Home >> Pennsylvania >> Penn Hills >> Medical Biller And Coder Schools


Medical Coding and Billing Courses Online Penn Hills PA

How to Select the Best Medical Billing and Coding Training Classes near Penn Hills Pennsylvania

Penn Hills Pennsylvania woman medical biller entering dataNow that you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Penn Hills PA, it's crucial that you select the right program so that you receive the proper education to guarantee your success. As you may already know, healthcare is among the fastest growing fields in the USA, and increasingly more options are available both online and on campus to obtain the training that you need. But just where do you start? A number of aspiring students start by looking for programs that are within travelling distance of their residences and then comparing tuition. Or they might surf the internet looking for online schools and pick the least expensive one. But while cost and location are relevant factors when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation must be considered also. We will go over a checklist of topics that you need to ask the medical billing and coding schools you are evaluating so that you can find out what you must know prior to 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 Biller and Coder Online Programs and Certification

hundred dollar bills under stethoscope Penn Hills PennsylvaniaIt's imperative that you get 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 earn a professional certification, the program you choose should be accredited (more on the advantages of accreditation later). The majority of Pennsylvania programs only require that you have either a high school diploma or a GED to qualify. The quickest way to become either a medical biller or coder (or both) is to attain a certificate, which normally takes about a year to finish. An Associate Degree is an alternative for a more expansive education, which for almost all schools requires 2 years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. After your training has been concluded, although not mandated in most states, you might desire to acquire 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 dedicated 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).

Graduating from an accredited medical billing and coding course, together with obtaining a professional certification, are the best ways to accelerate your new career and succeed in the fast growing medical care field.

Medical Coding Job Functions

Penn Hills Pennsylvania patient medical files

Medical coders are on the front line of the billing systems for Penn Hills PA private practices and hospitals. They have the responsibility to examine the treatment records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. 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 rely on information from sources such as nursing and physician notes, patient charts, and radiology and lab reports. Medical 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 affect coding as well. Incorrectly coded claims can result in services not being covered, services being paid for at a lower rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can actually cost Penn Hills PA hospitals and doctors many thousands of dollars in earnings each year, a proficient medical coder is an important asset for any healthcare team. They can work in every type of healthcare facility, including private practices, clinics, hospitals 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 Biller Job Description

Penn Hills Pennsylvania medical insurance forms

As crucial as the medical coder's role is, it would be for naught without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Penn Hills PA medical facilities and are practically responsible for keeping them in business. Often the biller and coder may be the same person within a healthcare organization, but they can also be two individual specialists. After the coder has completed her or his job, the biller utilizes the codes supplied to complete and submit claim forms to insurance carriers, Medicaid or Medicare. After being adjusted by the applicable entity, patients can then be invoiced for deductibles or other out of pocket expenses. On a regular basis, a medical billing clerk can also do any of the following:

  • Confirm health insurance coverages for patients and help them with billing concerns or questions
  • Follow up on patient claims submitted and appeal any that have been declined
  • Function as an intermediary between the healthcare provider, the insurance companies and the patients for accurate claim resolution
  • Produce and oversee Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

Medical billers not only work for private practices, but also Penn Hills PA emergency care facilities, hospitals, medical groups or nursing homes. They can work in every type of healthcare facility that depends on the revenues generated by billing patients and third party payers.

Online Medical Biller and Coder Training

Penn Hills Pennsylvania student attending medical billing and coding online classesIf you are looking for flexibility and the convenience of attending classes at home, then selecting an online medical billing and coding school might be a great alternative. They can be particularly appealing to individuals living in Penn Hills PA who plan on attending school while still working or have additional responsibilities that make attending classes on campus challenging. And as an additional benefit, online schools are often less expensive than the conventional classroom options. Expenses for such things as tuition, study materials and commuting may be decreased or eliminated. But be careful, as not all online schools are reputable. For that reason it's imperative to verify that any online school you choose is accredited to guarantee a quality education. We will address the benefits of accreditation in the next section. Just make sure to verify that any online instruction you are looking at is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this style of learning, then attaining your degree or certificate online may be the right choice for you.

What to Ask Medical Biller and Coder Courses

Once you have a general idea just what a medical biller and coder does, as well as what training options are offered, you need to begin the process of comparing colleges. But since there many training options offered at community colleges as well as trade, vocational and technical schools within the Penn Hills PA area, you must have a prepared list of questions in order to analyze each one. And when you add all of the online colleges that offer medical coding and billing classes, the project can become somewhat daunting. As we have already addressed, expense and location are going to be relevant factors, especially if you have a limited budget and will be traveling to classes from your Penn Hills residence. And verifying that the school and program are accredited should be part of your vetting procedure also. So let's take a look at a few of the other questions that you should ask the schools you are looking at so that you can analyze each one and make the best choice.

Is the School Accredited? It's vital that the school and program you pick are accredited by a recognized accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online school, it might also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the training you get will be of the highest quality, it could help with your future employment also. Many Penn Hills PA medical organizations will only hire entry level prospects that have completed an accredited medical billing and coding educational course. And financial aid and student loans are in many cases only offered for schools that have earned an accreditation.

What is the School's Reputation? Prior to picking a medical coding and billing program, find out what its ranking and reputation are among other programs. This is especially imperative if you have no experience in the industry, since potential employers will mostly be evaluating you based on the quality of your education. As we have covered, making sure that the college is accredited is an initial step. Checking with school rating organizations, for instance U.S. News and World Report, can validate the quality of the school also. An alternative is to call a few Penn Hills PA medical organizations that you may be interested in working for and find out which programs they suggest. Keep in mind that even if the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there a Job Referral Program? Obtaining a job in Penn Hills PA after graduation in your new profession might be difficult without the support of a job assistance program. Check if the schools you are considering have job placement programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing college has a substantial network of medical care employers where they can refer their graduates. It also indicates that the college's graduates are sought after in the marketplace.

Where is the School's Location? If you are planning on driving to class from your Penn Hills PA home, then the location of the school will be of significant importance. Naturally if you choose 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, many require a higher tuition for enrollees that live outside of their districts. So you may prefer to first consider those colleges that are within your local area.

What is the Overall Expense? Medical billing and coding training programs can differ in cost depending on the type of credential acquired and the length of training furnished. But remember, tuition is not the only expense for your education. Expenses also include such things as the cost of supplies, books and commuting. Financial aid may be available to help reduce a portion of the expense, so don't forget to contact the school's financial assistance department to find out what is available in Penn Hills PA. Naturally if you decide to attend an online school, some of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Fit your Schedule? Many students keep working while going to school and need a flexible class schedule. If you can only attend classes at night or on weekends near Penn Hills PA, confirm that they are offered at those times. If you can only attend on a part time schedule, check that the college you pick offers that option. Also, find out what the procedure is for making up classes missed due to sickness, work or family emergencies.

Learn How to Select a Billing and Coding School

Choose the Right Penn Hills PA Medical Billing and Coding Program 

Choosing the right medical billing and coding certificate or degree program is a very important initial step to help ensure your success in this exciting specialty of medical care. Medical billing and medical coding are two of the most rapidly growing jobs in the medical industry. Because of this, there are many vocational schools, junior colleges and other institutions that furnish instruction and training in medical billing and coding. As we have reviewed, you can decide to attend classes either online or on campus. It's also essential that the school you pick offers an accredited program with an exceptional reputation within the healthcare field. But however you elect to receive your education, by following the previous guidelines and posing the right questions, you will be better able to analyze your options and choose the right medical billing and coding college. And with the appropriate training, you can realize your career goal to become a medical billing and coding clerk in Penn Hills Pennsylvania.