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Medical Coding and Billing Online Schools Bethlehem PA

How to Find the Right Medical Billing and Coding Course near Bethlehem Pennsylvania

Bethlehem Pennsylvania female medical biller entering dataOnce you have decided to become part of the healthcare profession by enrolling in a medical billing and coding school near Bethlehem PA, it's essential that you select the right program so that you receive the necessary education to guarantee your success. As you probably know, healthcare is among the fastest growing fields in the United States, and a growing number of options are offered both online and on campus to obtain the training that you need. But just where does one begin? Many future students begin by searching for schools that are within travelling distance of their homes and then comparing tuition. Or they may search the internet looking for online schools and choose the least expensive one. But while cost and location are significant 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 consideration as well. We will go over a checklist of questions that you need to ask the medical billing and coding training programs you are researching so that you can find out what you must know prior to 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 Duties

Bethlehem Pennsylvania patient medical files

Medical coders work on the front line of the billing systems for Bethlehem PA private practices and healthcare organizations. Coders 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 medical supplies or equipment utilized. 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 depend on information from sources including nursing and physician notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that affect coding also. Incorrectly coded claims can result in services not being paid for, services being paid at a lower rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can actually cost Bethlehem PA hospitals and doctors many thousands of dollars in earnings each year, a proficient medical coder is a vital asset to the healthcare team. They can operate in any 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 Summary

Bethlehem Pennsylvania medical insurance paperwork

As essential as the medical coder's function is, it would be for naught without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are very important to Bethlehem PA medical facilities and are literally responsible for keeping their doors open. In many cases the coder and biller may be the same individual within a healthcare facility, but they can also be two separate professionals. When the coder has carried out her or his job, the biller utilizes the codes supplied to complete and submit claim forms to insurance companies, Medicare or Medicaid. After they have been paid by the applicable organization, patients can then be invoiced for deductibles and other out of pocket expenses. On a regular basis, a medical billing clerk may also do any of the following:

  • Check health insurance benefits for patients and help them with billing questions or concerns
  • Follow up on patient claims submitted and appeal those that have been declined
  • Function as a mediator between the medical provider, the insurance companies and the patients for accurate claim settlement
  • Create and control Accounts Receivables reports
  • Create and handle unpaid patient collections accounts

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

Medical Biller and Coder Online Instruction and Certification

money under stethoscope Bethlehem PennsylvaniaIt's important that you obtain your training from a reputable school, whether it's a community college, technical or trade school. Even though it is not required 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 just require that you earn either a high school diploma or a GED to apply. The fastest way to becoming either a medical biller or coder (or both) is to obtain a certificate, which typically takes about 1 year to finish. An Associate Degree is also an option for a more expansive education, which for most programs requires two years of studies. Bachelor's Degrees in medical billing and coding are not abundantly offered. After your education has been completed, although not mandated in most states, you might want to earn a professional certification. Certification is an excellent method for those new to the field to show potential employers that they are not only qualified but dedicated to their occupation. 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, in conjunction with earning a professional certification, are the most effective ways to advance your new profession and succeed in the fast growing healthcare field.

Medical Billing and Coding Online Classes

Bethlehem Pennsylvania student enrolled in medical billing and coding online schoolIf you are searching for convenience and the flexibility of attending classes at home, then enrolling in a medical billing and coding online college may be a good alternative. They can be particularly attractive to individuals living in Bethlehem PA who anticipate attending school while still working or have other obligations that make going to classes on campus difficult. And as an additional advantage, online colleges are often cheaper than the standard classroom alternatives. Costs for such items as tuition, commuting and study materials may be decreased or eliminated. But be careful, as not all online colleges are reputable. For that reason it's imperative to confirm that any online college you enroll in is accredited to ensure a quality education. We will address the advantages of accreditation in the next segment. Just be sure to confirm that any online instruction 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 type of learning, then obtaining your degree or certificate online might be the ideal choice for you.

Points to Ask Medical Coder and Biller Programs

Now that you have a general idea what a medical biller and coder does, in addition to what education options are available, you need to begin the process of comparing schools. But since there are numerous training options offered at community colleges and technical, trade and vocational schools within the Bethlehem PA area, you must have a ready list of questions in order to assess each one. And when you include all of the online programs that offer medical billing and coding classes, the project can become somewhat formidable. As we have already covered, expense and location are going to be significant issues, particularly if you have a modest budget and will be driving to classes from your Bethlehem residence. And confirming that the program and school are accredited must be part of your vetting process as well. So let's take a look at a few of the other questions that you should ask the colleges you are reviewing so that you can analyze each one and make the appropriate choice.

Is the Training Accredited? It's vital that the program and college you choose are accredited by a recognized accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, it may also earn accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help confirm that the education you receive will be of superior quality, it could help secure future employment as well. Many Bethlehem PA healthcare facilities will only hire entry level applicants that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are frequently only offered for schools that have obtained an accreditation.

What is the Program's Reputation? Before enrolling in a medical billing and coding school, find out what its reputation and ranking are compared to other programs. This is especially important if you have no experience in the profession, since potential employers will mainly be evaluating you based on the quality of your training. As we have addressed, verifying that the program is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school also. Another option is to call a few Bethlehem PA medical organizations that you may have an interest in working for and find out which colleges they suggest. Bear in mind that even when the school itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there a Job Referral Program? Finding a job in Bethlehem PA after graduating in your new field can be challenging without the help of a job assistance program. Ask if the colleges you are reviewing have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the billing and coding school has a considerable network of healthcare employers where they can place their graduates. It also suggests that the college's graduates are in high demand in the marketplace.

Where is the College Located? If you are anticipating driving to class from your Bethlehem PA residence, then the location of the program will be of significant importance. Of course if you enroll in an medical billing and coding online program, then the location of the school will not be a factor. One thing to remember is that if you attend classes at a junior or community college, many charge a higher tuition for enrollees that reside outside of their districts. So you might prefer to first research those schools that are within your local area.

What is the Complete Expense? Medical coding and billing certification courses can fluctuate in cost based on the type of credential acquired and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Costs also include such items as the cost of supplies, books and commuting. Financial aid might be available to help reduce some of the expense, so make sure to get in touch with the school's financial assistance department to find out what is offered in Bethlehem PA. Of course if you decide to enroll in an online college, some of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Available that Accommodate your Schedule? A number of students continue working while attending school and need a flexible class schedule. If you can only attend classes at night or on weekends near Bethlehem PA, make sure that they are available at those times. If you can only enroll on a part-time schedule, make certain that the school you pick offers that alternative. Also, find out what the procedure is for making up classes missed because of sickness, work or family emergencies.

Find Out More on How to Choose a Medical Coding School

Choose the Best Bethlehem PA Medical Billing and Coding Program 

Picking the right medical billing and coding certificate or degree program is a critical initial step to help ensure your success in this rewarding field of medical care. Medical coding and medical billing are two of the most rapidly growing professions in the medical industry. As a result, there are numerous vocational schools, junior colleges and companies that offer education and training in medical billing and coding. As we have reviewed, you can elect to attend classes either online or on campus. It's also important that the school you select has an accredited program with an excellent reputation within the medical care industry. But however you decide to receive your education, by following the previous guidelines and posing the appropriate questions, you will be better able to evaluate your options and select the right medical billing and coding program. And with the proper education, you can achieve your career goal to become a medical coding and billing specialist in Bethlehem Pennsylvania.