Home >> Massachusetts >> Lexington >> Medical Billing And Coding Online Courses


Medical Billing and Coding Courses Online Lexington MA

How to Enroll In the Best Medical Billing Program near Lexington Massachusetts

Lexington Massachusetts female medical biller entering dataNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Lexington MA, it's essential that you choose the right school to ensure that you receive the necessary education to guarantee your success. As you may already know, healthcare is one of the fastest growing industries in the Country, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where do you start? A number of potential students start by searching for programs that are within driving distance of their residences and then comparing tuition. Or they may surf the internet looking for online courses and pick the least expensive one. But while cost and location are significant issues when making your selection, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into consideration also. We will cover a checklist of topics that you should ask the medical billing and coding training programs you are researching in order to find out what you must know before making your selection. Before we do that, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Biller and Coder Online Instruction and Certification

hundred dollar bills under stethoscope Lexington MassachusettsIt's essential that you receive your instruction from a reputable school, whether it's a technical school, vocational school or community college. Even though it is not required in many cases to attain a professional certification, the school you select should be accredited (more on the advantages of accreditation later). The majority of Massachusetts programs only require that you earn either a high school diploma or a GED to apply. The fastest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which generally takes about a year to accomplish. An Associate Degree is also an option for a more expansive education, which for almost all colleges calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. When your education has been completed, although not required in the majority of states, you might desire to acquire a professional certification. Certification is an effective method for those new to the profession to show prospective employers that they are not only qualified but dedicated 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 program, together with obtaining a professional certification, are the most effective ways to accelerate your new career and succeed in the rapid growing healthcare field.

Medical Coder Job Summary

Lexington Massachusetts patient health records

Medical coders work on the front line of the billing systems for Lexington MA private practices and hospitals. Coders have the responsibility to analyze the medical records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical or dental procedures, or any medical supplies or equipment utilized. There are multiple 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 use information from sources such as physician and nursing notes, patient charts, and radiology and lab reports. Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all government and private payer regulations that influence coding also. Improperly coded claims can result in services not being covered, services being paid for at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Lexington MA physicians and medical facilities multiple thousands of dollars in earnings every year, a good medical coder is a vital asset for any healthcare team. They can operate in any kind of healthcare facility, including private practices, clinics, hospitals and urgent care centers. It is not unusual for professional medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Functions

Lexington Massachusetts health insurance documents

As important as the medical coder's job is, it would be for naught without the contribution of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Lexington MA healthcare facilities and are practically responsible for keeping their doors open. In many cases the biller and coder are the same person within a medical organization, but they can also be 2 separate specialists. When the coder has performed her or his job, the biller uses the codes provided to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been adjusted by the applicable organization, patients can then be billed for deductibles and additional out of pocket expenses. On a regular basis, a medical biller can also do any of the following:

  • Check medical insurance coverages for patients and assist them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Act as a mediator between the healthcare provider, the insurance carriers and the patients for correct claim settlement
  • Produce and manage Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

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

Online Medical Billing and Coding Courses

Lexington Massachusetts woman attending medical billing and coding online trainingIf you are interested in convenience and the flexibility of attending classes in your home, then choosing a medical billing and coding online program might be a good alternative. They can be particularly attractive to individuals living in Lexington MA who anticipate going to school while still working or have additional responsibilities that make attending classes on campus challenging. And as an additional benefit, 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 careful, as not all online schools are reputable. That's why it's important to verify that any online course you enroll in is accredited to ensure a premium education. We will cover the advantages of accreditation in the next section. Just be sure to confirm that any online school you are looking at 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 acquiring your degree or certificate online might be the right choice for you.

What to Ask Medical Biller and Coder Programs

Now that you have a better idea what a medical biller and coder does, along with what training options are offered, you must start the process of evaluating schools. But since there a large number of training options offered at community colleges and technical, trade and vocational schools within the Lexington MA area, you should have a ready list of questions in order to assess each one. And when you add all of the online schools that offer medical billing and coding classes, the project can become rather formidable. As we have already discussed, expense and location are going to be relevant factors, especially if you have a modest budget and will be commuting to classes from your Lexington residence. And whether or not the program and school are accredited must be part of your vetting process also. So let's take a look at some of the additional questions that you should ask the colleges you are reviewing so that you can evaluate each one and make the appropriate choice.

Is the School Accredited? It's vital that the program and school you select are accredited by a recognized accrediting organization, for example 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 distance or online education. Not only will accreditation help guarantee that the education you receive will be of superior quality, it might help secure future employment also. Many Lexington MA medical facilities will only employ entry level candidates that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only offered for schools that have earned an accreditation.

What is the Program's Reputation? Before choosing a medical coding and billing program, check out what its ranking and reputation are among other colleges. This is particularly relevant if you have no experience in the industry, since potential employers will basically be evaluating you based on the quality of your education. As we have covered, confirming that the school 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 also. Another option is to check with a few Lexington MA medical organizations that you may have an interest in working for and find out which schools they suggest. Remember that even if the college itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Referral Program? Finding a job in Lexington MA after graduating in your new profession can be difficult without the help of a job assistance program. Ask if the schools you are looking at have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the coding and billing school has a significant network of healthcare employers where they can refer their graduates. It also implies that the college's graduates are in high demand in the marketplace.

Where is the School's Location? If you are anticipating driving to class from your Lexington MA residence, then the location of the school will be of prime importance. Obviously if you select an online medical coding and billing program, then the location of the college will not be a consideration. One thing to bear in mind is that if you go to classes at a junior or community college, many charge a higher tuition for students that reside outside of their districts. So you might want to first consider those schools that are within your local area.

What is the Overall Cost? Medical billing and coding training courses can fluctuate in cost depending on the type of credential obtained and the amount of training provided. But remember, tuition is not the only cost of your education. Expenditures also include such items as the cost of books, supplies and commuting. Financial aid may be accessible to help offset some of the expense, so don't forget to get in touch with the college's financial assistance department to see what is offered in Lexington MA. Of course if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be lessened or even eliminated.

Are Classes Offered that Fit your Schedule? A number of students keep working while attending college and require a convenient class schedule. If you can only attend classes during the evenings or on weekends near Lexington MA, verify that they are offered at those times. If you can only attend on a part time schedule, check that the college you choose provides that alternative. Also, ask what the protocol is for making up classes missed because of sickness, work or family emergencies.

Get Info on How to Select a Billing and Coding Class

Select the Best Lexington MA Medical Billing and Coding School 

Enrolling in the ideal medical billing and coding certificate or degree course is a very important first step to help assure your success in this exciting sector of healthcare. Medical billing and medical coding are 2 of the fastest growing professions in the health sector. Because of this, there are numerous vocational schools, junior colleges and other institutions that provide training and education in medical billing and coding. As we have discussed, you can decide to attend classes either online or on campus. It's also essential that the school you choose has an accredited program with an excellent reputation within the medical care community. But however you decide to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and select the ideal medical billing and coding program. And with the proper education, you can realize your career goal to become a medical coding and billing clerk in Lexington Massachusetts.