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Medical Billing and Coding Online Schools Bethlehem PA

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

Bethlehem Pennsylvania female medical biller and coder 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 right school so that you receive the proper education to guarantee your success. As you probably know, healthcare is one of the fastest growing fields 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 begin? Many aspiring students begin by searching for schools that are within travelling distance of their homes and then comparing tuition. Or they might surf the internet looking for online classes and go with the cheapest one. But while location and cost are significant issues when making your determination, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifications as reputation and accreditation need to be considered as well. We will review a checklist of questions that you need to ask the medical billing and coding training programs you are researching in order to learn what you need to know before making your decision. Before we do that, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Coding and Billing Online Instruction and Certification

hundred dollar bills with stethoscope Bethlehem PennsylvaniaIt's imperative that you get your training 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 school you select should be accredited (more on the benefits of accreditation later). Most Pennsylvania colleges only require that you have either a high school diploma or a GED to be eligible. The quickest way to becoming either a medical biller or coder (or both) is to attain a certificate, which normally takes about one year to accomplish. An Associate Degree is also an option for a more comprehensive education, which for almost all programs calls for two years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. After your training has been concluded, although not mandated in the majority of states, you may want to earn a professional certification. Certification is an excellent method for those new to the profession to show potential employers that they are not only qualified but committed to their occupation. A few 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 coding and billing course, combined with obtaining a professional certification, are the best ways to advance your new career and succeed in the rapid growing medical care industry.

Medical Coding Job Summary

Bethlehem Pennsylvania patient health files

Medical coders are on the forefront of the billing systems for Bethlehem PA private practices and hospitals. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies used. There are various 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 such as nursing and physician notes, patient charts, and lab and radiology reports. Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all government and private payer regulations that affect coding as well. Inaccurately coded claims can result in services not being covered, services being paid for at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Bethlehem PA hospitals and doctors many thousands of dollars in earnings every year, a good medical coder is an important asset to the healthcare team. They can work in any kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not unusual for seasoned medical coders to work at home as an offsite employee or an independent contractor.

Medical Billing Job Functions

Bethlehem Pennsylvania health insurance forms

As essential as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose efforts bring in revenue. Medical billing clerks are very important to Bethlehem PA medical facilities and are literally responsible for keeping them in business. Sometimes the coder and biller may be the same person within a medical organization, but they can also be 2 independent specialists. When the coder has completed her or his job, the biller uses the codes supplied to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After they have been adjusted by the appropriate entity, patients can then be charged for deductibles and other out of pocket costs. On a routine basis, a medical biller may also do any of the following:

  • Check medical insurance benefits for patients and help them with billing questions or concerns
  • Check on patient claims submitted and appeal those that have been denied
  • Act as an intermediary between the medical provider, the insurance carriers and the patients for correct claim settlement
  • Create and oversee Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Bethlehem PA emergency care facilities, hospitals, medical groups or nursing homes. They may practice in every type of medical facility that depends on the revenues generated by billing patients and third party payers.

Online Medical Biller and Coder Training

Bethlehem Pennsylvania student enrolled in medical billing and coding online schoolIf you are interested in flexibility and the convenience of attending classes at home, then selecting a medical billing and coding online college may be a great option. They can be particularly attractive to students living in Bethlehem PA who anticipate attending school while still working or have additional obligations that make going to classes on campus challenging. And as an additional benefit, online schools are frequently less expensive than the traditional classroom alternatives. Expenses for such items as tuition, course materials and commuting may be decreased or eliminated. But be careful, as not all online colleges are reputable. For that reason it's important to confirm that any online college you select is accredited to guarantee a quality education. We will address the advantages of accreditation in the next segment. Just be sure to establish that any online classes you are looking at is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then acquiring your certificate or degree online might be the ideal choice for you.

Things to Ask Medical Coder and Biller Programs

Now that you have a better idea just what a medical coder and biller does, along with what training options are available, you must start 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 should have a prepared list of questions to analyze each one. And when you add all of the online schools that offer medical coding and billing classes, the task can become rather formidable. As we have already addressed, location and cost are going to be relevant issues, especially if you have a limited budget and will be commuting to classes from your Bethlehem home. And confirming that the program and school are accredited should be part of your vetting process as well. So let's take a look at some of the other questions that you should ask the schools you are reviewing so that you can evaluate each one and make the appropriate choice.

Is the Training Accredited? It's essential that the program and college you choose are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online school, it may also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you receive will be of the highest quality, it might help secure future employment also. A number of Bethlehem PA medical organizations will only employ entry level applicants that have completed an accredited medical coding and billing training course. And financial aid and student loans are frequently only obtainable for colleges that have earned an accreditation.

What is the Program's Reputation? Before selecting a medical billing and coding school, check out what its ranking and reputation are compared to other colleges. This is especially relevant if you have no experience in the field, since potential employers will primarily be evaluating you based on the quality of your education. As we have addressed, verifying that the school is accredited is a first step. Checking with college rating organizations, for instance U.S. News and World Report, can verify the quality of the school also. An alternative is to call a few Bethlehem PA medical organizations that you might be interested in working for and find out which programs they recommend. Bear in mind that even when the school itself does not have an exceptional reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Finding a job in Bethlehem PA after graduating in your new profession might be challenging without the help of a job placement program. Ask if the schools you are considering 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 college has a sizable network of medical care employers where they can place their graduates. It also indicates that the school's graduates are sought after in the marketplace.

Where is the School Located? If you are planning on commuting to class from your Bethlehem PA residence, then the location of the school will be of significant importance. Of course if you choose an online medical billing and coding program, then the location of the college will not be a factor. One thing to remember is that if you attend classes at a community or junior college, most require a higher tuition for pupils that live outside of their districts. So you might prefer to first consider those colleges that are within your local area.

What is the Total Cost? Medical billing and coding training programs can vary in cost based on the type of credential earned and the amount of training furnished. But remember, tuition is not the only cost of your education. Expenditures also include such things as the cost of books, supplies and commuting. Financial aid might be accessible to help offset a portion of the expense, so be sure to check with the school's financial aid department to find out what is available in Bethlehem PA. Naturally if you decide to attend an online college, some of these additional costs, such as for commuting may be minimized or even eliminated.

Are Classes Offered that Fit your Schedule? Many students continue working while going to college and require a convenient class schedule. If you can only attend classes during the evenings 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, verify that the program you pick offers that alternative. Also, find out what the process is for making up classes missed because of work, illness or family emergencies.

Learn How to Enroll in a Billing and Coding Program

Enroll in the Best Bethlehem PA Medical Billing and Coding Training 

Choosing the right medical coding and billing certificate or degree program is a very important first step to help assure your success in this exciting specialty of medical care. Medical billing and medical coding are two of the fastest expanding professions in the health industry. As a result, there are a lot of vocational schools, junior colleges and companies that furnish education 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 imperative that the school you select offers an accredited program with an excellent reputation within the medical care industry. But however you elect to receive your education, by adhering to the previous guidelines and asking the right questions, you will be better able to assess your options and choose the ideal medical billing and coding college. And with the proper training, you can realize your career goal to become a medical coding and billing clerk in Bethlehem Pennsylvania.