Home >> Pennsylvania >> Lancaster >> Medical Billing Training


Medical Coding and Billing Online Classes Lancaster PA

How to Select the Best Medical Coding Course near Lancaster Pennsylvania

Lancaster Pennsylvania female medical biller and coder entering dataOnce you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Lancaster PA, it's crucial that you choose the right program to ensure that you receive the necessary education to guarantee your success. As you probably know, healthcare is one of the fastest growing fields in the Country, and more and more options are offered both on campus and online to obtain the training that you need. But just where do you start? A number of potential students start by looking for programs that are within commuting distance of their homes and then comparing tuition. Or they may surf the internet looking for online classes and select the cheapest one. But while cost and location are important factors when making your determination, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifiers as reputation and accreditation should be taken into consideration as well. We will review a checklist of topics that you should ask the medical billing and coding training programs you are researching so that you can learn what you need to know before making your selection. Before we do that, let's take a look at what medical coders and billers do and the training and certification options available.

Medical Coder Job Summary

Lancaster Pennsylvania patient medical files

Medical coders work on the front line of the billing systems for Lancaster PA medical practices and healthcare organizations. They have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services may 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 accuracy, but must have a working knowledge of all private payer and government regulations that influence coding as well. Incorrectly coded claims can lead to 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 literally cost Lancaster PA doctors and hospitals many thousands of dollars in revenue every year, a proficient medical coder is an important asset for any healthcare organization. They can work in any kind 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 Duties

Lancaster Pennsylvania medical insurance forms

As important as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Lancaster PA medical facilities and are essentially responsible for keeping them in business. In many cases the biller and coder are the same man or woman within a healthcare organization, but they can also be two independent specialists. When the coder has completed his or her job, the biller uses the codes provided to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the applicable entity, patients can then be invoiced for deductibles or additional out of pocket expenses. On a routine basis, a medical billing clerk can 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 any that have been denied
  • Work as an intermediate between the medical provider, the insurance carriers and the patients for accurate claim settlement
  • Produce and oversee Accounts Receivables reports
  • Produce and manage unpaid patient collections accounts

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

Medical Coding and Billing Online Education and Certification

cash with stethoscope Lancaster PennsylvaniaIt's imperative that you receive your instruction from a reputable school, whether it's a technical school, vocational school or community college. Although it is not a requirement in most cases to attain a professional certification, the school you select should be accredited (more on the benefits of accreditation later). The majority of Pennsylvania programs just require that you have either a high school diploma or a GED to apply. The fastest way to becoming either a medical biller or coder (or both) is to attain a certificate, which generally takes about one year to finish. An Associate Degree is an alternative for a more expansive education, which for the majority of programs requires 2 years of studies. Bachelor's Degrees in medical billing and coding are not abundantly available. When your training has been completed, although not required in the majority of states, you might wish to earn 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 occupation. Just 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 billing and coding program, combined with earning a professional certification, are the most effective ways to advance your new career and succeed in the fast growing medical care field.

Medical Billing and Coding Online Courses

Lancaster Pennsylvania female attending medical billing and coding online classesIf you are searching for flexibility and the convenience of attending classes at home, then choosing an online medical billing and coding college might be a great alternative. They can be particularly appealing to students living in Lancaster PA who anticipate attending school while still working or have additional obligations that make going to classes on campus difficult. And as an added advantage, online programs are often less expensive than the conventional classroom options. Costs for such items as tuition, course materials and commuting may be minimized or eliminated. But be careful, as not all online programs are reputable. For that reason it's essential to establish that the online college you enroll in is accredited to guarantee a quality education. We will cover the advantages of accreditation in the next segment. Just make sure to establish that any online classes 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 disciplined enough to apply yourself to this type of learning, then obtaining your certificate or degree online may be the ideal choice for you.

What to Ask Medical Biller and Coder Training Programs

Now that you have a general idea just what a medical coder and biller does, as well as what training options are available, you must begin the process of comparing colleges. But since there a large number of training options offered at community colleges and technical, trade and vocational schools within the Lancaster PA area, you should have a prepared list of questions to evaluate each one. And when you include all of the online colleges that offer medical coding and billing classes, the task can become somewhat daunting. As we have already covered, location and cost are going to be relevant issues, especially if you have a limited budget and will be commuting to classes from your Lancaster residence. And verifying that the school and program are accredited should be part of your vetting procedure as well. So let's take a look at a few of the additional questions that you should ask the colleges you are reviewing so that you can evaluate each one and make the right choice.

Is the Training Accredited? It's crucial that the program and school you select are accredited by a respected accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online school, it can also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help guarantee that the training you receive will be of superior quality, it could help secure future employment as well. Many Lancaster PA healthcare organizations will only employ entry level applicants that have completed an accredited medical billing and coding training course. And financial aid and student loans are in many cases only obtainable for schools that have earned an accreditation.

What is the Program's Reputation? Before selecting a medical billing and coding school, find out what its reputation and ranking are compared to other schools. This is especially important if you have no experience in the industry, since potential employers will mostly be relying on the quality of your training. As we have discussed, confirming that the school is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school as well. Another option is to get in touch with a few Lancaster PA medical organizations that you might have an interest in working for and find out which colleges they suggest. Bear in mind that even when the school itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there a Job Referral Program? Obtaining a job in Lancaster PA after graduation in your new profession may be difficult without the support of a job assistance program. Ask if the colleges 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 billing and coding school has a sizable network of healthcare employers where they can refer their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the School Located? If you are planning on commuting to class from your Lancaster PA home, then the location of the campus will be of significant importance. Obviously if you select an medical billing and coding online program, then the location of the college will not be a factor. One thing to keep in mind is that if you go to classes at a junior or community college, most charge a higher tuition for pupils that reside outside of their districts. So you might prefer to first research those colleges that are within your local area.

What is the Total Cost? Medical billing and coding certification programs can vary in cost based on the type of credential obtained and the length of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenditures also include such items as the cost of supplies, books and commuting. Financial assistance may be obtainable to help offset some of the expense, so be sure to check with the school's financial aid department to find out what is offered in Lancaster PA. Naturally if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Available that Match your Schedule? Many students continue working while going to school and require a flexible 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 attend on a part time schedule, make sure that the program you choose provides that alternative. Also, find out what the process is for making up classes missed due to sickness, work or family emergencies.

Find Out More on How to Choose a Medical Coding Course

Select the Best Lancaster PA Medical Billing and Coding Program 

Picking the ideal medical coding and billing certificate or degree program is a critical first step to help guarantee your success in this exciting field of healthcare. Medical billing and medical coding are 2 of the most rapidly growing jobs in the health sector. Because of this, there are numerous vocational schools, junior colleges and companies that provide training and instruction in medical billing and coding. As we have reviewed, you can opt to attend classes either on campus or online. It's also imperative that the college you select has an accredited program with an exceptional reputation within the medical care industry. But however you elect to receive your education, by following the previous guidelines and posing the right questions, you will be better prepared to assess your options and choose the right medical billing and coding program. And with the proper education, you can accomplish your career objective to become a medical coding and billing specialist in Lancaster Pennsylvania.