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Medical Coding and Billing Online Programs Raleigh NC

How to Choose the Best Medical Billing Training Classes near Raleigh North Carolina

Raleigh North Carolina woman medical coder at her computerNow that you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Raleigh NC, it's essential that you choose the appropriate program so that you receive the necessary education to ensure your success. As you no doubt know, healthcare is among the fastest growing fields in the Country, and increasingly more options are available both on campus and online to get the training that you need. But just where does one start? A number of aspiring students start by looking for colleges that are within driving distance of their residences and then comparing cost. Or they might search the internet looking for online classes and pick the cheapest one. But while cost and location are significant factors when making your choice, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation must be considered also. We will review a list of topics that you should ask the medical billing and coding schools you are assessing in order to find out what you need to know before making your decision. But first, let's take a look at what medical billers and coders do and the training and certification options available.

Medical Coder Job Description

Raleigh North Carolina patient medical records

Medical coders work on the front line of the billing systems for Raleigh NC private practices and hospitals. They have the responsibility to analyze the treatment records of patients and convert all services provided into universal codes. 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 including physician and nursing notes, patient charts, and radiology and lab 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 rules that influence coding as well. Inaccurately coded claims can lead to services not being covered, services being paid at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost Raleigh NC physicians and medical facilities multiple thousands of dollars in income annually, a reliable medical coder is an important asset to the healthcare team. They can operate in any kind of healthcare facility, including private practices, hospitals, clinics and emergency care centers. It is not uncommon for seasoned medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Raleigh North Carolina medical insurance paperwork

As crucial as the medical coder's job is, it would be for naught without the contribution of the medical biller whose labors bring in revenue. Medical billing clerks are very important to Raleigh NC medical facilities and are practically responsible for keeping their doors open. Often the coder and biller can be the same individual within a healthcare organization, but they can also be two separate professionals. When 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 being paid by the applicable organization, patients can then be charged for deductibles and additional out of pocket costs. On a regular basis, a medical billing clerk may also do any of the following:

  • Confirm health insurance benefits for patients and help them with billing concerns or questions
  • Check on patient claims submitted and appeal those that have been denied
  • Act as a mediator between the medical provider, the insurance carriers and the patients for accurate claim settlement
  • Create and manage Accounts Receivables reports
  • Produce and manage unpaid patient collections accounts

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

Medical Billing and Coding Online Education and Certification

cash with stethoscope Raleigh North CarolinaIt's essential that you get your instruction from a reputable school, whether it's a technical school, vocational school or community college. Although it is not a requirement in many cases to obtain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). Most North Carolina programs only require that you earn either a high school diploma or a GED to qualify. The quickest way to become either a medical coder or biller (or both) is to obtain a certificate, which typically takes about one year to complete. An Associate Degree is an alternative for a more expansive education, which for the majority of schools calls for 2 years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. After your training has been completed, although not required in the majority of states, you might desire to earn 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 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).

Completing an accredited medical billing and coding program, combined with obtaining a professional certification, are the most effective ways to advance your new profession and succeed in the fast growing medical care industry.

Medical Billing and Coding Online Classes

Raleigh North Carolina woman attending medical biller and coder online classesIf you are interested in convenience and the flexibility of attending classes at home, then selecting a medical billing and coding online program may be an excellent option. They can be especially attractive to those living in Raleigh NC who anticipate attending school while continuing to work or have additional commitments that make going to classes on campus difficult. And as an additional benefit, online schools are in many cases less expensive than the standard classroom options. Expenses for such items as tuition, course materials and commuting may be decreased or eliminated. But be careful, as not all online courses are reputable. That's why it's imperative to confirm that any online program you select is accredited to guarantee a premium education. We will address the advantages of accreditation in the next segment. Just be sure to confirm that any online college you are researching is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this mode of learning, then acquiring your certificate or degree online may be the ideal choice for you.

What to Ask Medical Coding and Billing Schools

Once you have a better idea what a medical biller and coder does, along with what training options are offered, you must start the process of researching schools. But since there many training options available at community colleges as well as technical, trade and vocational schools within the Raleigh NC area, you need to have a ready 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 somewhat formidable. As we have already covered, location and cost are going to be important issues, particularly if you have a limited budget and will be traveling to classes from your Raleigh home. 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 looking at so that you can compare each one and make the best choice.

Is the School Accredited? It's important that the program and college you decide on are accredited by a recognized accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online college, it can also earn 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 the highest quality, it might help with your future employment as well. Many Raleigh NC healthcare organizations will only hire entry level candidates that have completed an accredited medical billing and coding training course. And financial assistance and student loans are in many cases only obtainable for schools that have earned an accreditation.

What is the Program's Reputation? Prior to enrolling in a medical coding and billing college, find out what its ranking and reputation are compared to other schools. This is particularly 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, confirming that the college is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can confirm the quality of the school also. An alternative is to call several Raleigh NC healthcare organizations that you might have an interest in working for and find out which colleges they suggest. Keep in mind that even if 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 a job in Raleigh NC after graduation in your new profession might be difficult without the help of a job assistance 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 coding and billing school has a substantial network of healthcare employers where they can refer their graduates. It also suggests that the school's graduates are sought after in the marketplace.

Where is the College's Location? If you are planning on driving to class from your Raleigh NC residence, then the location of the campus will be of significant importance. Of course if you choose an online medical billing and coding program, then the location of the school will not be a factor. One thing to bear in mind is that if you go to classes at a community or junior college, most require a higher tuition for pupils that reside outside of their districts. So you might want to first research those schools that are within your local area.

What is the Complete Cost? Medical billing and coding certification courses can differ in cost based on the type of credential acquired and the amount 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 assistance may be obtainable to help offset a portion of the expense, so don't forget to contact the college's financial assistance department to see what is available in Raleigh NC. Naturally if you decide to enroll in an online college, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Offered that Accommodate your Schedule? Many students keep working while going to college and require a convenient class schedule. If you can only attend classes during the evenings or on weekends near Raleigh NC, confirm that they are available at those times. If you can only attend on a part-time schedule, check that the school you select offers that alternative. Also, find out what the procedure is for making up classes missed because of illness, work or family emergencies.

Find Out More on How to Select a Medical Coding Course

Enroll in the Best Raleigh NC Medical Billing and Coding Program 

Picking the right medical coding and billing degree or certificate course is a critical initial step to help assure your success in this exciting field of healthcare. Medical billing and medical coding are 2 of the fastest growing professions in the medical industry. Because of this, there are a lot of vocational schools, junior colleges and other institutions that offer education and training in medical billing and coding. As we have discussed, you can elect to attend classes either on campus or online. It's also essential that the college you choose has an accredited program with an outstanding reputation within the healthcare community. But however you elect to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better prepared to assess your options and pick the right medical billing and coding college. And with the appropriate education, you can realize your career objective to become a medical billing and coding specialist in Raleigh North Carolina.