Home >> Pennsylvania >> Allentown >> How To Become A Medical Coder


Medical Coding and Billing Online Courses Allentown PA

How to Find the Right Medical Billing Training Program near Allentown Pennsylvania

Allentown Pennsylvania female medical biller and coder at her computerOnce you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Allentown PA, it's important that you find the right school so that you receive the proper education to guarantee your success. As you probably know, healthcare is one of the fastest growing industries in the Country, and a growing number of options are available both on campus and online to obtain the training that you need. But just where does one begin? Many potential students start by looking for schools that are within commuting distance of their residences and then comparing tuition. Or they may search the internet looking for online classes and go with the cheapest one. But while location and cost are important factors when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation should be taken into consideration also. We will cover a checklist of topics that you should ask the medical billing and coding schools you are assessing so that you can learn what you need to know prior to 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 available.

Medical Coder Job Functions

Allentown Pennsylvania patient medical history

Medical coders work on the front line of the billing systems for Allentown PA medical practices and healthcare organizations. They have the responsibility to analyze the medical 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 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 including physician and nursing notes, patient charts, and lab and radiology reports. Medical Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all government and private payer regulations that influence coding also. Improperly coded claims may result in services not being paid for, services being paid at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can literally cost Allentown PA physicians and medical facilities multiple thousands of dollars in revenue each year, a reliable medical coder is a vital asset for any healthcare team. They can work in any kind of healthcare facility, including family practices, hospitals, clinics and emergency care centers. It is not unusual for experienced medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Functions

Allentown Pennsylvania health insurance paperwork

As vital as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose efforts bring in revenue. Medical billing clerks are extremely important to Allentown PA healthcare facilities and are practically responsible for keeping them in business. Frequently the coder and biller are the same individual within a medical facility, but they can also be 2 individual professionals. When the coder has completed his or her job, the biller uses the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the applicable organization, patients can then be billed for deductibles or additional out of pocket expenses. On a regular basis, a medical biller may also do any of the following:

  • Verify health insurance coverages for patients and help them with billing questions or concerns
  • Follow up on submitted patient claims and appeal those that have been declined
  • Work as an intermediate between the medical provider, the insurance companies and the patients for accurate claim settlement
  • Generate and oversee Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Medical Coder and Biller Online Instruction and Certification

hundred dollar bills with stethoscope Allentown PennsylvaniaIt's important that you get your training from a reputable school, whether it's a technical school, vocational school or community college. Even though it is not required in many cases to obtain a professional certification, the program you enroll in should be accredited (more on the benefits of accreditation later). Most Pennsylvania colleges just require that you have either a high school diploma or a GED to apply. The quickest way to becoming either a medical coder or biller (or both) is to earn a certificate, which normally takes about one year to complete. An Associate Degree is an alternative for a more extensive education, which for the majority of schools calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not abundantly available. Once your education has been completed, although not mandated in the majority of states, you may desire to earn a professional certification. Certification is a great means for those new to the profession to show prospective 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 advance your new career and succeed in the rapid growing medical care industry.

Online Medical Biller and Coder Schools

Allentown Pennsylvania woman attending medical biller and coder online trainingIf you are searching for flexibility and the convenience of attending classes from home, then enrolling in a medical billing and coding online course might be a good option. They can be especially attractive to students living in Allentown PA who anticipate attending school while continuing to work or have other responsibilities that make going to classes on campus challenging. And as an added benefit, online schools are in many cases cheaper than the traditional classroom alternatives. Expenses for such things as tuition, course materials and commuting may be reduced or eliminated. But be careful, as not all online programs are reputable. That's why it's imperative to verify that any online school you select is accredited to ensure a quality education. We will address the advantages of accreditation in the next segment. Just make sure to establish 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 commit yourself to this mode of learning, then earning your certificate or degree online may be the ideal choice for you.

Questions to Ask Medical Coding and Billing Programs

Once you have a better idea what a medical biller and coder does, as well as what education options are available, you need to start the process of comparing schools. But since there are numerous training options offered at community colleges as well as vocational, technical and trade schools within the Allentown PA area, you should have a ready list of questions in order to assess each one. And when you include all of the online programs that offer medical coding and billing classes, the task can become somewhat daunting. As we have already addressed, cost and location are going to be significant factors, especially if you have a limited budget and will be commuting to classes from your Allentown residence. And confirming that the program and school are accredited should be part of your vetting process also. So let's review several of the additional questions that you should ask the colleges you are considering so that you can compare each one and make the ideal choice.

Is the School Accredited? It's important that the school and program you choose are accredited by a respected accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, 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 superior quality, it could help with your future employment also. Many Allentown PA healthcare organizations will only hire entry level applicants that have completed an accredited medical billing and coding educational program. And financial assistance and student loans are often only obtainable for programs that have earned an accreditation.

What is the Program's Reputation? Before picking a medical coding and billing program, check out what its reputation and ranking are among other colleges. This is especially important if you have no experience in the profession, since potential employers will primarily be evaluating you based on the quality of your education. As we have addressed, making sure that the program is accredited is a first step. Checking with college rating organizations, for example U.S. News and World Report, can confirm the quality of the school also. Another option is to contact a few Allentown PA healthcare organizations that you might be interested in working for and ask which schools they suggest. Bear in mind that even when the college itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Placement Program? Finding a job in Allentown PA after graduating in your new field can be challenging without the help of a job placement program. Check if the schools 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 place their graduates. It also suggests that the school's graduates are sought after in the marketplace.

Where is the School Located? If you are anticipating commuting to class from your Allentown PA residence, then the location of the school will be of significant importance. Naturally if you choose an online medical billing and coding program, then the location of the school will not be a factor. One thing to remember is that if you attend classes at a community or junior college, most charge a higher tuition for pupils that live outside of their districts. So you may want to first research those schools 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 earned and the amount of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenses also consist of such items as the cost of books, supplies and commuting. Financial assistance might be obtainable to help offset some of the expense, so don't forget to check with the school's financial aid department to see what is available in Allentown PA. Naturally if you decide to attend an online college, a portion of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Accessible that Fit your Schedule? Many students continue working while going to school and need a flexible class schedule. If you can only attend classes at night or on weekends near Allentown PA, verify that they are offered at those times. If you can only attend on a part time schedule, verify that the college you enroll in provides that alternative. Also, find out what the protocol is for making up classes missed due to sickness, work or family responsibilities.

Get Info on How to Select a Billing and Coding Course

Enroll in the Best Allentown PA Medical Billing and Coding Program 

Picking the right medical billing and coding certificate or degree program is a critical first step to help ensure your success in this exciting specialty of medical care. Medical coding and medical billing are 2 of the fastest growing careers in the medical industry. As a result, there are a lot of trade schools, community colleges and companies that provide training and education in medical billing and coding. As we have reviewed, you can elect to attend classes either online or on campus. It's also essential that the school you choose offers an accredited program with an exceptional reputation within the medical care field. But however you decide to receive your education, by following the previous guidelines and posing the appropriate questions, you will be better qualified to evaluate your options and pick the right medical billing and coding program. And with the appropriate education, you can realize your career objective to become a medical billing and coding clerk in Allentown Pennsylvania.