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Medical Coding and Billing Online Programs Lower Merion PA

How to Pick the Right Medical Coding Training Classes near Lower Merion Pennsylvania

Lower Merion Pennsylvania female medical biller and coder 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 Lower Merion PA, it's important that you find the right program to ensure that you receive the necessary education to ensure your success. As you no doubt know, healthcare is one of the fastest growing fields in the Country, and more and more options are offered both online and on campus to get the training that you need. But just where does one start? Many potential students begin by looking for colleges that are within commuting distance of their homes and then comparing cost. Or they might surf the internet looking for online courses and choose the cheapest one. But while cost and location are significant issues when making your selection, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifications as reputation and accreditation should be considered also. We will cover a checklist of topics that you should ask the medical billing and coding courses you are assessing in order to learn what you must know before making your decision. But first, let's take a look at what medical coders and billers do and the educational and certification options available.

Medical Coding Job Summary

Lower Merion Pennsylvania patient health files

Medical coders work on the forefront of the billing systems for Lower Merion PA medical practices and hospitals. Coders have the responsibility to review the treatment records of patients and assign universal codes to all services provided. These services may be for medical, diagnosis or dental procedures, or any medical supplies or equipment used. There are several 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 physician and nursing 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 functioning knowledge of all government and private payer regulations that impact coding also. Incorrectly coded claims can lead to services not being paid for, services being paid at a reduced rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Lower Merion PA hospitals and doctors many thousands of dollars in earnings each year, a good medical coder is a vital asset to the healthcare organization. They can operate in any kind of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not unusual for experienced medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Functions

Lower Merion Pennsylvania medical insurance documents

As important as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose labors generate revenue. Medical billing clerks are extremely important to Lower Merion PA medical organizations and are practically responsible for keeping their doors open. Frequently the biller and coder may be the same person within a medical facility, but they can also be two independent specialists. When the coder has performed his or her duty, the biller uses the codes furnished to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After they have been paid by the appropriate organization, patients can then be billed for deductibles or other out of pocket costs. On a regular basis, a medical billing clerk may also do any of the following:

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

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

Medical Billing and Coding Online Programs and Certification

hundred dollar bills under stethoscope Lower Merion PennsylvaniaIt's important that you get your training from a reputable school, whether it's a trade school, vocational school or community college. While it is not a requirement in many cases to earn a professional certification, the school you select should be accredited (more on the advantages of accreditation later). Most Pennsylvania programs simply require that you earn either a high school diploma or a GED to apply. The fastest way to becoming either a medical coder or biller (or both) is to obtain a certificate, which usually takes about one year to complete. An Associate Degree is an alternative for a more expansive education, which for most colleges requires two years of studies. Bachelor's Degrees in medical billing and coding are not widely offered. When your training has been completed, although not mandated in the majority of states, you may desire to earn a professional certification. Certification is a great means for those new to the profession to show prospective employers that they are not only qualified but committed to their career. Just some 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 course, together with attaining a professional certification, are the best ways to accelerate your new vocation and succeed in the fast growing healthcare field.

Medical Billing and Coding Online Training

Lower Merion Pennsylvania student attending medical billing and coding online classesIf you are looking for convenience and the flexibility of attending classes at home, then choosing an online medical billing and coding college may be a great option. They can be particularly attractive to individuals living in Lower Merion PA who anticipate going to school while still working or have additional responsibilities that make attending classes on campus difficult. And as an added benefit, online programs are often less expensive than the conventional classroom alternatives. Costs for such items as tuition, study materials and commuting may be reduced or eliminated. But be careful, as not all online programs are reputable. For that reason it's essential to establish that any online college you choose is accredited to guarantee a quality education. We will cover the advantages 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 organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this type of learning, then obtaining your degree or certificate online might be the right choice for you.

Points to Ask Medical Coding and Billing Colleges

Now that you have a better idea just what a medical biller and coder does, in addition to what training options are offered, you must start the process of researching colleges. But since there many training options offered at community colleges and trade, vocational and technical schools within the Lower Merion PA area, you should have a ready list of questions to evaluate each one. And when you add all of the online colleges that offer medical billing and coding classes, the task can become somewhat formidable. As we have already covered, expense and location are going to be significant factors, particularly if you have a modest budget and will be traveling to classes from your Lower Merion residence. And whether or not the school and program are accredited must be part of your vetting process also. So let's take a look at several of the other questions that you should ask the colleges you are looking at 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 choose are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online program, it may 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 get will be of superior quality, it could help with your future employment also. A number of Lower Merion PA healthcare organizations will only employ entry level applicants that have completed an accredited medical billing and coding training course. And financial assistance and student loans are in many cases only available for colleges that have obtained an accreditation.

What is the School's Reputation? Prior to enrolling in a medical coding and billing school, check out what its reputation and ranking are compared to other colleges. This is particularly important if you have no experience in the industry, since potential employers will basically be evaluating you based on the quality of your education. As we have addressed, making sure that the school is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can verify the quality of the school also. An alternative is to check with a few Lower Merion PA medical organizations that you might be interested in working for and find out which programs they recommend. Keep in mind that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there a Job Referral Program? Finding employment in Lower Merion PA after graduating in your new field may be difficult without the support of a job placement program. Check if the colleges you are looking at have job assistance 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 considerable network of medical care employers where they can place their graduates. It also implies that the college's graduates are sought after in the marketplace.

Where is the College Located? If you are anticipating driving to class from your Lower Merion PA home, then the location of the campus will be of prime importance. Naturally if you select an online medical coding and billing program, then the location of the college will not be a factor. One thing to bear in mind is that if you go to classes at a community or junior college, most require a higher tuition for students that reside outside of their districts. So you may want to first research those schools that are within your local area.

What is the Overall Cost? Medical billing and coding training programs can fluctuate in cost depending on the type of credential acquired and the length of training provided. Just keep in mind, tuition is not the only expense for your education. Costs also include such things as the cost of supplies, books and commuting. Financial assistance might be available to help offset some of the expense, so be sure to get in touch with the college's financial aid department to find out what is offered in Lower Merion PA. Naturally if you decide to enroll in an online school, some of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Accessible that Accommodate your Schedule? Many students continue working while attending college and need a flexible class schedule. If you can only go to classes in the evenings or on weekends near Lower Merion PA, verify that they are offered at those times. If you can only enroll on a part time basis, make sure that the college you select provides that option. Also, find out what the protocol is for making up classes missed because of work, illness or family responsibilities.

Find Out More on How to Choose a Medical Coding Class

Select the Right Lower Merion PA Medical Billing and Coding Training 

Enrolling in the right medical billing and coding degree or certificate program is a very important initial step to help assure your success in this rewarding specialty of medical care. Medical billing and medical coding are two of the most rapidly growing occupations in the health industry. As a result, there are many vocational schools, junior colleges and companies that furnish training and education in medical coding and billing. As we have discussed, you can decide to attend classes either on campus or online. It's also important that the college you select offers an accredited program with an excellent reputation within the healthcare community. But however you choose to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better prepared to evaluate your options and choose the ideal medical billing and coding school. And with the proper education, you can accomplish your career objective to become a medical billing and coding clerk in Lower Merion Pennsylvania.