Home >> Massachusetts >> Fall River >> Medical Coding Programs


Medical Billing and Coding Online Courses Fall River MA

How to Pick the Right Medical Billing and Coding College near Fall River Massachusetts

Fall River Massachusetts female medical 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 Fall River MA, it's important that you select the appropriate school so that you receive the proper education to ensure your success. As you may already know, healthcare is among the fastest growing fields in the United States, and more and more options are offered both online and on campus to obtain the training that you need. But just where does one start? Many potential students start by searching for schools that are within driving distance of their homes and then comparing cost. Or they may surf the internet looking for online classes and go with the least expensive one. But while location and cost are relevant factors when making your selection, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation need to be taken into account also. We will go over a checklist of questions that you should ask the medical billing and coding schools you are evaluating in order to learn what you must know before making your decision. Before we do that, let's take a look at what medical coders and billers do and the educational and certification options offered.

Medical Coder and Biller Online Training and Certification

hundred dollar bills and stethoscope Fall River MassachusettsIt's important that you obtain your training from a reputable school, whether it's a technical school, vocational school or community college. Although it is not required in most cases to obtain a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). Most Massachusetts colleges just require that you have either a high school diploma or a GED to qualify. The fastest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which normally takes about a year to finish. An Associate Degree is an alternative for a more expansive education, which for most colleges requires 2 years of studies. Bachelor's Degrees for medical billing and coding are not widely available. When your education has been completed, although not mandated in most states, you may wish to attain a professional certification. Certification is a great means for those new to the profession to show potential employers that they are not only qualified but dedicated 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, along with earning a professional certification, are the best ways to accelerate your new vocation and succeed in the rapid growing healthcare industry.

Medical Coder Job Duties

Fall River Massachusetts patient medical history

Medical coders work on the front line of the billing systems for Fall River MA medical practices and healthcare organizations. Coders have the responsibility to review the medical 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 utilized. There are various 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 including physician and nursing notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accuracy, but must have a working knowledge of all government and private payer regulations that impact coding also. Inaccurately coded claims may lead to services not being paid for, services being paid for at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Fall River MA doctors and hospitals many thousands of dollars in earnings annually, a reliable medical coder is a vital asset to the healthcare organization. They can operate in every kind of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not uncommon for experienced medical coders to operate at home as an independent contractor or offsite employee.

Medical Biller Job Description

Fall River Massachusetts health insurance forms

As essential as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Fall River MA medical facilities and are essentially responsible for keeping their doors open. Sometimes the biller and coder are the same person within a healthcare facility, but they can also be 2 separate specialists. When the coder has performed his or her duty, the biller uses the codes supplied to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being paid by the appropriate organization, patients can then be invoiced for deductibles and other out of pocket expenses. On a routine basis, a medical billing clerk may also do any of the following:

  • Check health insurance benefits for patients and help them with billing concerns or questions
  • Check on submitted patient claims and appeal any that have been declined
  • Act as an intermediate between the medical provider, the insurance companies and the patients for correct claim settlement
  • Generate and control Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Fall River 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 by billing third party payers and patients.

Online Medical Biller and Coder Training

Fall River Massachusetts female attending medical biller and coder online classesIf you are searching for flexibility and the convenience of attending classes in your home, then enrolling in an online medical billing and coding program may be a great option. They can be especially appealing to students living in Fall River MA who plan on going to school while continuing to work or have other commitments that make attending classes on campus difficult. And as an additional advantage, online programs are in many cases less expensive than the traditional classroom options. Expenses for such items as tuition, commuting and study materials 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 program you choose is accredited to ensure a superior education. We will address the benefits of accreditation in the next segment. Just be sure to verify that any online classes you are considering is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then obtaining your certificate or degree online may be the ideal choice for you.

What to Ask Medical Biller and Coder Schools

Once you have a general idea what a medical coder and biller does, as well as what education options are available, you must start the process of evaluating schools. But since there are numerous training options offered at community colleges and technical, trade and vocational schools within the Fall River MA area, you must have a ready list of questions to assess each one. And when you include all of the online programs that offer medical coding and billing classes, the project can become rather daunting. As we have already addressed, expense and location are going to be significant issues, particularly if you have a modest budget and will be driving to classes from your Fall River residence. And confirming that the school and program are accredited should be part of your vetting process also. So let's review some of the additional questions that you should ask the programs you are reviewing so that you can analyze each one and make the appropriate choice.

Is the Program Accredited? It's essential that the school and program you choose are accredited by a highly regarded accrediting organization, for example the Accrediting Commission of Career Schools. If it's an online program, it might also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the training you get will be of superior quality, it might help with your future employment also. Many Fall River MA medical organizations will only hire entry level applicants that have completed an accredited medical coding and billing training program. And financial assistance and student loans are in many cases only available for colleges that have received an accreditation.

What is the Program's Reputation? Before choosing a medical billing and coding program, check out what its ranking and reputation are compared to other schools. This is especially important if you have no experience in the profession, since potential employers will basically be relying on the quality of your training. As we have discussed, verifying that the college is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can confirm the quality of the school as well. Another option is to get in touch with some Fall River MA healthcare organizations that you may have an interest in working for and ask which schools they recommend. Remember that even if the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there a Job Referral Program? Finding a job in Fall River MA after graduating in your new field may be challenging without the help of a job placement program. Find out if the colleges you are reviewing have job assistance programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing college has a significant 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 School's Location? If you are intending on driving to class from your Fall River MA residence, then the location of the college will be of significant importance. Of course if you choose an medical billing and coding online program, then the location of the school will not be a consideration. One thing to remember is that if you go to classes at a junior or community college, most require a higher tuition for enrollees that live outside of their districts. So you may prefer to first research those colleges that are within your local area.

What is the Complete Expense? Medical coding and billing certification courses can differ in cost depending on the type of credential earned and the amount of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such things as the cost of supplies, books and commuting. Financial assistance may be accessible to help reduce some of the cost, so don't forget to get in touch with the college's financial aid department to find out what is offered in Fall River MA. Naturally 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 Accessible that Match your Schedule? Many students continue working while going to college and require a convenient class schedule. If you can only go to classes in the evenings or on weekends near Fall River MA, verify that they are available at those times. If you can only enroll on a part-time schedule, make certain that the college you decide on offers that option. Also, find out what the process is for making up classes missed because of work, illness or family emergencies.

Learn How to Enroll in a Billing and Coding School

Choose the Right Fall River MA Medical Billing and Coding School 

Picking the right medical billing and coding certificate or degree program is a crucial first step to help guarantee your success in this exciting sector of medical care. Medical billing and medical coding are 2 of the fastest expanding careers in the health industry. Because of this, there are a lot of trade schools, community colleges and other institutions that offer education and training in medical billing and coding. As we have reviewed, you can decide to attend classes either on campus or online. It's also essential that the school you select has an accredited program with an exceptional reputation within the medical care field. But however you choose to receive your training, by following the previous guidelines and posing the appropriate questions, you will be better prepared to assess your options and choose the right medical billing and coding college. And with the appropriate education, you can accomplish your career objective to become a medical coding and billing clerk in Fall River Massachusetts.