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Medical Billing and Coding Online Programs Erie PA

How to Choose the Best Medical Biller and Coder Training Program near Erie Pennsylvania

Erie Pennsylvania woman medical coder entering dataNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Erie PA, it's important that you choose the right school to ensure that you receive the proper education to guarantee your success. As you probably know, healthcare is among the fastest growing sectors in the Country, and more and more options are available both on campus and online to obtain the training that you need. But just where do you start? Many potential students start by searching for colleges that are within travelling distance of their homes and then comparing cost. Or they might search the internet looking for online courses and choose the least expensive one. But while cost and location are significant factors when making your choice, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into consideration also. We will cover a checklist of topics that you should ask the medical billing and coding schools you are assessing in order to learn what you must know prior to making your decision. 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 Functions

Erie Pennsylvania patient medical files

Medical coders work on the forefront of the billing systems for Erie PA medical practices and healthcare organizations. Coders have the responsibility to examine the treatment 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 use information from sources such as nursing and physician notes, patient charts, and radiology and lab reports. Medical Coders must know not only what total services were provided for accuracy, but must have a working knowledge of all private payer and government regulations that influence coding as well. Improperly coded claims may result in services not being paid for, services being paid at a decreased rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Erie PA doctors and hospitals multiple thousands of dollars in revenue every year, a proficient medical coder is a vital asset to the healthcare organization. They can operate in every type of healthcare facility, including family practices, clinics, hospitals and emergency care centers. It is not uncommon for professional medical coders to operate at home as an offsite employee or an independent contractor.

Medical Biller Job Functions

Erie Pennsylvania health insurance documents

As vital as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Erie PA medical organizations and are essentially responsible for keeping their doors open. In many cases the coder and biller can be the same man or woman within a medical organization, but they can also be 2 individual specialists. When the coder has carried out her or his duty, the biller utilizes the codes supplied to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the applicable entity, patients can then be invoiced for deductibles and additional out of pocket costs. On a regular basis, a medical billing clerk might also do any of the following:

  • Confirm medical insurance benefits for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been declined
  • Function as an intermediate between the healthcare provider, the insurance companies and the patients for correct claim settlement
  • Create and control Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Erie PA hospitals, urgent care facilities, nursing homes or medical groups. They may practice in every type of healthcare facility that depends on the incomes generated from billing patients and third party payers.

Medical Biller and Coder Online Education and Certification

hundred dollar bills with stethoscope Erie PennsylvaniaIt's important that you receive your training from a reputable school, whether it's a trade school, vocational school or community college. While it is not required in most cases to attain a professional certification, the program you choose should be accredited (more on the benefits of accreditation later). Most Pennsylvania programs just 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 earn a certificate, which generally takes about 1 year to accomplish. An Associate Degree is also an option for a more expansive education, which for most programs calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. After your training has been concluded, although not mandated in most states, you might desire to earn a professional certification. Certification is an effective means for those new to the field to show potential employers that they are not only qualified but dedicated 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 billing and coding program, together with obtaining a professional certification, are the most effective ways to advance your new profession and succeed in the rapid growing healthcare industry.

Medical Billing and Coding Online Colleges

Erie Pennsylvania woman attending medical billing and coding online classesIf you are interested in convenience and the flexibility of attending classes at home, then selecting a medical billing and coding online program may be an excellent option. They can be especially attractive to individuals living in Erie PA who anticipate attending school while still working or have other obligations that make attending classes on campus challenging. And as an additional benefit, online schools are frequently cheaper than the conventional classroom options. Costs for such things as tuition, study materials and commuting may be decreased 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 enroll in is accredited to guarantee a quality education. We will address the advantages of accreditation in the next segment. Just be sure to confirm that any online college you are considering 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 obtaining your certificate or degree online might be the right choice for you.

What to Ask Medical Billing and Coding Programs

Now that you have a better idea what a medical coder and biller does, along with what training options are available, you need to start the process of researching schools. But since there are numerous training options available at community colleges and technical, trade and vocational schools within the Erie PA area, you should have a prepared list of questions in order to analyze 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 discussed, location and cost are going to be significant factors, particularly if you have a limited budget and will be traveling to classes from your Erie residence. And whether or not the school and program are accredited must be part of your vetting process as well. So let's take a look at several of the other questions that you should ask the schools you are considering so that you can evaluate each one and make the ideal choice.

Is the School Accredited? It's essential that the school and program you decide on are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online school, it might also receive accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help confirm that the education you get will be of superior quality, it might help secure future employment also. Many Erie PA healthcare organizations will only employ entry level candidates that have completed an accredited medical billing and coding training program. And financial assistance and student loans are frequently only obtainable for programs that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical billing and coding college, find out what its reputation and ranking are compared to other schools. This is especially relevant if you have no experience in the field, since potential employers will mainly be relying on the quality of your education. As we have addressed, making sure that the college is accredited is an initial step. Checking with school rating organizations, such as U.S. News and World Report, can verify the quality of the school also. An alternative is to contact some Erie PA medical organizations that you may be interested in working for and ask which schools they suggest. Remember 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 a Job Assistance Program? Obtaining employment in Erie PA after graduating in your new profession might be challenging without the support of a job assistance program. Find out if the schools you are looking at have job placement 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 substantial network of healthcare 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 College's Location? If you are anticipating driving to class from your Erie PA residence, then the location of the program will be of prime importance. Of course if you select an medical billing and coding online program, then the location of the school will not be important. One thing to bear in mind is that if you go to classes at a community or junior college, many charge a higher tuition for students that reside outside of their districts. So you might prefer to first look at those schools that are within your local area.

What is the Total Expense? Medical coding and billing training programs can differ in cost depending on the type of credential obtained and the amount of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenses also include such things as the cost of books, supplies and commuting. Financial aid might be available to help offset a portion of the expense, so make sure to contact the school's financial assistance department to see what is offered in Erie PA. Naturally if you decide to enroll in an online college, some of these added costs, particularly for commuting may be lessened or even eliminated.

Are Classes Available that Accommodate your Schedule? Many students keep working while attending college and need a convenient class schedule. If you can only attend classes at night or on weekends near Erie PA, confirm that they are offered at those times. If you can only enroll on a part time schedule, confirm that the school you pick provides that alternative. Also, ask what the procedure is for making up classes missed due to sickness, work or family responsibilities.

Find Out More on How to Enroll in a Billing and Coding Program

Select the Right Erie PA Medical Billing and Coding Program 

Picking the ideal medical billing and coding degree or certificate program is a critical first step to help ensure your success in this rewarding specialty of medical care. Medical billing and medical coding are 2 of the fastest expanding occupations in the health sector. Because of this, there are a lot of vocational schools, community colleges and other institutions that provide education and training in medical coding and billing. As we have discussed, you can choose to attend classes either on campus or online. It's also important that the school you pick offers an accredited program with an excellent reputation within the medical care industry. But however you choose to receive your training, by following the previous guidelines and posing the right questions, you will be better able to analyze your options and choose the ideal medical billing and coding program. And with the appropriate training, you can accomplish your career goal to become a medical coding and billing clerk in Erie Pennsylvania.