Home >> Massachusetts >> Malden >> Medical Coding Programs


Medical Billing and Coding Online Schools Malden MA

How to Choose the Best Medical Billing School near Malden Massachusetts

Malden Massachusetts female medical biller entering dataOnce you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Malden MA, it's essential that you select the appropriate program to ensure that you receive the proper education to ensure your success. As you may already know, healthcare is among the fastest growing industries in the Country, and a growing number of options are available both online and on campus to obtain the training that you need. But just where does one begin? Many potential students start by looking for colleges that are within commuting distance of their residences and then comparing cost. Or they might search the internet looking for online schools and select the cheapest one. But while cost and location are important issues when making your determination, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into account as well. We will cover a list of topics that you should ask the medical billing and coding training programs you are assessing so that you can learn what you need to know prior to making your decision. Before we do that, let's take a look at what medical billers and coders do and the training and certification options available.

Medical Coding Job Description

Malden Massachusetts patient medical files

Medical coders work on the front line of the billing systems for Malden MA medical practices and hospitals. They have the responsibility to analyze 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 used. 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 depend on information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all private payer and government regulations that impact coding as well. Improperly coded claims can result in services not being paid for, services being paid for at a decreased rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Malden MA doctors and hospitals multiple thousands of dollars in income annually, a good medical coder is a necessary asset to the healthcare team. They can operate in every kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not unusual for seasoned medical coders to work at home as an independent contractor or offsite employee.

Medical Billing Job Description

Malden Massachusetts health insurance paperwork

As important as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Malden MA healthcare facilities and are literally responsible for keeping their doors open. Frequently the biller and coder are the same man or woman within a healthcare organization, but they can also be two separate professionals. After the coder has completed his or her duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance carriers, Medicaid or Medicare. After they have been adjusted by the appropriate organization, patients can then be invoiced for deductibles and additional out of pocket expenses. On a regular basis, a medical billing clerk can also do any of the following:

  • Confirm medical insurance benefits for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been denied
  • Function as an intermediate between the medical provider, the insurance companies and the patients for accurate claim resolution
  • Create and manage Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billers not only work for private practices, but also Malden MA hospitals, urgent care facilities, nursing homes or medical groups. They may practice in every kind of medical facility that relies on the incomes generated by billing third party payers and patients.

Medical Biller and Coder Online Programs and Certification

money under stethoscope Malden MassachusettsIt's essential that you obtain your education from a reputable school, whether it's a trade school, vocational school or community college. Although it is not a requirement in many cases to earn a professional certification, the program you enroll in should be accredited (more on the advantages of accreditation later). The majority of Massachusetts colleges only require that you earn either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical biller or coder (or both) is to earn a certificate, which typically takes about a year to accomplish. An Associate Degree is also an option for a more expansive education, which for the majority of programs requires 2 years of studies. Bachelor's Degrees for medical billing and coding are not widely offered. After your training has been concluded, although not required in most states, you may wish to earn a professional certification. Certification is an excellent way for those new to the field to show potential employers that they are not only qualified but dedicated to their career. Just 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).

Completing an accredited medical coding and billing course, along with obtaining a professional certification, are the best ways to advance your new career and succeed in the fast growing medical care industry.

Medical Biller and Coder Online Colleges

Malden Massachusetts student enrolled in medical biller and coder online trainingIf you are searching for convenience and the flexibility of attending classes in your home, then selecting an online medical billing and coding program may be an excellent option. They can be especially appealing to individuals living in Malden MA who plan on going to school while continuing to work or have additional responsibilities that make attending classes on campus difficult. And as an added advantage, online schools are frequently less expensive than the standard classroom options. Costs for such items as tuition, commuting and study materials may be minimized or eliminated. But be cautious, as not all online colleges are reputable. That's why it's imperative to verify that any online program you choose is accredited to ensure a superior education. We will cover the benefits of accreditation in the next segment. Just be sure to establish that any online training you are looking at is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this style of learning, then obtaining your certificate or degree online may be the ideal choice for you.

What to Ask Medical Coder and Biller Courses

Once you have a better idea just what a medical coder and biller does, along with what education options are available, you must begin the process of evaluating colleges. But since there a large number of training options available at community colleges and vocational, technical and trade schools within the Malden MA area, you must have a prepared list of questions in order to analyze each one. And when you include all of the online colleges that offer medical billing and coding classes, the project can become rather formidable. As we have already addressed, cost and location are going to be relevant factors, especially if you have a modest budget and will be commuting to classes from your Malden home. And whether or not the school and program are accredited should be part of your vetting procedure also. So let's review a few of the other questions that you should ask the colleges you are looking at 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 select are accredited by a recognized accrediting organization, for example the Accrediting Commission of Career Schools. If it's an online program, it may also receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the education you get will be of superior quality, it could help with your future employment also. A number of Malden MA medical organizations will only employ entry level candidates that have completed an accredited medical billing and coding educational course. And financial aid and student loans are in many cases only offered for colleges that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical coding and billing program, find out what its ranking and reputation are compared to other colleges. This is particularly imperative if you have no experience in the industry, since potential employers will mainly be evaluating you based on the quality of your training. As we have addressed, verifying that the college is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can verify the quality of the school also. Another option is to check with several Malden MA healthcare organizations that you might have an interest in working for and find out which colleges they recommend. Remember 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 an Employment Referral Program? Obtaining a job in Malden MA after graduating in your new field might be challenging without the support of a job assistance program. Find out if the colleges you are looking at 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 significant network of healthcare employers where they can place their graduates. It also implies that the college's graduates are in high demand in the marketplace.

Where is the School Located? If you are planning on driving to class from your Malden MA residence, then the location of the college 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 keep in mind is that if you go to classes at a junior or community college, most require a higher tuition for enrollees that reside outside of their districts. So you might prefer to first look at those colleges that are within your local area.

What is the Complete Cost? Medical coding and billing certification courses can fluctuate in cost depending on the type of credential earned and the length of training furnished. But remember, tuition is not the only expense for your education. Expenditures also include such items as the cost of books, supplies and commuting. Financial aid may be available to help offset a portion of the expense, so don't forget to contact the school's financial assistance department to see what is available in Malden MA. Naturally if you decide to enroll in an online school, some of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Available that Match your Schedule? A number of students continue working while going to college and need a convenient class schedule. If you can only go to classes during the evenings or on weekends near Malden MA, verify that they are offered at those times. If you can only attend on a part-time schedule, confirm that the college you decide on provides that alternative. Also, ask what the process is for making up classes missed because of illness, work or family emergencies.

Get Info on How to Enroll in a Medical Biller and Coder School

Choose the Best Malden MA Medical Billing and Coding Training 

Selecting the right medical coding and billing degree or certificate course is a crucial first step to help guarantee your success in this exciting field of medical care. Medical coding and medical billing are 2 of the most rapidly expanding jobs in the medical sector. Because of this, there are many trade schools, junior colleges and companies that furnish instruction and training in medical coding and billing. As we have reviewed, you can elect to attend classes either online or on campus. It's also important that the college you select has an accredited program with an exceptional reputation within the medical care community. But however you choose to receive your education, by adhering to the previous guidelines and posing the right questions, you will be better qualified to assess your options and select the right medical billing and coding program. And with the appropriate education, you can accomplish your career goal to become a medical coding and billing clerk in Malden Massachusetts.