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Medical Billing and Coding Programs Online Lower Merion PA

How to Choose the Right Medical Coding College near Lower Merion Pennsylvania

Lower Merion Pennsylvania woman medical coder entering dataNow that you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Lower Merion PA, it's essential that you choose the right program to ensure that you receive the proper education to guarantee your success. As you no doubt know, healthcare is among the fastest growing sectors in the USA, and a growing number of options are offered both online and on campus to get the training that you need. But just where do you begin? Many aspiring students begin by searching for colleges that are within travelling distance of their residences and then comparing cost. Or they may search the internet looking for online schools and choose the cheapest one. But while cost and location are relevant issues when making your selection, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into account also. We will review a checklist of topics that you need to ask the medical billing and coding courses you are assessing in order to 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 educational and certification options offered.

Medical Coder Job Summary

Lower Merion Pennsylvania patient medical files

Medical coders are on the forefront of the billing systems for Lower Merion PA private practices and healthcare organizations. They have the responsibility to examine 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 various 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 including nursing and physician notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that impact coding as well. Improperly coded claims may lead to services not being covered, services being paid at a reduced rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can in fact cost Lower Merion PA doctors and hospitals multiple thousands of dollars in earnings annually, a good medical coder is an important asset to the healthcare organization. They can operate in every type of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not unusual for professional medical coders to work at home as an offsite employee or an independent contractor.

Medical Billing Job Description

Lower Merion Pennsylvania medical insurance forms

As essential as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Lower Merion PA medical facilities and are practically responsible for keeping their doors open. In many cases the biller and coder may be the same individual within a healthcare organization, but they can also be two separate professionals. When the coder has performed her or his task, the biller uses the codes provided to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being paid by the appropriate entity, patients can then be charged for deductibles and other out of pocket costs. On a routine basis, a medical biller may also do any of the following:

  • Check medical insurance coverages for patients and help them with billing concerns or questions
  • Follow up on submitted patient claims and appeal those that have been declined
  • Function as a mediator between the medical provider, the insurance companies and the patients for proper claim resolution
  • Create and oversee Accounts Receivables reports
  • Create and handle unpaid patient collections accounts

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

Medical Billing and Coding Online Instruction and Certification

cash with stethoscope Lower Merion PennsylvaniaIt's essential that you receive your education from a reputable school, whether it's a trade school, vocational school or community college. Although it is not a requirement in many cases to earn a professional certification, the school you choose should be accredited (more on the benefits of accreditation later). The majority of Pennsylvania colleges simply require that you have either a high school diploma or a GED to be eligible. The fastest way to become either a medical biller or coder (or both) is to earn a certificate, which generally takes about a year to finish. An Associate Degree is also an option for a more extensive education, which for most programs requires two years of studies. Bachelor's Degrees in medical coding and billing are not abundantly offered. When your training has been completed, although not mandated in most states, you may desire to earn a professional certification. Certification is an excellent way for those new to the profession to show potential 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 coding and billing program, combined with obtaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the fast growing medical care industry.

Online Medical Billing and Coding Training

Lower Merion Pennsylvania female attending medical billing and coding online coursesIf you are looking for convenience and the flexibility of attending classes in your home, then selecting an online medical billing and coding program may be a good option. They can be particularly appealing to individuals living in Lower Merion PA who anticipate going to school while still working or have additional obligations that make attending classes on campus difficult. And as an additional advantage, online colleges are often less expensive than the traditional classroom options. Costs for such things as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online schools are reputable. For that reason it's essential to verify that any online program you choose is accredited to ensure a quality education. We will review the benefits of accreditation in the next segment. Just be sure to verify that any online school you are looking at is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this style of learning, then attaining your certificate or degree online might be the ideal choice for you.

What to Ask Medical Biller and Coder Programs

Once you have a better idea what a medical biller and coder does, along with what education options are offered, you must begin the process of comparing schools. But since there many training options available at community colleges as well as technical, trade and vocational schools within the Lower Merion PA area, you must have a prepared list of questions in order to assess each one. And when you include all of the online schools that offer medical coding and billing classes, the task can become rather formidable. As we have already covered, cost and location are going to be relevant factors, especially if you have a limited budget and will be traveling to classes from your Lower Merion residence. And whether or not the program and school are accredited must be part of your vetting procedure also. So let's review some of the other questions that you should ask the programs you are considering so that you can evaluate each one and make the appropriate choice.

Is the Program Accredited? It's essential that the school and program you decide on are accredited by a respected accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it may also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help guarantee that the training you receive will be of superior quality, it may help with your future employment also. Many Lower Merion PA healthcare facilities will only hire entry level candidates that have completed an accredited medical coding and billing training course. And financial assistance and student loans are often only obtainable for programs that have earned an accreditation.

What is the Program's Reputation? Prior to selecting a medical coding and billing program, find out what its reputation and ranking are among other schools. This is especially imperative if you have no experience in the industry, since potential employers will mainly be relying on the quality of your education. As we have discussed, confirming that the college 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. An alternative is to get in touch with several Lower Merion PA medical organizations that you may be interested in working for and find out which colleges they suggest. Keep in mind that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.

Is there a Job Assistance Program? Obtaining employment in Lower Merion PA after graduating in your new field might be difficult without the support of a job placement program. Ask if the schools you are reviewing have job assistance programs and what their job placement rates are. A rapid and high 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 implies that the college's graduates are in high demand in the marketplace.

Where is the College's Location? If you are planning on driving to class from your Lower Merion PA home, then the location of the program will be of significant importance. Obviously if you select an online medical coding and billing program, then the location of the college will not be important. One thing to remember is that if you attend classes at a junior or community college, most require a higher tuition for students that reside outside of their districts. So you might want to first look at those schools that are within your local area.

What is the Complete Expense? Medical coding and billing certification courses can fluctuate in cost based on the type of credential acquired and the amount of training furnished. But remember, tuition is not the only cost of your education. Expenditures also consist of such things as the cost of books, supplies and commuting. Financial assistance might be accessible to help offset a portion of the cost, so don't forget to check with the college's financial aid department to find out what is offered in Lower Merion PA. Of course if you decide to attend an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Available that Match your Schedule? A number of students keep working while attending school and need a flexible class schedule. If you can only attend classes at night or on weekends near Lower Merion PA, verify that they are available at those times. If you can only attend on a part-time basis, verify that the program you pick provides that alternative. Also, find out what the process is for making up classes missed because of illness, work or family emergencies.

Learn How to Choose a Medical Billing Course

Select the Right Lower Merion PA Medical Billing and Coding School 

Selecting the right medical billing and coding certificate or degree course is a crucial first step to help ensure your success in this rewarding field of healthcare. Medical coding and medical billing are 2 of the most rapidly expanding careers in the health industry. As a result, there are many vocational schools, junior colleges and other institutions that furnish education and training in medical coding and billing. As we have reviewed, you can elect to attend classes either on campus or online. It's also important that the college you select has an accredited program with an outstanding reputation within the medical care community. 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 right medical billing and coding school. And with the proper training, you can achieve your career objective to become a medical coding and billing specialist in Lower Merion Pennsylvania.