Home >> Pennsylvania >> Bethlehem >> Medical Billing And Coding Courses


Medical Coding and Billing Online Courses Bethlehem PA

How to Select the Best Medical Coding Training Program near Bethlehem Pennsylvania

Bethlehem Pennsylvania woman medical biller at her computerOnce you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Bethlehem PA, it's essential that you select the appropriate program to ensure that you receive the necessary education to ensure your success. As you probably know, healthcare is among the fastest growing industries in the Country, and increasingly more options are offered both online and on campus to get the training that you need. But just where does one begin? Many potential students begin by looking for schools that are within driving distance of their homes and then comparing cost. Or they might search the internet looking for online classes and go with the cheapest one. But while location and cost are significant issues when making your selection, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation must be considered as well. We will review a list of questions that you need to ask the medical billing and coding training programs you are evaluating in order to find out what you must know prior to making your selection. 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 Duties

Bethlehem Pennsylvania patient medical records

Medical coders are on the forefront of the billing systems for Bethlehem PA private 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 can be for medical, diagnosis or dental procedures, or any equipment or medical supplies utilized. 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. Coders must not only know what services were provided in total for accuracy, but must have a working knowledge of all private payer and government rules that influence coding as well. Incorrectly coded claims can result in services not being paid for, services being paid for at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Bethlehem PA hospitals and doctors many thousands of dollars in revenue each year, a proficient medical coder is an important asset for any healthcare team. They can operate in any kind of healthcare facility, including private practices, clinics, hospitals and urgent care centers. It is not uncommon for experienced medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Description

Bethlehem Pennsylvania health insurance forms

As crucial as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose labors generate revenue. Medical billing clerks are extremely important to Bethlehem PA medical facilities and are practically responsible for keeping their doors open. Frequently the biller and coder are the same individual within a medical organization, but they can also be two individual professionals. Once the coder has performed her or his job, the biller utilizes the codes provided to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After they have been paid by the applicable entity, patients can then be invoiced for deductibles or additional out of pocket expenses. On a routine basis, a medical billing clerk may also do any of the following:

  • Verify health insurance benefits for patients and assist them with billing concerns or questions
  • Follow up on patient claims submitted and appeal those that have been declined
  • Function as an intermediary between the medical provider, the insurance companies and the patients for accurate claim resolution
  • Create and oversee 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 work in every kind of medical facility that relies on the incomes generated from billing third party payers and patients.

Medical Biller and Coder Online Programs and Certification

money under stethoscope Bethlehem PennsylvaniaIt's important that you receive your education from a reputable school, whether it's a technical school, vocational school or community college. While it is not required in many cases to attain a professional certification, the program you enroll in should be accredited (more on the advantages of accreditation later). The majority of Pennsylvania schools just require that you have 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 earn a certificate, which generally takes about a year to accomplish. An Associate Degree is also an option for a more comprehensive education, which for the majority of colleges requires 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely available. Once your training has been concluded, although not mandated in most states, you may wish to acquire a professional certification. Certification is a great method for those new to the field to show prospective employers that they are not only qualified but dedicated 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).

Graduating from an accredited medical coding and billing course, in conjunction with earning a professional certification, are the most effective ways to advance your new profession and succeed in the rapid growing medical care industry.

Medical Billing and Coding Online Colleges

Bethlehem Pennsylvania student enrolled in medical billing and coding online coursesIf you are looking for flexibility and the convenience of attending classes from home, then enrolling in a medical billing and coding online college may be an excellent alternative. They can be especially attractive to those living in Bethlehem PA who anticipate going to school while still working or have additional obligations that make going to classes on campus challenging. And as an additional benefit, online colleges are often less expensive than the standard classroom alternatives. Costs for such items as tuition, course materials and commuting may be reduced or eliminated. But be careful, as not all online schools are reputable. For that reason it's essential to confirm that any online course you enroll in is accredited to guarantee a quality education. We will address the advantages of accreditation in the next section. Just make sure to establish that any online training you are researching is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this mode of learning, then attaining your certificate or degree online might be the right choice for you.

Questions to Ask Medical Coding and Billing Programs

Once you have a general idea what a medical biller and coder does, as well as what training options are available, you must begin the process of evaluating schools. But since there many training options available at community colleges and technical, trade and vocational schools within the Bethlehem PA area, you should have a prepared list of questions in order 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 daunting. As we have already covered, expense and location are going to be important factors, particularly if you have a limited budget and will be driving to classes from your Bethlehem home. And verifying that the school and program are accredited should be part of your vetting process as well. So let's review several of the additional questions that you should ask the colleges you are looking at so that you can analyze each one and make the appropriate choice.

Is the Training Accredited? It's essential that the school and program you decide on are accredited by a highly regarded accrediting agency, such as 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 guarantee that the education you get will be of superior quality, it may help with your future employment also. A number of Bethlehem PA healthcare organizations will only hire entry level applicants that have completed an accredited medical coding and billing training course. And financial aid and student loans are in many cases only offered for schools that have obtained an accreditation.

What is the Program's Reputation? Prior to enrolling in a medical billing and coding program, find out what its reputation and ranking are compared to other schools. This is especially important if you have no experience in the field, since potential employers will mostly be evaluating you based on the quality of your training. As we have discussed, confirming that the program is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can verify the quality of the school also. An alternative is to call some Bethlehem PA medical organizations that you may have an interest in working for and find out which schools they recommend. Keep in mind that even if 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 a job in Bethlehem PA after graduating in your new field may be challenging 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 rapid and high placement rate is an excellent indication that the billing and coding college has a considerable network of healthcare employers where they can place their graduates. It also indicates that the college's graduates are sought after in the marketplace.

Where is the College Located? If you are anticipating driving to class from your Bethlehem PA home, then the location of the college will be of prime importance. Obviously if you choose an medical coding and billing online 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 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 Cost? Medical billing and coding certification programs can differ in cost depending on the type of credential obtained and the length of training furnished. But remember, tuition is not the only cost of your education. Expenses also consist of such things as the cost of books, supplies and commuting. Financial aid may be obtainable to help reduce a portion of the expense, so make sure to contact the school's financial aid department to find out what is offered in Bethlehem PA. Naturally if you decide to attend an online college, some of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Match your Schedule? A number of students keep working while attending college and need a flexible class schedule. If you can only attend classes in the evenings or on weekends near Bethlehem PA, verify that they are available at those times. If you can only enroll on a part time schedule, verify that the program you decide on provides that option. Also, find out what the procedure is for making up classes missed due to work, illness or family emergencies.

Learn How to Enroll in a Medical Coding Course

Select the Right Bethlehem PA Medical Billing and Coding School 

Choosing the right medical coding and billing degree or certificate course is a critical first step to help assure your success in this exciting field of healthcare. Medical billing and medical coding are two of the fastest growing professions in the medical sector. Because of this, there are a lot of trade schools, junior colleges and companies that provide training and instruction in medical billing and coding. As we have covered, you can choose to attend classes either on campus or online. It's also important that the college you select has an accredited program with an exceptional reputation within the medical care field. But however you choose to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better able to assess your options and choose the ideal medical billing and coding school. And with the appropriate education, you can accomplish your career objective to become a medical coding and billing specialist in Bethlehem Pennsylvania.