many cases less expensive than the traditional classroom options. Expenses for such items as tuition, course materials and commuting may be reduced or eliminated. But be careful, as not all online colleges are reputable. For that reason it's essential to verify that the online school you choose is accredited to ensure a superior education. We will review the advantages of accreditation in the next segment. Just be sure to check that any online college 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 disciplined enough to devote yourself to this style of learning, then attaining your certificate or degree online may be the right choice for you.

What to Ask Medical Billing and Coding Programs

Once you have a general idea what a medical coder and biller does, along with what education options are available, you need to start the process of researching schools. But since there many training options available at community colleges and technical, trade and vocational schools within the Everett MA area, you should have a ready list of questions to assess each one. And when you add all of the online schools that offer medical billing and coding classes, the task can become rather daunting. As we have already discussed, cost and location are going to be relevant factors, particularly if you have a modest budget and will be commuting to classes from your Everett home. And verifying that the school and program are accredited should be part of your vetting procedure as well. So let's review several of the other questions that you should ask the colleges you are reviewing so that you can analyze each one and make the appropriate choice.

Is the Program Accredited? It's important that the school and program you pick are accredited by a recognized accrediting organization, for instance 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 distance or online learning. Not only will accreditation help ensure that the training you receive will be of superior quality, it might help secure future employment as well. Many Everett MA healthcare organizations will only employ entry level prospects that have completed an accredited medical coding and billing educational program. And financial assistance and student loans are often only obtainable for programs that have earned an accreditation.

What is the School's Reputation? Prior to enrolling in a medical coding and billing college, check out what its reputation and ranking are compared to other programs. 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 discussed, confirming that the college is accredited is a first step. Checking with college rating organizations, for instance U.S. News and World Report, can verify the quality of the school as well. Another option is to contact a few Everett MA medical organizations that you may have an interest in working for and find out which programs they suggest. Bear in mind that even if the school itself does not have an exceptional reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Placement Program? Finding a job in Everett MA after graduation in your new profession can be challenging 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 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 place their graduates. It also indicates that the school's graduates are sought after in the marketplace.

Where is the College Located? If you are planning on commuting to class from your Everett MA home, then the location of the program will be of prime importance. Obviously if you choose an medical coding and billing online program, then the location of the college will not be important. One thing to remember is that if you attend classes at a community or junior college, most charge a higher tuition for pupils that live outside of their districts. So you might prefer to first research those schools that are within your local area.

What is the Total Expense? Medical coding and billing training programs can differ in cost depending on the type of credential obtained and the length of training provided. But remember, tuition is not the only cost of your education. Expenses also include such things as the cost of supplies, books and commuting. Financial assistance may be obtainable to help reduce a portion of the cost, so be sure to contact the college's financial assistance department to find out what is available in Everett MA. Of course if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Offered that Match your Schedule? A number of students continue working while attending school and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Everett MA, confirm that they are available at those times. If you can only enroll on a part time basis, confirm that the program you decide on offers that option. Also, ask what the protocol is for making up classes missed due to sickness, work or family emergencies.

Learn How to Choose a Medical Coding School

Enroll in the Best Everett MA Medical Billing and Coding Program 

Selecting the ideal medical billing and coding degree or certificate course is a very important initial step to help ensure your success in this exciting specialty of healthcare. Medical coding and medical billing are 2 of the fastest growing occupations in the medical industry. Because of this, there are numerous trade schools, junior colleges and other institutions that offer education and training in medical billing and coding. As we have covered, you can choose to attend classes either on campus or online. It's also imperative that the school you choose 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 asking the right questions, you will be better prepared to evaluate your options and pick the right medical billing and coding school. And with the proper education, you can accomplish your career objective to become a medical billing and coding specialist in Everett Massachusetts.