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


Medical Billing and Coding Schools Online Needham MA

How to Enroll In the Best Medical Billing Training Program near Needham Massachusetts

Needham Massachusetts female medical biller at her computerOnce you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Needham MA, it's important that you select the right program to ensure that you receive the necessary education to ensure your success. As you no doubt know, healthcare is one of the fastest growing sectors in the United States, and increasingly more options are offered both on campus and online to receive the training that you need. But just where do you begin? Many future students start by searching for schools that are within driving distance of their homes and then comparing cost. Or they may search the internet looking for online courses 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 comparing medical billing and coding schools. Such qualifiers as reputation and accreditation need to be taken into consideration as well. We will review a list of questions that you should ask the medical billing and coding training programs you are researching so that you can learn what you must know prior to making your decision. But first, let's take a look at what medical coders and billers do and the training and certification options offered.

Medical Coder Job Duties

Needham Massachusetts patient medical files

Medical coders work on the forefront of the billing systems for Needham MA medical practices and hospitals. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any medical supplies or equipment utilized. 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 nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accurate reporting, but must have a working knowledge of all private payer and government regulations that affect coding also. Improperly coded claims can lead to services not being covered, services being paid at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Needham MA physicians and medical facilities multiple thousands of dollars in income every year, a good medical coder is an important asset to the healthcare organization. They can operate in every kind of healthcare facility, including family practices, hospitals, clinics and urgent 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 Description

Needham Massachusetts health insurance documents

As essential as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Needham MA medical organizations and are literally responsible for keeping their doors open. In many cases the biller and coder may be the same individual within a medical facility, but they can also be two individual professionals. Once the coder has performed his or her duty, the biller utilizes the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been paid by the applicable entity, patients can then be charged for deductibles and other out of pocket expenses. On a routine basis, a medical billing clerk may also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing questions or concerns
  • Check on submitted patient claims and appeal any that have been declined
  • Function as an intermediary between the healthcare provider, the insurance carriers and the patients for accurate claim settlement
  • Create and oversee Accounts Receivables reports
  • Generate and handle unpaid patient collections accounts

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

Medical Coding and Billing Online Training and Certification

money and stethoscope Needham MassachusettsIt's imperative that you receive your education from a reputable school, whether it's a technical school, vocational school or community college. Even though it is not a requirement in most cases to earn a professional certification, the school you select should be accredited (more on the advantages of accreditation later). Most Massachusetts programs simply require that you earn either a high school diploma or a GED to qualify. The most expedient way to becoming either a medical coder or biller (or both) is to earn a certificate, which generally takes about 1 year to finish. An Associate Degree is also an option for a more extensive education, which for almost all schools calls for 2 years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. When your training has been completed, although not required in most states, you may wish to attain a professional certification. Certification is an excellent method for those new to the field to show potential employers that they are not only qualified but committed to their career. 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).

Completing an accredited medical billing and coding course, combined with obtaining a professional certification, are the most effective ways to advance your new profession and succeed in the rapid growing healthcare field.

Online Medical Biller and Coder Training

Needham Massachusetts female enrolled in medical billing and coding online trainingIf you are interested in flexibility and the convenience of attending classes at home, then enrolling in an online medical billing and coding course might be a good option. They can be particularly attractive to students living in Needham MA who anticipate attending school while continuing to work or have other obligations that make going to classes on campus challenging. And as an added advantage, online programs are in many cases 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 programs are reputable. That's why it's important to confirm that any online program you select is accredited to guarantee a superior education. We will cover the advantages of accreditation in the next section. Just be sure to verify that any online college you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then attaining your certificate or degree online may be the ideal choice for you.

What to Ask Medical Biller and Coder Colleges

Once you have a general idea just what a medical coder and biller does, as well as what training options are offered, you must begin the process of evaluating colleges. But since there many training options available at community colleges as well as vocational, technical and trade schools within the Needham MA area, you need to have a prepared list of questions to analyze each one. And when you add all of the online schools that offer medical coding and billing classes, the task can become rather formidable. As we have already covered, cost and location are going to be important factors, especially if you have a limited budget and will be commuting to classes from your Needham residence. And verifying that the program and school are accredited should be part of your vetting process as well. So let's take a look at some of the other questions that you should ask the programs you are reviewing so that you can analyze each one and make the ideal choice.

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

What is the School's Reputation? Prior to choosing a medical coding and billing school, find out what its ranking and reputation are among other colleges. This is particularly relevant if you have no experience in the profession, since potential employers will basically be evaluating you based on the quality of your education. As we have covered, making sure that the school 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 as well. An alternative is to call some Needham MA medical organizations that you may be interested in working for and ask which programs they suggest. Remember that even when the college itself does not have an excellent reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Referral Program? Obtaining employment in Needham MA after graduation in your new profession may be challenging without the support of a job assistance program. Find out if the colleges you are reviewing have job placement programs and what their job placement rates are. A rapid and high placement rate is an excellent indication that the coding and billing school has a sizable network of healthcare employers where they can refer their graduates. It also indicates that the college's graduates are sought after in the marketplace.

Where is the School Located? If you are anticipating driving to class from your Needham MA residence, then the location of the campus will be of prime importance. Obviously if you choose 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 community or junior college, most charge a higher tuition for students that live outside of their districts. So you might prefer to first research those schools that are within your local area.

What is the Complete Expense? Medical billing and coding training programs can fluctuate in cost depending on the type of credential acquired and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Costs also include such things as the cost of books, supplies and commuting. Financial assistance may be accessible to help offset a portion of the cost, so make sure to check with the college's financial assistance department to find out what is available in Needham MA. Naturally if you decide to attend an online college, a portion of these added costs, such as for commuting may be minimized or even eliminated.

Are Classes Offered that Match your Schedule? Many students continue working while going to college and need a convenient class schedule. If you can only attend classes at night or on weekends near Needham MA, verify that they are available at those times. If you can only enroll on a part time schedule, verify that the school you decide on offers that alternative. Also, find out what the process is for making up classes missed because of sickness, work or family responsibilities.

Find Out More on How to Choose a Billing and Coding Course

Choose the Best Needham MA Medical Billing and Coding School 

Picking the ideal medical billing and coding degree or certificate course is a very important first step to help assure your success in this rewarding sector of healthcare. Medical billing and medical coding are 2 of the most rapidly expanding occupations in the health industry. Because of this, there are numerous vocational schools, junior colleges and companies that offer training and instruction in medical billing and coding. As we have covered, you can choose to attend classes either on campus or online. It's also important that the college you pick 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 posing the right questions, you will be better qualified to assess your options and choose the ideal medical billing and coding college. And with the proper training, you can accomplish your career objective to become a medical coding and billing specialist in Needham Massachusetts.