Home >> Massachusetts >> Needham >> Medical Billing And Coding Courses


Medical Coding and Billing Programs Online Needham MA

How to Enroll In the Right Medical Billing and Coding College near Needham Massachusetts

Needham Massachusetts woman medical biller and coder at her computerOnce you have made a decision to become part of the healthcare field by enrolling in a medical billing and coding school near Needham MA, it's essential that you find the appropriate school to ensure that you receive the necessary education to guarantee your success. As you probably know, healthcare is one of the fastest growing industries in the United States, and more and more options are offered both on campus and online to get the training that you need. But just where does one start? Many potential students begin by looking for programs that are within travelling distance of their homes and then comparing tuition. Or they may search the internet looking for online classes and pick the least expensive one. But while cost and location are important issues when making your choice, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation need to be taken into account as well. We will cover a list of questions that you should ask the medical billing and coding training programs you are assessing so that you can find out what you need to know before making your decision. Before we do that, let's take a look at what medical coders and billers do and the academic and certification options offered.

Medical Coder and Biller Online Training and Certification

cash with stethoscope Needham MassachusettsIt's essential that you receive your training from a reputable school, whether it's a technical school, vocational school or community college. While it is not a requirement in most cases to attain a professional certification, the school you enroll in should be accredited (more on the benefits of accreditation later). The majority of Massachusetts programs only require that you earn either a high school diploma or a GED to qualify. The quickest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which typically takes about one year to finish. An Associate Degree is an alternative for a more expansive education, which for the majority of schools calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely available. Once your education has been completed, although not required in most states, you might desire to earn a professional certification. Certification is a great way for those new to the profession to show prospective employers that they are not only qualified but committed to their occupation. Some of the organizations that make available 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 coding and billing program, along with attaining a professional certification, are the best ways to advance your new profession and succeed in the fast growing healthcare industry.

Medical Coding Job Functions

Needham Massachusetts patient health history

Medical coders work on the forefront of the billing systems for Needham MA medical practices and hospitals. Coders have the responsibility to analyze the medical records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical 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 depend on information from sources such as physician and nursing notes, patient charts, and radiology and lab reports. Medical 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 influence coding as well. Inaccurately coded claims may lead to services not being covered, services being paid at a reduced rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Needham MA doctors and hospitals many thousands of dollars in revenue each year, a reliable medical coder is an important asset for any healthcare team. They can work in any kind of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not unusual for professional medical coders to operate at home as an offsite employee or an independent contractor.

Medical Biller Job Summary

Needham Massachusetts medical insurance paperwork

As vital as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Needham MA medical organizations and are practically responsible for keeping their doors open. In many cases the coder and biller may be the same person within a medical facility, but they can also be two individual specialists. When the coder has completed his or her duty, the biller utilizes 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 professional may also do any of the following:

  • Verify health insurance coverages for patients and assist them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Function as an intermediary between the medical provider, the insurance carriers and the patients for proper claim resolution
  • Create and control Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Medical Billing and Coding Online Courses

Needham Massachusetts female enrolled in medical billing and coding online schoolIf you are looking for convenience and the flexibility of attending classes at home, then enrolling in an online medical billing and coding course might be a great option. They can be particularly attractive to individuals living in Needham MA who anticipate going to school while still working or have additional commitments that make going to classes on campus challenging. And as an additional benefit, online colleges are frequently less expensive than the standard classroom alternatives. Expenses for such things as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online schools are reputable. For that reason it's essential to verify that the online program you enroll in is accredited to ensure a superior education. We will cover the advantages of accreditation in the next section. Just be sure to check that any online instruction 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 dedicated enough to apply yourself to this style of learning, then earning your certificate or degree online may be the right choice for you.

Points to Ask Medical Coding and Billing Programs

Now that you have a better idea what a medical biller and coder does, as well as what education options are available, you need to begin the process of comparing schools. But since there many training options offered at community colleges and trade, vocational and technical schools within the Needham MA area, you need to have a prepared list of questions in order to evaluate each one. And when you add all of the online colleges that offer medical coding and billing classes, the task can become rather formidable. As we have already addressed, location and cost are going to be important issues, particularly if you have a modest budget and will be driving to classes from your Needham home. And whether or not the school and program are accredited must be part of your vetting process also. So let's review several of the other questions that you should ask the programs you are reviewing so that you can evaluate each one and make the best choice.

Is the Program Accredited? It's essential that the program and college you pick are accredited by a respected accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online college, it may also earn accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the education you receive will be of superior quality, it could help with your future employment also. Many Needham MA medical organizations will only hire entry level prospects that have completed an accredited medical billing and coding educational program. And financial assistance and student loans are in many cases only obtainable for colleges that have obtained an accreditation.

What is the School's Reputation? Before picking a medical coding and billing program, find out what its ranking and reputation are among other schools. This is especially relevant if you have no experience in the profession, since potential employers will primarily be evaluating you based on the quality of your training. As we have discussed, making sure that the program is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school also. An alternative is to get in touch with a few Needham MA medical organizations that you might have an interest in working for and find out which colleges they recommend. Keep in mind that even if the school itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Referral Program? Finding a job in Needham MA after graduating in your new profession may be difficult without the help 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 a good indication that the coding and billing college has a sizable network of medical care employers where they can refer their graduates. It also indicates that the school's graduates are in high demand in the marketplace.

Where is the College Located? If you are planning on driving to class from your Needham MA residence, then the location of the school will be of significant importance. Naturally if you enroll in an online medical billing and coding 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 pupils that reside outside of their districts. So you might prefer to first consider those schools that are within your local area.

What is the Total Cost? Medical coding and billing 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. Costs also include such items as the cost of books, supplies and commuting. Financial assistance may be available to help offset a portion of the expense, so be sure to get in touch with the school's financial aid department to find out what is offered in Needham MA. Naturally if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be minimized or even eliminated.

Are Classes Accessible that Fit your Schedule? Many students keep working while going to school and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Needham MA, verify that they are offered at those times. If you can only enroll on a part-time basis, make certain that the college you pick provides that option. Also, ask what the procedure is for making up classes missed due to sickness, work or family emergencies.

Learn How to Select a Medical Billing School

Select the Best Needham MA Medical Billing and Coding Program 

Selecting the right medical billing and coding certificate or degree program is a critical initial step to help guarantee your success in this exciting field of healthcare. Medical billing and medical coding are 2 of the most rapidly expanding occupations in the health sector. As a result, there are numerous trade schools, junior colleges and companies that offer training and instruction in medical coding and billing. As we have discussed, you can decide to attend classes either online or on campus. It's also important that the school you choose offers an accredited program with an exceptional reputation within the healthcare community. But however you choose to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better qualified to analyze your options and pick the right medical billing and coding college. And with the proper training, you can accomplish your career objective to become a medical billing and coding clerk in Needham Massachusetts.