Home >> Massachusetts >> Northampton >> Billing And Coding Classes


Medical Coding and Billing Programs Online Northampton MA

How to Choose the Right Medical Billing and Coding Program near Northampton Massachusetts

Northampton Massachusetts woman medical biller and coder entering dataNow that you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Northampton MA, it's crucial that you select the appropriate program so that you receive the proper education to ensure your success. As you probably know, healthcare is one of the fastest growing fields in the USA, and increasingly more options are offered both online and on campus to get the training that you need. But just where do you begin? A number of potential students begin by searching for programs that are within commuting distance of their homes and then comparing tuition. Or they may surf the internet looking for online courses and go with the least expensive one. But while cost and location are important issues when making your selection, they should not be the sole ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation must be considered also. We will review a checklist of questions that you need to ask the medical billing and coding courses you are researching in order to learn what you need to know prior to making your decision. But first, let's take a look at what medical coders and billers do and the academic and certification options available.

Medical Billing and Coding Online Programs and Certification

money with stethoscope Northampton MassachusettsIt's imperative that you receive your training from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not a requirement in most cases to attain a professional certification, the school you select should be accredited (more on the benefits of accreditation later). Most Massachusetts schools only require that you have either a high school diploma or a GED to apply. The quickest way to becoming either a medical biller or coder (or both) is to obtain a certificate, which typically takes about 1 year to complete. An Associate Degree is also an option for a more extensive education, which for the majority of colleges calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. When your training has been completed, although not required in the majority of states, you might wish to acquire a professional certification. Certification is an effective way 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 best ways to accelerate your new career and succeed in the rapid growing medical care industry.

Medical Coder Job Summary

Northampton Massachusetts patient health files

Medical coders are on the front line of the billing systems for Northampton MA medical practices and hospitals. They have the responsibility to analyze the treatment 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 utilized. There are various 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 use information from sources such as 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 working knowledge of all government and private payer regulations that influence coding also. Inaccurately coded claims can result in services not being paid for, services being paid at a reduced rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can actually cost Northampton MA hospitals and doctors multiple thousands of dollars in revenue each year, a reliable medical coder is an important asset to the healthcare organization. They can operate in any kind of healthcare facility, including family practices, hospitals, clinics and critical care centers. It is not unusual for experienced medical coders to operate at home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Northampton Massachusetts medical insurance forms

As vital as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are very important to Northampton MA healthcare facilities and are essentially responsible for keeping their doors open. In many cases the coder and biller are the same person within a medical facility, but they can also be two individual specialists. After the coder has performed his or her duty, the biller utilizes the codes provided to complete and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable entity, patients can then be charged for deductibles or additional out of pocket costs. On a routine basis, a medical billing clerk may also do any of the following:

  • Check 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
  • Work as a mediator between the healthcare provider, the insurance carriers and the patients for correct claim settlement
  • Produce and control Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Northampton MA emergency care facilities, hospitals, nursing homes or medical groups. They may work in every type of healthcare facility that depends on the incomes generated from billing patients and third party payers.

Medical Biller and Coder Online Programs

Northampton Massachusetts student attending medical billing and coding online classesIf you are searching for convenience and the flexibility of attending classes at home, then enrolling in an online medical billing and coding course may be an excellent option. They can be particularly attractive to individuals living in Northampton MA who plan on going to school while continuing to work or have additional obligations that make going to classes on campus challenging. And as an added benefit, online colleges are often cheaper than the conventional classroom options. Expenses for such things as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online schools are reputable. That's why it's essential to confirm that the online school you enroll in is accredited to guarantee a quality education. We will cover the advantages of accreditation in the next section. Just make sure to verify that any online school you are researching 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 style of learning, then obtaining your degree or certificate online may be the right choice for you.

Points to Ask Medical Billing and Coding Programs

Now that you have a general idea what a medical coder and biller does, in addition to what education options are available, you must start the process of evaluating colleges. But since there many training options available at community colleges as well as technical, trade and vocational schools within the Northampton MA area, you should have a prepared list of questions to assess each one. And when you include all of the online schools that offer medical billing and coding classes, the task can become rather formidable. As we have already covered, location and cost are going to be important factors, especially if you have a limited budget and will be commuting to classes from your Northampton residence. And confirming that the school and program are accredited should be part of your vetting process as well. So let's take a look at a few of the additional questions that you should ask the schools you are considering so that you can compare each one and make the right choice.

Is the School Accredited? It's vital that the program and college you select are accredited by a highly regarded accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, it can 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 training you get will be of superior quality, it may help with your future employment also. A number of Northampton MA healthcare facilities will only hire entry level candidates that have completed an accredited medical billing and coding training course. And financial assistance and student loans are frequently only offered for programs that have earned an accreditation.

What is the Program's Reputation? Prior to choosing a medical coding and billing college, check out what its ranking and reputation are compared to other schools. This is particularly imperative if you have no experience in the industry, since potential employers will mostly be evaluating you based on the quality of your education. As we have covered, making sure that the program is accredited is an initial step. Checking with school rating organizations, such as U.S. News and World Report, can confirm the quality of the school as well. An alternative is to check with some Northampton MA medical organizations that you might have an interest in working for and find out which programs they recommend. Keep in mind that even if the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Assistance Program? Obtaining employment in Northampton MA after graduation in your new field might be challenging without the help of a job assistance program. Find out if the schools you are looking at have job assistance programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing college has a sizable network of medical care employers where they can place their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the College's Location? If you are intending on driving to class from your Northampton MA home, then the location of the campus will be of significant importance. Obviously if you choose an medical billing and coding online 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 junior or community college, many charge a higher tuition for enrollees that live outside of their districts. So you may want to first research those colleges that are within your local area.

What is the Overall Expense? Medical billing and coding certification programs can fluctuate in cost based on the type of credential acquired and the length of training provided. But remember, tuition is not the only expense for your education. Expenses also consist of such things as the cost of books, supplies and commuting. Financial aid may be accessible to help reduce some of the cost, so don't forget to get in touch with the school's financial aid department to see what is available in Northampton MA. Of course if you decide to enroll in an online school, a portion of these added costs, particularly for commuting may be minimized or even eliminated.

Are Classes Accessible that Fit your Schedule? A number of students keep working while attending school and need a flexible class schedule. If you can only go to classes in the evenings or on weekends near Northampton MA, make sure that they are available at those times. If you can only attend on a part time schedule, verify that the college you enroll in offers that option. Also, find out what the process is for making up classes missed due to sickness, work or family responsibilities.

Find Out More on How to Choose a Medical Biller and Coder Course

Choose the Best Northampton MA Medical Billing and Coding School 

Picking the right medical billing and coding certificate or degree course is a very important initial step to help guarantee your success in this exciting specialty of medical care. Medical billing and medical coding are 2 of the most rapidly expanding careers in the medical sector. Because of this, there are a lot of vocational schools, junior colleges and companies that offer training and education in medical coding and billing. As we have discussed, you can choose to attend classes either on campus or online. It's also imperative that the school you pick has an accredited program with an exceptional reputation within the medical care field. But however you elect to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better able to evaluate your options and pick the right medical billing and coding college. And with the proper education, you can accomplish your career goal to become a medical billing and coding specialist in Northampton Massachusetts.