Home >> North Carolina >> Raleigh >> Medical Coding Programs


Medical Billing and Coding Schools Online Raleigh NC

How to Select the Right Medical Billing College near Raleigh North Carolina

Raleigh North Carolina female medical biller at her computerNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Raleigh NC, it's important that you find the appropriate school to ensure that you receive the proper education to ensure your success. As you no doubt know, healthcare is one of the fastest growing industries in the Country, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where does one start? A number of aspiring students start by looking for schools that are within commuting distance of their residences and then comparing cost. Or they might search the internet looking for online courses and select the cheapest one. But while location and cost are relevant issues when making your selection, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as reputation and accreditation should be taken into account also. We will review a list of questions that you need to ask the medical billing and coding courses you are researching so that you can find out what you must know prior to making your decision. Before we do that, let's take a look at what medical coders and billers do and the training and certification options offered.

Medical Coder Job Summary

Raleigh North Carolina patient medical history

Medical coders work on the front line of the billing systems for Raleigh NC private practices and hospitals. Coders have the responsibility to analyze the treatment 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 various 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 use information from sources including 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 rules that influence coding as well. Incorrectly coded claims may 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 doctors and hospitals many thousands of dollars in revenue each year, a proficient medical coder is an important asset for any healthcare organization. They can work in any kind of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not uncommon for experienced medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Description

Raleigh North Carolina health insurance forms

As essential as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Raleigh NC healthcare organizations and are literally responsible for keeping them in business. Frequently the biller and coder can be the same individual within a medical facility, but they can also be two individual specialists. Once the coder has performed his or her task, the biller uses the codes furnished to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate entity, patients can then be billed for deductibles or other out of pocket costs. On a regular basis, a medical billing clerk can also do any of the following:

  • Check medical insurance coverages for patients and help them with billing concerns or questions
  • Follow up on submitted patient claims and appeal any that have been declined
  • Function as an intermediate between the healthcare provider, the insurance companies and the patients for proper claim resolution
  • Produce and oversee Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

Medical billers not only are employed by private practices, but also Raleigh NC emergency care facilities, hospitals, nursing homes or medical groups. They may practice in every type of medical facility that depends on the incomes generated by billing third party payers and patients.

Medical Billing and Coding Online Instruction and Certification

cash under stethoscope Raleigh North CarolinaIt's important that you get your training from a reputable school, whether it's a trade school, vocational school or community college. Although it is not required in most cases to obtain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). The majority of 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 attain a certificate, which generally takes about 1 year to complete. An Associate Degree is an alternative for a more comprehensive education, which for the majority of colleges requires 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. After your education has been concluded, although not required in most states, you may want to acquire a professional certification. Certification is an effective means for those new to the profession to show potential employers that they are not only qualified but committed 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).

Completing an accredited medical billing and coding program, together with attaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Medical Biller and Coder Online Programs

Raleigh North Carolina female enrolled in medical billing and coding online schoolIf you are looking for convenience and the flexibility of attending classes from home, then enrolling in a medical billing and coding online course may be a great option. They can be particularly appealing to individuals living in Raleigh NC who anticipate attending school while still working or have additional responsibilities that make going to classes on campus difficult. And as an additional advantage, online programs are frequently cheaper than the traditional classroom alternatives. Expenses for such things as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online programs are reputable. For that reason it's essential to verify that the online school you enroll in is accredited to guarantee a superior education. We will cover the benefits of accreditation in the next section. Just be sure to establish that any online school you are researching is accredited by one of the national accrediting organizations, 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 might be the ideal choice for you.

Questions to Ask Medical Biller and Coder Schools

Once you have a general idea what a medical biller and coder does, as well as what education options are available, you need to start the process of comparing colleges. But since there a large number of training options available at community colleges and vocational, technical and trade schools within the Raleigh NC area, you must have a ready list of questions in order to analyze each one. And when you add all of the online schools that offer medical coding and billing classes, the project can become rather formidable. As we have already covered, expense and location are going to be significant factors, especially if you have a limited budget and will be driving to classes from your Raleigh home. And confirming that the school and program are accredited must be part of your vetting process as well. So let's review several of the additional questions that you should ask the schools you are considering so that you can compare each one and make the appropriate choice.

Is the Training Accredited? It's crucial that the program and college you pick are accredited by a respected accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online school, it may also receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help ensure that the training you receive will be of the highest quality, it could help secure future employment also. Many Raleigh NC healthcare facilities will only hire entry level candidates that have completed an accredited medical coding and billing educational program. And financial aid and student loans are often only available for programs that have received an accreditation.

What is the School's Reputation? Before enrolling in a medical billing and coding college, check out what its reputation and ranking are compared to other programs. This is particularly imperative if you have no experience in the field, since potential employers will primarily be relying on the quality of your education. As we have addressed, confirming that the school is accredited is a first step. Checking with school rating organizations, for example U.S. News and World Report, can validate the quality of the school as well. Another option is to call some Raleigh NC healthcare organizations that you may have an interest in working for and ask which colleges they recommend. Remember that even when the school itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Assistance Program? Finding employment in Raleigh NC after graduation in your new profession might be difficult without the support of a job assistance program. Check if the colleges 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 billing and coding school has a significant network of medical care 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 College's Location? If you are anticipating commuting to class from your Raleigh NC residence, then the location of the campus will be of prime importance. Of course if you enroll in an online medical coding and billing program, then the location of the college will not be a factor. One thing to keep in mind is that if you go to classes at a community or junior college, many charge a higher tuition for students that live outside of their districts. So you may want to first look at those colleges that are within your local area.

What is the Overall Expense? Medical billing and coding certification programs can fluctuate in cost depending on the type of credential obtained and the length of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also include such things as the cost of supplies, books and commuting. Financial aid may be obtainable to help reduce some of the expense, so be sure to contact the college's financial assistance department to see what is offered in Raleigh NC. Naturally if you decide to attend an online school, some of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Accessible that Accommodate your Schedule? A number of students keep working while going to school and need a convenient class schedule. If you can only go to classes at night or on weekends near Raleigh NC, make sure that they are available at those times. If you can only attend on a part-time basis, check that the program you decide on provides that option. Also, ask what the process is for making up classes missed because of sickness, work or family emergencies.

Get Info on How to Choose a Medical Biller and Coder School

Enroll in the Best Raleigh NC Medical Billing and Coding Program 

Choosing the ideal medical coding and billing degree or certificate program is a crucial first step to help assure your success in this rewarding field of healthcare. Medical coding and medical billing are 2 of the fastest growing occupations in the medical sector. As a result, there are a lot of trade schools, community colleges and other institutions that furnish instruction and training in medical coding and billing. As we have covered, you can decide to attend classes either online or on campus. It's also important that the college you select offers an accredited program with an excellent reputation within the medical care field. But however you elect 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 school. And with the proper training, you can achieve your career objective to become a medical billing and coding clerk in Raleigh North Carolina.