Home >> Pennsylvania >> Monroeville >> Medical Billing And Coding Courses


Medical Billing and Coding Online Classes Monroeville PA

How to Choose the Right Medical Coding Course near Monroeville Pennsylvania

Monroeville Pennsylvania female medical coder at her computerNow that you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Monroeville PA, it's crucial that you choose the right program to ensure that you receive the proper education to ensure your success. As you no doubt know, healthcare is among the fastest growing sectors in the USA, and increasingly more options are available both online and on campus to receive the training that you need. But just where do you start? A number of aspiring students start by looking for schools that are within commuting distance of their residences and then comparing tuition. Or they may surf the internet looking for online classes and go with the least expensive one. But while cost and location are relevant issues when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifications as accreditation and reputation need to be taken into account also. We will review a checklist of topics that you should ask the medical billing and coding courses you are researching so that you can find out what you must know before making your decision. But first, let's take a look at what medical billers and coders do and the educational and certification options available.

Medical Biller and Coder Online Instruction and Certification

hundred dollar bills with stethoscope Monroeville PennsylvaniaIt's imperative that you obtain your training from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in many cases to attain a professional certification, the school you choose 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 be eligible. The fastest way to becoming either a medical coder or biller (or both) is to earn a certificate, which typically takes about a year to accomplish. An Associate Degree is an alternative for a more expansive education, which for almost all colleges calls for two years of studies. Bachelor's Degrees in medical billing and coding are not widely available. When your training has been completed, although not required in most states, you may want to acquire a professional certification. Certification is a great method for those new to the profession to show potential employers that they are not only qualified but dedicated to their occupation. A few 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).

Graduating from an accredited medical billing and coding course, along with attaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the fast growing medical care field.

Medical Coding Job Duties

Monroeville Pennsylvania patient medical files

Medical coders are on the forefront of the billing systems for Monroeville PA private practices and healthcare organizations. 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 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. Coders must know not only what total services were provided for accurate reporting, but must have a functioning knowledge of all private payer and government regulations that impact coding also. Incorrectly coded claims can lead to services not being paid for, services being paid at a decreased rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Monroeville PA physicians and medical facilities many thousands of dollars in revenue every year, a proficient medical coder is an important asset for any healthcare team. They can work in any kind of healthcare facility, including private practices, clinics, hospitals and urgent care centers. It is not uncommon for experienced medical coders to working from home as an independent contractor or offsite employee.

Medical Biller Job Functions

Monroeville Pennsylvania health insurance documents

As essential as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose efforts bring in revenue. Medical billing clerks are very important to Monroeville PA healthcare organizations and are essentially responsible for keeping them in business. In many cases the coder and biller can be the same individual within a healthcare facility, but they can also be 2 individual professionals. Once the coder has carried out her or his duty, the biller utilizes the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been paid by the appropriate organization, patients can then be billed for deductibles or additional out of pocket expenses. On a regular basis, a medical biller may also do any of the following:

  • Check health insurance benefits for patients and assist them with billing questions or concerns
  • Follow up on submitted patient claims and appeal those that have been denied
  • Act as an intermediate between the medical provider, the insurance carriers and the patients for proper claim settlement
  • Produce and manage Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

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

Medical Billing and Coding Online Classes

Monroeville Pennsylvania woman enrolled in medical billing and coding online schoolIf you are interested in convenience and the flexibility of attending classes at home, then selecting a medical billing and coding online course may be a good alternative. They can be particularly appealing to students living in Monroeville PA who anticipate attending school while continuing to work or have other obligations that make attending classes on campus challenging. And as an additional benefit, online schools are frequently cheaper than the traditional classroom options. Expenses for such things as tuition, study materials and commuting may be minimized or eliminated. But be careful, as not all online colleges are reputable. That's why it's important to establish that the online school you select is accredited to ensure a superior education. We will cover the benefits of accreditation in the next segment. Just make sure to verify that any online training 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 disciplined enough to apply yourself to this type of learning, then earning your degree or certificate online might be the right choice for you.

Questions to Ask Medical Coding and Billing Colleges

Once you have a better idea just what a medical coder and biller does, in addition to what training options are offered, you need to start the process of researching schools. But since there many training options available at community colleges and technical, trade and vocational schools within the Monroeville PA area, you must have a ready list of questions to evaluate each one. And when you add all of the online programs that offer medical billing and coding classes, the task can become rather daunting. As we have already discussed, cost and location are going to be significant factors, particularly if you have a modest budget and will be driving to classes from your Monroeville residence. And whether or not the school and program are accredited should be part of your vetting process as well. So let's review a few of the additional questions that you should ask the schools you are looking at so that you can analyze each one and make the right choice.

Is the School Accredited? It's important that the program and school you decide on are accredited by a recognized accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online program, it can also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help ensure that the training you receive will be of superior quality, it might help secure future employment also. Many Monroeville PA healthcare organizations will only hire entry level applicants that have completed an accredited medical billing and coding educational course. And financial assistance and student loans are in many cases only obtainable for schools that have obtained an accreditation.

What is the School's Reputation? Before picking a medical coding and billing school, find out what its ranking and reputation are compared to other colleges. This is especially important if you have no experience in the field, since potential employers will basically be evaluating you based on the quality of your training. As we have discussed, verifying that the program is accredited is a first step. Checking with school rating organizations, such as U.S. News and World Report, can validate the quality of the school as well. Another option is to contact some Monroeville PA healthcare organizations that you might have an interest in working for and find out which programs they recommend. Remember that even when the college itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Referral Program? Obtaining a job in Monroeville PA after graduating 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 rapid and high placement rate is a good 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 College Located? If you are intending on commuting to class from your Monroeville PA home, then the location of the college will be of significant importance. Naturally if you choose an medical billing and coding online program, then the location of the school will not be important. One thing to keep in mind is that if you attend classes at a junior or community college, many require a higher tuition for pupils that reside outside of their districts. So you may prefer to first look at those colleges that are within your local area.

What is the Total Expense? Medical coding and billing training programs can differ in cost based on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also include such things as the cost of supplies, books and commuting. Financial aid may be available to help offset some of the cost, so make sure to contact the school's financial assistance department to find out what is available in Monroeville PA. Naturally if you decide to enroll in an online school, some of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Offered that Match your Schedule? A number of students keep working while going to school and require a convenient class schedule. If you can only go to classes in the evenings or on weekends near Monroeville PA, verify that they are available at those times. If you can only attend on a part-time schedule, check that the program you enroll in provides that option. Also, ask what the procedure is for making up classes missed because of work, illness or family responsibilities.

Get Info on How to Enroll in a Medical Coding Class

Enroll in the Right Monroeville PA Medical Billing and Coding School 

Choosing the right medical coding and billing degree or certificate course is a critical first step to help ensure your success in this exciting field of healthcare. Medical coding and medical billing are two of the most rapidly expanding jobs in the health industry. Because of this, there are many trade schools, community colleges and other institutions that provide training and education in medical coding and billing. As we have discussed, you can elect to attend classes either online or on campus. It's also important that the college you select offers an accredited program with an outstanding reputation within the healthcare field. But however you elect to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better able to assess your options and choose the ideal medical billing and coding college. And with the proper training, you can accomplish your career objective to become a medical coding and billing clerk in Monroeville Pennsylvania.