Home >> Pennsylvania >> Lancaster >> Medical Billing And Coding Online


Medical Billing and Coding Online Courses Lancaster PA

How to Pick the Right Medical Coding School near Lancaster Pennsylvania

Lancaster Pennsylvania female medical biller and coder entering dataNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Lancaster PA, it's essential that you find the appropriate program 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 Country, and increasingly more options are available both online and on campus to get the training that you need. But just where does one begin? A number of potential students start by searching for schools that are within commuting distance of their homes and then comparing cost. Or they may surf the internet looking for online classes and go with the least expensive one. But while location and cost are important issues when making your determination, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as reputation and accreditation must be taken into account also. We will go over a checklist of topics that you need to ask the medical billing and coding training programs you are assessing so that you can 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 available.

Medical Coder and Biller Online Education and Certification

hundred dollar bills and stethoscope Lancaster PennsylvaniaIt's imperative that you receive your education 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 attain a professional certification, the program you select should be accredited (more on the benefits of accreditation later). The majority of Pennsylvania colleges only require that you have either a high school diploma or a GED to apply. The most expedient way to becoming either a medical coder or biller (or both) is to obtain a certificate, which usually takes about a year to finish. An Associate Degree is also an option for a more comprehensive education, which for the majority of schools requires two years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. Once your training has been concluded, although not required in the majority of states, you might desire to earn a professional certification. Certification is an effective method for those new to the field to show potential employers that they are not only qualified but committed 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).

Completing an accredited medical coding and billing course, combined with attaining a professional certification, are the most effective ways to advance your new career and succeed in the rapid growing healthcare industry.

Medical Coder Job Description

Lancaster Pennsylvania patient health records

Medical coders work on the forefront of the billing systems for Lancaster PA medical practices and hospitals. Coders have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services can 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 rely on information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accuracy, but must have a working knowledge of all government and private payer regulations that influence coding also. Improperly coded claims may result in services not being covered, services being paid at a decreased rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can actually cost Lancaster PA physicians and medical facilities multiple thousands of dollars in revenue every year, a good medical coder is an important asset to the healthcare team. They can work in any type of healthcare facility, including family practices, clinics, hospitals and emergency care centers. It is not unusual for seasoned medical coders to operate at home as an independent contractor or offsite employee.

Medical Biller Job Functions

Lancaster Pennsylvania health insurance forms

As essential as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Lancaster PA medical facilities and are essentially responsible for keeping them in business. Sometimes the coder and biller can be the same man or woman within a medical facility, but they can also be two separate specialists. After the coder has performed her or his job, the biller uses the codes supplied to complete and submit claim forms to insurance companies, Medicaid or Medicare. After they have been adjusted by the appropriate entity, patients can then be invoiced for deductibles or other out of pocket expenses. On a routine basis, a medical billing professional might also do any of the following:

  • Confirm health insurance coverages for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal those that have been denied
  • Act as an intermediary between the medical provider, the insurance companies and the patients for proper claim resolution
  • Produce 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 Lancaster PA hospitals, urgent care facilities, nursing homes or medical groups. They can work in every kind of healthcare facility that relies on the revenues generated by billing third party payers and patients.

Medical Billing and Coding Online Schools

Lancaster Pennsylvania student attending medical billing and coding online schoolIf you are searching for convenience and the flexibility of attending classes in your home, then selecting a medical billing and coding online college may be a great option. They can be especially appealing to students living in Lancaster PA who anticipate attending school while still working or have other commitments that make attending classes on campus difficult. And as an added advantage, online schools are frequently less expensive than the conventional classroom options. Costs for such things as tuition, study materials and commuting may be reduced or eliminated. But be cautious, as not all online programs are reputable. For that reason it's imperative to verify that the online program you enroll in is accredited to ensure a quality education. We will address the benefits of accreditation in the next section. Just make sure to confirm that any online instruction you are looking at is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this style of learning, then attaining your certificate or degree online might be the ideal choice for you.

What to Ask Medical Coder and Biller Courses

Once you have a better idea what a medical coder and biller does, as well as what education options are offered, you need to begin the process of evaluating schools. But since there are numerous training options offered at community colleges and technical, trade and vocational schools within the Lancaster PA area, you need to have a prepared list of questions to evaluate each one. And when you include all of the online programs that offer medical coding and billing classes, the project can become rather daunting. As we have already addressed, location and cost are going to be significant factors, especially if you have a limited budget and will be commuting to classes from your Lancaster residence. And whether or not the school and program are accredited should be part of your vetting procedure as well. So let's take a look at some of the other questions that you should ask the schools you are looking at so that you can evaluate each one and make the best choice.

Is the Program Accredited? It's vital that the program and college you choose are accredited by a highly regarded accrediting agency, such as 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 learning. Not only will accreditation help ensure that the education you receive will be of superior quality, it might help with your future employment as well. A number of Lancaster 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 in many cases only obtainable for programs that have obtained an accreditation.

What is the Program's Reputation? Prior to selecting a medical coding and billing school, find out what its reputation and ranking are among other schools. This is particularly relevant if you have no experience in the profession, since potential employers will basically be relying on the quality of your education. As we have covered, making sure that the college is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school also. Another option is to contact some Lancaster PA healthcare organizations that you may have an interest in working for and find out which schools they suggest. Remember that even if the college 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 Lancaster 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 reviewing have job assistance programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing school has a substantial network of medical care employers where they can place their graduates. It also suggests that the school's graduates are sought after in the marketplace.

Where is the College's Location? If you are anticipating commuting to class from your Lancaster PA home, then the location of the college will be of significant importance. Naturally if you select an online medical coding and billing program, then the location of the school will not be a consideration. One thing to keep in mind is that if you attend classes at a community or junior college, most charge a higher tuition for students that live outside of their districts. So you may want to first research those colleges that are within your local area.

What is the Overall Cost? Medical billing and coding certification programs can vary in cost based on the type of credential earned and the length of training provided. But remember, tuition is not the only cost of your education. Costs also include such items as the cost of books, supplies and commuting. Financial assistance might be available to help reduce some of the expense, so don't forget to contact the school's financial aid department to find out what is offered in Lancaster PA. Of course if you decide to attend an online school, some of these added costs, particularly for commuting may be minimized or even eliminated.

Are Classes Available that Accommodate your Schedule? A number of students keep working while going to college and need a flexible class schedule. If you can only attend classes during the evenings or on weekends near Lancaster PA, confirm that they are available at those times. If you can only enroll on a part-time schedule, make sure that the college you pick provides that option. Also, ask what the protocol is for making up classes missed because of work, illness or family emergencies.

Get Info on How to Choose a Medical Billing Class

Choose the Right Lancaster PA Medical Billing and Coding Training 

Enrolling in the ideal medical billing and coding certificate or degree course is a critical initial step to help ensure your success in this exciting field of medical care. Medical coding and medical billing are 2 of the fastest growing occupations in the medical industry. Because of this, there are many vocational schools, community colleges and other institutions that furnish training and instruction in medical coding and billing. As we have discussed, you can choose to attend classes either online or on campus. It's also imperative that the college you choose has an accredited program with an exceptional reputation within the healthcare industry. But however you choose to receive your education, by adhering to the previous guidelines and posing the appropriate questions, you will be better qualified to analyze your options and select the ideal medical billing and coding program. And with the appropriate training, you can realize your career goal to become a medical billing and coding clerk in Lancaster Pennsylvania.