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Medical Coding and Billing Courses Online Lancaster PA

How to Select the Best Medical Billing and Coding School near Lancaster Pennsylvania

Lancaster Pennsylvania female medical biller at her computerNow that you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Lancaster PA, it's important that you choose the right school to ensure that you receive the proper education to ensure your success. As you may already know, healthcare is one of the fastest growing sectors in the United States, and more and more options are offered both on campus and online to obtain the training that you need. But just where do you begin? Many future students start by searching for schools that are within travelling distance of their homes and then comparing cost. Or they may surf the internet looking for online courses and select the least expensive one. But while cost and location are relevant factors when making your determination, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into consideration also. We will review a checklist of questions that you need to ask the medical billing and coding schools you are assessing so that you can learn what you must know before making your selection. But first, let's take a look at what medical billers and coders do and the academic and certification options available.

Medical Coder Job Functions

Lancaster Pennsylvania patient medical files

Medical coders work on the forefront of the billing systems for Lancaster PA medical practices and hospitals. They have the responsibility to review 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 medical supplies or equipment used. 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 use information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Medical 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 impact coding also. Incorrectly coded claims may result in services not being covered, services being paid at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Lancaster PA hospitals and doctors many thousands of dollars in income each year, a good medical coder is a necessary asset for any healthcare organization. They can operate in every kind of healthcare facility, including private practices, clinics, hospitals and critical care centers. It is not unusual for seasoned medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Summary

Lancaster Pennsylvania health insurance documents

As essential as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Lancaster PA medical facilities and are practically responsible for keeping their doors open. Sometimes the biller and coder may be the same person within a medical organization, but they can also be 2 independent professionals. After the coder has completed his or her job, the biller uses the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being adjusted by the appropriate organization, patients can then be billed for deductibles and additional out of pocket expenses. On a regular basis, a medical biller might also do any of the following:

  • Confirm health insurance benefits for patients and assist them with billing concerns or questions
  • Follow up on submitted patient claims and appeal any that have been declined
  • Work as an intermediary between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Produce and manage Accounts Receivables reports
  • Generate and handle unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Lancaster PA hospitals, urgent care facilities, nursing homes or medical groups. They may work in any kind of healthcare facility that depends on the revenues generated by billing third party payers and patients.

Medical Coding and Billing Online Instruction and Certification

cash with stethoscope Lancaster PennsylvaniaIt's imperative that you obtain your instruction from a reputable school, whether it's a community college, technical or trade school. While it is not a requirement in many cases to earn 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 qualify. The most expedient way to become either a medical coder or biller (or both) is to obtain a certificate, which generally takes about a year to finish. An Associate Degree is also an option for a more expansive education, which for almost all schools requires two years of studies. Bachelor's Degrees for medical coding and billing are not abundantly offered. When your training has been completed, although not mandated in most states, you may wish to acquire a professional certification. Certification is an excellent means for those new to the profession to show potential employers that they are not only qualified but dedicated to their occupation. Some of the organizations that provide 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 coding and billing course, along with obtaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing medical care field.

Medical Biller and Coder Online Schools

Lancaster Pennsylvania student enrolled in medical biller and coder online classesIf you are looking for flexibility and the convenience of attending classes in your home, then selecting an online medical billing and coding college might be an excellent alternative. They can be particularly appealing to individuals living in Lancaster 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 programs are frequently cheaper than the traditional classroom options. Expenses for such things as tuition, study materials and commuting may be decreased or eliminated. But be cautious, as not all online colleges are reputable. For that reason it's important to establish that the online course you choose is accredited to ensure a premium education. We will address the advantages of accreditation in the next section. Just be sure to verify that any online college you are researching is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this style of learning, then earning your certificate or degree online might be the ideal choice for you.

Questions to Ask Medical Coding and Billing Courses

Once you have a general idea just what a medical biller and coder does, as well as what education options are offered, you need to start the process of researching schools. But since there many training options available at community colleges and vocational, technical and trade schools within the Lancaster PA area, you must have a ready list of questions in order to evaluate each one. And when you add all of the online colleges that offer medical coding and billing classes, the project can become rather daunting. As we have already addressed, expense and location are going to be relevant issues, particularly if you have a limited budget and will be commuting to classes from your Lancaster residence. And whether or not the program and school are accredited should be part of your vetting procedure as well. So let's review several of the additional questions that you should ask the programs you are reviewing so that you can compare each one and make the right choice.

Is the Training Accredited? It's crucial that the program and college you select are accredited by a highly regarded accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online program, it can also receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the education you receive will be of the highest quality, it may help secure future employment also. Many Lancaster PA healthcare organizations will only employ entry level prospects that have completed an accredited medical coding and billing educational program. And financial aid and student loans are in many cases only obtainable for colleges that have received an accreditation.

What is the School's Reputation? Before choosing a medical coding and billing college, check 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 mostly be relying on the quality of your training. As we have covered, confirming that the program is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can confirm the quality of the school as well. An alternative is to contact a few Lancaster PA medical organizations that you may be interested in working for and ask which schools they suggest. Remember that even when the school itself does not have an excellent reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Placement Program? Obtaining employment in Lancaster PA after graduating in your new field can be difficult without the support of a job assistance program. Find out 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 coding and billing school has a significant network of medical care 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 intending on driving to class from your Lancaster PA residence, then the location of the college will be of prime importance. Naturally if you enroll in an online medical billing and coding program, then the location of the college will not be a consideration. One thing to bear in mind is that if you attend classes at a junior or community college, most require a higher tuition for pupils that live outside of their districts. So you may prefer to first research those schools that are within your local area.

What is the Overall Cost? Medical coding and billing certification courses can fluctuate in cost depending on the type of credential earned and the amount of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenditures also consist of such things as the cost of books, supplies and commuting. Financial assistance may be accessible to help reduce a portion of the expense, so be sure to contact the college's financial assistance department to find out what is available in Lancaster PA. Naturally if you decide to enroll in an online school, some of these additional costs, such as for commuting may be minimized or even eliminated.

Are Classes Available that Accommodate your Schedule? A number of students keep working while attending college and need a convenient class schedule. If you can only go to classes during the evenings or on weekends near Lancaster PA, verify that they are available at those times. If you can only enroll on a part-time schedule, make certain that the college you choose provides that alternative. Also, find out what the process is for making up classes missed because of sickness, work or family responsibilities.

Learn How to Choose a Billing and Coding Course

Choose the Best Lancaster PA Medical Billing and Coding School 

Picking the right medical coding and billing certificate or degree program is a crucial initial step to help assure your success in this rewarding field of medical care. Medical coding and medical billing are two of the fastest growing occupations in the medical sector. Because of this, there are a lot of trade schools, community colleges and companies that offer education and training in medical coding and billing. As we have discussed, you can opt to attend classes either on campus or online. It's also important that the school you pick offers an accredited program with an outstanding reputation within the medical care industry. But however you choose to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better qualified to analyze your options and pick the ideal medical billing and coding school. And with the appropriate training, you can achieve your career goal to become a medical billing and coding specialist in Lancaster Pennsylvania.