How to Choose the Best Medical Billing Program near Altoona Pennsylvania
Once you have decided to become part of the healthcare profession by enrolling in a medical billing and coding school near Altoona PA, it's crucial that you choose the appropriate school to ensure that you receive the necessary education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the USA, and more and more options are offered both on campus and online to obtain the training that you need. But just where do you begin? Many aspiring students start by looking for colleges that are within driving distance of their residences and then comparing cost. Or they might surf the internet looking for online courses and select the least expensive one. But while cost and location are important issues when making your determination, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as reputation and accreditation need to be considered also. We will review a list of questions that you should ask the medical billing and coding schools you are researching in order to 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 offered.
Medical Coder and Biller Online Programs and Certification
It's essential that you obtain your instruction from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in most cases to obtain a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). The majority of Pennsylvania programs only require that you have either a high school diploma or a GED to apply. The most expedient way to becoming either a medical coder or biller (or both) is to obtain a certificate, which normally takes about one year to finish. An Associate Degree is also an option for a more expansive education, which for most colleges requires two years of studies. Bachelor's Degrees for medical coding and billing are not widely available. After your education has been completed, although not mandated in the majority of states, you may wish to earn a professional certification. Certification is a great method for those new to the profession to show potential employers that they are not only qualified but committed to their career. Just some of the organizations that offer 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 course, together with attaining a professional certification, are the best ways to accelerate your new career and succeed in the rapid growing healthcare industry.
Medical Coder Job Description
Medical coders work on the front line of the billing systems for Altoona PA medical practices and healthcare organizations. They have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are multiple 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 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 rules that influence coding also. Incorrectly coded claims can result in services not being covered, services being paid at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can literally cost Altoona PA doctors and hospitals multiple thousands of dollars in income annually, a reliable medical coder is a vital asset to the healthcare organization. They can work in every type of healthcare facility, including family practices, hospitals, clinics and emergency care centers. It is not unusual for professional medical coders to work at home as an independent contractor or offsite employee.
Medical Biller Job Description
As crucial as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Altoona PA healthcare facilities and are literally responsible for keeping their doors open. Frequently the biller and coder are the same individual within a healthcare organization, but they can also be two independent professionals. Once the coder has completed his or her task, the biller utilizes the codes provided to complete and submit claim forms to insurance carriers, Medicaid or Medicare. After being paid by the applicable organization, patients can then be invoiced for deductibles and other out of pocket costs. On a routine basis, a medical billing professional may also do any of the following:
- Verify medical insurance coverages for patients and help them with billing concerns or questions
- Follow up on patient claims submitted and appeal those that have been declined
- Act as an intermediate between the healthcare provider, the insurance carriers and the patients for accurate claim resolution
- Create and oversee Accounts Receivables reports
- Produce and handle unpaid patient collections accounts
Medical billing clerks not only are employed by family practices, but also Altoona PA hospitals, urgent care facilities, nursing homes or medical groups. They may practice in every type of medical facility that depends on the revenues generated from billing third party payers and patients.
Medical Billing and Coding Online Courses
If you are interested in convenience and the flexibility of attending classes from home, then choosing an online medical billing and coding program might be a great option. They can be especially appealing to those living in Altoona PA who anticipate attending school while still working or have other commitments that make attending classes on campus challenging. And as an added benefit, online schools are often cheaper than the standard classroom options. Costs for such items as tuition, commuting and study materials may be reduced or eliminated. But be cautious, as not all online schools are reputable. For that reason it's imperative to verify that the online school you select is accredited to ensure a quality education. We will cover the advantages of accreditation in the next section. Just be sure to verify that any online classes you are considering is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this style of learning, then obtaining your degree or certificate online might be the right choice for you.
Points to Ask Medical Billing and Coding Training Programs
Now that you have a general idea just what a medical coder and biller does, in addition to what training options are available, you need to begin the process of evaluating schools. But since there a large number of training options offered at community colleges as well as vocational, technical and trade schools within the Altoona PA area, you must have a ready list of questions in order to analyze each one. And when you add all of the online programs that offer medical billing and coding classes, the task can become somewhat formidable. As we have already addressed, location and cost are going to be important factors, particularly if you have a limited budget and will be driving to classes from your Altoona home. And whether or not the program and school are accredited should be part of your vetting process also. So let's take a look at several of the additional questions that you should ask the schools you are reviewing so that you can evaluate each one and make the appropriate choice.
Is the School Accredited? It's important that the program and college you choose are accredited by a recognized accrediting organization, for example the Accrediting Commission of Career Schools. If it's an online program, it might also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help ensure that the education you receive will be of the highest quality, it might help secure future employment also. Many Altoona PA healthcare organizations will only employ entry level candidates that have completed an accredited medical coding and billing educational program. And financial assistance and student loans are often only obtainable for programs that have received an accreditation.
What is the Program's Reputation? Prior to choosing a medical billing and coding college, find out what its ranking and reputation are compared to other programs. This is particularly relevant if you have no experience in the profession, since potential employers will mainly be relying on the quality of your education. As we have discussed, confirming that the school is accredited is a first step. Checking with school rating organizations, such as U.S. News and World Report, can validate the quality of the school also. Another option is to get in touch with some Altoona PA medical organizations that you might have an interest in working for and ask which colleges they recommend. Bear in mind that even if the college itself does not have an outstanding reputation, its medical billing and coding program may still be highly regarded.
Is there an Employment Referral Program? Obtaining a job in Altoona PA after graduating in your new field may be challenging without the support of a job placement program. Check if the colleges you are looking at have job placement programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the billing and coding college has a sizable network of medical care employers where they can refer their graduates. It also indicates that the college's graduates are in high demand in the marketplace.
Where is the School's Location? If you are intending on commuting to class from your Altoona PA home, then the location of the school will be of prime importance. Of course if you enroll in an medical coding and billing online program, then the location of the school will not be important. One thing to keep in mind is that if you attend classes at a community or junior college, many require a higher tuition for pupils that live outside of their districts. So you may prefer to first look at those colleges that are within your local area.
What is the Overall Expense? Medical coding and billing training courses can vary in cost based on the type of credential obtained and the length of training provided. Just keep in mind, tuition is not the only expense for your education. Expenditures also include such items as the cost of supplies, books and commuting. Financial assistance may be accessible to help reduce some of the expense, so be sure to contact the college's financial aid department to see what is offered in Altoona PA. Of course if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be minimized or even eliminated.
Are Classes Offered that Fit your Schedule? A number of students continue working while attending college and need a convenient class schedule. If you can only go to classes at night or on weekends near Altoona PA, confirm that they are available at those times. If you can only enroll on a part-time basis, make sure that the school you select offers that alternative. Also, find out what the procedure is for making up classes missed due to sickness, work or family responsibilities.
Find Out More on How to Choose a Medical Billing Program
Choose the Best Altoona PA Medical Billing and Coding Training
Enrolling in the ideal medical billing and coding certificate or degree program is a crucial initial step to help assure your success in this exciting sector of medical care. Medical billing and medical coding are two of the most rapidly growing occupations in the medical sector. Because of this, there are numerous trade schools, community colleges and other institutions that provide education and training in medical coding and billing. As we have reviewed, you can elect to attend classes either on campus or online. It's also important that the school you choose has an accredited program with an exceptional reputation within the healthcare community. But however you choose to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better able to assess your options and pick the right medical billing and coding school. And with the proper education, you can achieve your career objective to become a medical billing and coding clerk in Altoona Pennsylvania.