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Medical Coding and Billing Programs Online Lexington MA

How to Find the Right Medical Coding Course near Lexington Massachusetts

Lexington Massachusetts female medical coder entering dataOnce you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Lexington MA, it's important that you choose the appropriate program to ensure that you receive the necessary education to guarantee your success. As you may already know, healthcare is one of the fastest growing sectors in the United States, and a growing number of options are available both on campus and online to receive the training that you need. But just where do you begin? Many aspiring students start by searching for schools that are within driving distance of their homes and then comparing tuition. Or they may search the internet looking for online classes and select the least expensive one. But while location and cost are relevant issues when making your choice, they should not be the only ones when evaluating medical billing and coding schools. Such qualifications as reputation and accreditation should be considered as well. We will go over a list of questions that you need to ask the medical billing and coding schools you are assessing 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 coders and billers do and the training and certification options offered.

Medical Coding Job Summary

Lexington Massachusetts patient medical history

Medical coders are on the forefront of the billing systems for Lexington MA private practices and healthcare organizations. They have the responsibility to review the medical records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. 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 rely on information from sources including physician and nursing notes, patient charts, and lab and radiology 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 rules that influence coding as well. Incorrectly coded claims can result in services not being paid for, services being paid for at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can literally cost Lexington MA physicians and medical facilities many thousands of dollars in earnings each year, a good medical coder is a necessary asset for any healthcare team. They can operate in every kind of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not unusual for experienced medical coders to work at home as an independent contractor or offsite employee.

Medical Biller Job Summary

Lexington Massachusetts medical insurance forms

As important as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose efforts bring in revenue. Medical billing clerks are extremely important to Lexington MA healthcare organizations and are literally responsible for keeping their doors open. In many cases the biller and coder may be the same man or woman within a medical facility, but they can also be two separate specialists. Once the coder has carried out his or her task, the biller utilizes the codes furnished to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After being adjusted by the applicable entity, patients can then be invoiced for deductibles or additional out of pocket expenses. On a routine basis, a medical billing professional can also do any of the following:

  • Confirm health insurance coverages for patients and assist them with billing concerns or questions
  • Check on patient claims submitted and appeal those that have been denied
  • Function as an intermediate between the healthcare provider, the insurance companies and the patients for accurate claim resolution
  • Generate and control Accounts Receivables reports
  • Generate and manage unpaid patient collections accounts

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

Medical Billing and Coding Online Programs and Certification

hundred dollar bills under stethoscope Lexington MassachusettsIt's important that you obtain your training from a reputable school, whether it's a technical school, vocational school or community college. While it is not a requirement in many cases to obtain a professional certification, the school you enroll in should be accredited (more on the benefits of accreditation later). Most Massachusetts colleges just require that you earn either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical coder or biller (or both) is to attain a certificate, which usually takes about a year to complete. An Associate Degree is also an option for a more extensive 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 want to attain 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 committed to their career. A few 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, along with obtaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Online Medical Biller and Coder Colleges

Lexington Massachusetts female enrolled in medical billing and coding online coursesIf you are looking for convenience and the flexibility of attending classes in your home, then enrolling in an online medical billing and coding program might be a good alternative. They can be especially attractive to those living in Lexington MA who plan on going to school while still working or have additional commitments that make going to classes on campus difficult. And as an added advantage, online programs are often less expensive than the standard classroom alternatives. Expenses for such things as tuition, course materials and commuting may be minimized or eliminated. But be cautious, as not all online colleges are reputable. For that reason it's important to establish that any online program you select is accredited to guarantee a quality education. We will review the advantages of accreditation in the next section. Just be sure to verify that any online college you are looking at is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then acquiring your certificate or degree online may be the right choice for you.

Points to Ask Medical Billing and Coding Courses

Once you have a better idea what a medical coder and biller does, along with what education options are offered, you must start the process of researching schools. But since there many training options offered at community colleges as well as vocational, technical and trade schools within the Lexington MA area, you need to have a ready list of questions in order to analyze each one. And when you add all of the online schools that offer medical billing and coding classes, the project 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 traveling to classes from your Lexington residence. And verifying that the school and program are accredited should be part of your vetting procedure as well. So let's take a look at a few of the additional questions that you should ask the schools you are looking at so that you can compare each one and make the ideal choice.

Is the School Accredited? It's important that the school and program you choose are accredited by a highly regarded accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online college, it may also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you get will be of superior quality, it might help with your future employment as well. A number of Lexington MA healthcare organizations will only employ entry level prospects that have completed an accredited medical coding and billing training course. And financial aid and student loans are often only obtainable for colleges that have received an accreditation.

What is the School's Reputation? Before choosing a medical coding and billing program, find out what its ranking and reputation are compared to other programs. This is especially relevant if you have no experience in the field, since potential employers will mainly be relying on the quality of your training. As we have covered, confirming that the college is accredited is a first step. Checking with school rating organizations, for example U.S. News and World Report, can verify the quality of the school also. An alternative is to contact several Lexington MA medical organizations that you might be interested in working for and find out which schools they recommend. Keep in mind that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Assistance Program? Finding a job in Lexington MA after graduation in your new field may be challenging without the help of a job placement program. Ask if the colleges you are considering have job assistance programs and what their job placement rates are. A high and rapid placement rate is a good indication that the billing and coding college has a considerable 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 School's Location? If you are anticipating commuting to class from your Lexington MA residence, then the location of the college will be of significant importance. Obviously if you choose an online medical coding and billing program, then the location of the college will not be important. One thing to keep in mind is that if you go to classes at a community or junior college, most require a higher tuition for pupils that live outside of their districts. So you might want to first research those schools that are within your local area.

What is the Overall Expense? Medical billing and coding certification programs can vary in cost based on the type of credential earned and the amount of training provided. But remember, tuition is not the only cost of your education. Expenses also consist of such things as the cost of books, supplies and commuting. Financial aid may be available to help reduce a portion of the expense, so make sure to check with the school's financial aid department to see what is available in Lexington MA. Of course if you decide to enroll in an online college, a portion of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Offered that Match your Schedule? Many students keep working while going to school and require a flexible class schedule. If you can only go to classes during the evenings or on weekends near Lexington MA, make sure that they are offered at those times. If you can only enroll on a part time schedule, check that the program you choose offers that alternative. Also, ask what the procedure is for making up classes missed because of work, illness or family emergencies.

Learn How to Choose a Medical Coding Course

Choose the Right Lexington MA Medical Billing and Coding School 

Enrolling in the right medical coding and billing certificate or degree course is a very important first step to help assure your success in this exciting sector of healthcare. Medical coding and medical billing are 2 of the most rapidly expanding jobs in the medical industry. Because of this, there are numerous vocational schools, community colleges and companies that provide education and training in medical coding and billing. As we have covered, you can elect to attend classes either online or on campus. It's also essential that the school you choose has an accredited program with an outstanding reputation within the healthcare industry. But however you decide 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 ideal medical billing and coding program. And with the appropriate education, you can accomplish your career objective to become a medical billing and coding clerk in Lexington Massachusetts.