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Medical Coding and Billing Classes Online Bethlehem PA

How to Choose the Best Medical Billing Course near Bethlehem Pennsylvania

Bethlehem Pennsylvania woman medical biller entering dataOnce you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Bethlehem PA, it's crucial that you choose the appropriate school to ensure that you receive the proper education to ensure your success. As you probably know, healthcare is among the fastest growing sectors in the Country, and a growing number of options are offered both on campus and online to obtain the training that you need. But just where do you start? Many future students begin by searching for colleges that are within driving distance of their residences and then comparing cost. Or they might search the internet looking for online courses and select the cheapest one. But while location and cost are significant issues when making your determination, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation need to be taken into consideration also. We will cover a list of questions that you should ask the medical billing and coding schools you are researching in order to find out what you must know prior to making your selection. But first, let's take a look at what medical coders and billers do and the educational and certification options offered.

Medical Coder and Biller Online Education and Certification

hundred dollar bills and stethoscope Bethlehem PennsylvaniaIt's imperative that you receive your instruction from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in many cases to attain a professional certification, the school you select should be accredited (more on the advantages of accreditation later). Most Pennsylvania schools simply require that you have either a high school diploma or a GED to apply. The most expedient way to become either a medical coder or biller (or both) is to obtain a certificate, which generally takes about one year to accomplish. An Associate Degree is an alternative for a more comprehensive education, which for most schools calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. After your training has been concluded, although not required in the majority of states, you may wish to attain a professional certification. Certification is a great method for those new to the profession to show prospective employers that they are not only qualified but committed to their career. 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).

Completing an accredited medical billing and coding course, along with attaining a professional certification, are the most effective ways to accelerate your new vocation and succeed in the rapid growing healthcare field.

Medical Coder Job Duties

Bethlehem Pennsylvania patient medical records

Medical coders are on the forefront of the billing systems for Bethlehem PA medical practices and hospitals. Coders have the responsibility to analyze the treatment 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 utilized. 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 use information from sources including physician and nursing notes, patient charts, and radiology and lab reports. Coders must not only know what services were provided in total for accurate reporting, but must have a functioning knowledge of all government and private payer regulations that influence coding as well. Inaccurately coded claims can 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 actually cost Bethlehem PA doctors and hospitals multiple thousands of dollars in earnings each year, a proficient medical coder is a necessary asset to the healthcare organization. They can work in every kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for seasoned medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Summary

Bethlehem Pennsylvania medical insurance forms

As essential as the medical coder's role 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 healthcare facilities and are essentially responsible for keeping them in business. Sometimes the coder and biller may be the same person within a healthcare facility, but they can also be two independent specialists. When the coder has completed his or her job, the biller uses the codes furnished to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the applicable organization, patients can then be invoiced for deductibles and additional out of pocket expenses. On a regular basis, a medical billing clerk might also do any of the following:

  • Confirm health insurance benefits for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been denied
  • Function as a mediator between the healthcare provider, the insurance companies and the patients for accurate claim settlement
  • Produce and oversee Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

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

Medical Billing and Coding Online Programs

Bethlehem Pennsylvania student attending medical billing and coding online schoolIf you are searching for convenience and the flexibility of attending classes from home, then enrolling in a medical billing and coding online school may be an excellent alternative. They can be especially attractive to those living in Bethlehem PA who plan on attending school while continuing to work or have additional responsibilities that make attending classes on campus difficult. And as an additional benefit, online schools are frequently cheaper than the traditional classroom alternatives. Expenses for such items as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online colleges are reputable. For that reason it's essential to confirm that the online program you choose is accredited to guarantee a premium education. We will address the benefits of accreditation in the next section. Just be sure to confirm that any online college you are researching is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then attaining your degree or certificate online might be the ideal choice for you.

What to Ask Medical Coder and Biller Colleges

Once you have a better idea what a medical coder and biller does, as well as what education options are offered, you must begin the process of evaluating schools. But since there many training options offered at community colleges and technical, trade and vocational schools within the Bethlehem PA area, you need to have a prepared list of questions in order to evaluate each one. And when you include all of the online schools that offer medical billing and coding classes, the project can become rather daunting. As we have already addressed, location and cost are going to be relevant factors, particularly if you have a modest budget and will be traveling to classes from your Bethlehem residence. And confirming that the program and school are accredited must be part of your vetting process also. So let's review several of the other questions that you should ask the programs you are looking at so that you can evaluate each one and make the right choice.

Is the Program 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 can also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the education you get will be of the highest quality, it could help with your future employment also. A number of Bethlehem PA medical organizations will only hire entry level applicants that have completed an accredited medical billing and coding training course. And financial aid and student loans are frequently only available for schools that have earned an accreditation.

What is the Program's Reputation? Prior to enrolling in a medical coding and billing college, check out what its reputation and ranking are among other programs. This is especially imperative if you have no experience in the profession, since potential employers will mostly be evaluating you based on the quality of your training. As we have covered, verifying that the college is accredited is a first step. Checking with school rating organizations, for example U.S. News and World Report, can verify the quality of the school also. Another option is to check with a few Bethlehem PA medical organizations that you may be interested in working for and ask which schools they suggest. Bear in mind that even if the school itself does not have an exceptional reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Assistance Program? Finding employment in Bethlehem PA after graduation in your new field may be difficult without the support of a job placement program. Find out if the colleges you are reviewing 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 significant 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's Location? If you are intending on commuting to class from your Bethlehem PA home, then the location of the college will be of prime importance. Naturally if you select an medical billing and coding online program, then the location of the school will not be important. One thing to remember is that if you go to classes at a junior or community college, many charge a higher tuition for students that reside outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Total Expense? Medical coding and billing certification programs can differ in cost based on the type of credential obtained and the amount of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenses also include such items as the cost of books, supplies and commuting. Financial aid might be available to help offset some of the expense, so be sure to get in touch with the college's financial aid department to see what is offered in Bethlehem PA. Of course if you decide to enroll in an online college, a portion of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Fit your Schedule? Many students keep working while going to college and require a convenient class schedule. If you can only attend classes at night or on weekends near Bethlehem PA, confirm that they are offered at those times. If you can only enroll on a part time schedule, confirm that the school you enroll in provides that option. Also, ask what the protocol is for making up classes missed because of sickness, work or family responsibilities.

Find Out More on How to Select a Medical Coding School

Select the Best Bethlehem PA Medical Billing and Coding Training 

Enrolling in the right medical billing and coding certificate or degree course is a critical initial step to help ensure your success in this exciting specialty of medical care. Medical billing and medical coding are two of the most rapidly expanding careers in the health industry. As a result, there are many trade schools, junior colleges and companies that offer training and instruction in medical billing and coding. As we have discussed, you can choose to attend classes either on campus or online. It's also important that the college you pick has an accredited program with an exceptional reputation within the healthcare field. But however you decide to receive your training, by following the previous guidelines and posing the appropriate questions, you will be better qualified to analyze your options and pick the ideal medical billing and coding program. And with the proper education, you can realize your career objective to become a medical billing and coding clerk in Bethlehem Pennsylvania.