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Medical Coding and Billing Schools Online Penn Hills PA

How to Select the Right Medical Billing and Coding College near Penn Hills Pennsylvania

Penn Hills Pennsylvania female medical biller entering dataOnce you have decided to enter the healthcare profession by enrolling in a medical billing and coding school near Penn Hills PA, it's essential that you select the appropriate school to ensure that you receive the necessary education to ensure your success. As you may already know, healthcare is one of the fastest growing fields in the USA, and more and more options are offered both on campus and online to receive the training that you need. But just where do you start? A number of future students start by looking for programs that are within commuting distance of their homes and then comparing tuition. Or they may search the internet looking for online schools and choose the cheapest one. But while location and cost are significant factors when making your choice, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into consideration as well. We will review a list of topics that you need to ask the medical billing and coding courses you are assessing in order to learn what you must know prior to making your decision. But first, let's take a look at what medical billers and coders do and the educational and certification options offered.

Medical Coding and Billing Online Training and Certification

hundred dollar bills with stethoscope Penn Hills PennsylvaniaIt's important that you get your education from a reputable school, whether it's a community college, technical or trade school. While it is not a requirement in most cases to earn a professional certification, the school you select should be accredited (more on the benefits of accreditation later). The majority of Pennsylvania colleges simply require that you earn either a high school diploma or a GED to qualify. The fastest way to becoming either a medical coder or biller (or both) is to earn a certificate, which generally takes about one year to complete. An Associate Degree is an alternative for a more extensive education, which for the majority of schools calls for two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly available. After your training has been completed, although not required in the majority of states, you may desire to acquire a professional certification. Certification is an excellent method for those new to the field to show potential employers that they are not only qualified but dedicated to their career. 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 program, together with obtaining a professional certification, are the most effective ways to advance your new career and succeed in the rapid growing medical care industry.

Medical Coding Job Description

Penn Hills Pennsylvania patient medical history

Medical coders work on the front line of the billing systems for Penn Hills PA medical practices and hospitals. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any equipment or medical supplies utilized. There are several 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 such as nursing and physician 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 affect coding also. Inaccurately coded claims can lead to services not being covered, services being paid at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Penn Hills PA physicians and medical facilities multiple thousands of dollars in earnings annually, a good medical coder is an important asset to the healthcare organization. They can operate in every kind of healthcare facility, including private practices, hospitals, clinics and emergency 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 Summary

Penn Hills Pennsylvania medical insurance forms

As important as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Penn Hills PA healthcare organizations and are literally responsible for keeping their doors open. In many cases the biller and coder may be the same individual within a medical organization, but they can also be two individual specialists. After the coder has carried out her or his task, the biller utilizes the codes provided to complete and submit claim forms to insurance companies, Medicare or Medicaid. After being adjusted by the applicable organization, patients can then be invoiced for deductibles or other out of pocket costs. On a regular basis, a medical billing professional might also do any of the following:

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

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

Medical Billing and Coding Online Colleges

Penn Hills Pennsylvania female enrolled in medical biller and coder online trainingIf you are searching for convenience and the flexibility of attending classes at home, then enrolling in an online medical billing and coding program may be a good option. They can be especially appealing to individuals living in Penn Hills PA who plan on going to school while still working or have other responsibilities that make going to classes on campus difficult. And as an added advantage, online programs are frequently cheaper than the traditional classroom alternatives. Costs for such things as tuition, commuting and study materials may be decreased or eliminated. But be cautious, as not all online programs are reputable. For that reason it's imperative to verify that any online school you select is accredited to guarantee a premium education. We will cover the advantages of accreditation in the next section. Just be sure to confirm that any online college 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 dedicated enough to commit yourself to this mode of learning, then attaining your certificate or degree online might be the right choice for you.

Things to Ask Medical Coding and Billing Colleges

Once you have a better idea just what a medical coder and biller does, as well as what education options are offered, you must begin the process of evaluating colleges. But since there many training options available at community colleges as well as vocational, technical and trade schools within the Penn Hills PA area, you must have a prepared list of questions in order to evaluate each one. And when you include all of the online programs that offer medical coding and billing classes, the task can become rather daunting. As we have already addressed, expense and location are going to be significant issues, especially if you have a modest budget and will be driving to classes from your Penn Hills residence. And confirming that the program and school are accredited should be part of your vetting procedure also. So let's review several of the additional questions that you should ask the schools you are looking at so that you can compare each one and make the right choice.

Is the Program Accredited? It's vital that the program and school you decide on are accredited by a highly regarded accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online program, 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 education you receive will be of the highest quality, it may help secure future employment also. A number of Penn Hills PA healthcare organizations will only hire entry level candidates that have completed an accredited medical coding and billing educational course. And financial aid and student loans are in many cases only obtainable for schools that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical coding and billing program, find out what its ranking and reputation are compared to other schools. This is especially important if you have no experience in the field, since potential employers will basically be relying on the quality of your training. As we have addressed, confirming that the school is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can verify the quality of the school also. Another option is to call several Penn Hills PA medical organizations that you might have an interest in working for and find out which schools they recommend. Keep in mind that even if the college itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Finding a job in Penn Hills PA after graduating in your new profession may be challenging without the support of a job assistance program. Check if the schools you are considering 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 college has a significant network of medical care employers where they can place their graduates. It also suggests that the college's graduates are sought after in the marketplace.

Where is the College's Location? If you are planning on commuting to class from your Penn Hills PA home, then the location of the program will be of significant importance. Naturally if you enroll in 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 community or junior college, many charge a higher tuition for enrollees that reside outside of their districts. So you might want to first consider those colleges that are within your local area.

What is the Complete Expense? Medical billing and coding training courses 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. Expenses also include such things as the cost of books, supplies and commuting. Financial aid might be accessible to help offset a portion of the cost, so be sure to get in touch with the school's financial assistance department to find out what is available in Penn Hills PA. Naturally if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Available that Match your Schedule? A number of students keep working while going to school and need a convenient class schedule. If you can only go to classes in the evenings or on weekends near Penn Hills PA, make sure that they are offered at those times. If you can only attend on a part-time schedule, verify that the college you decide on offers that alternative. Also, find out what the process is for making up classes missed because of work, illness or family responsibilities.

Find Out More on How to Select a Medical Billing Program

Enroll in the Right Penn Hills PA Medical Billing and Coding Training 

Enrolling in the ideal medical coding and billing certificate or degree course is a critical first step to help assure your success in this exciting field of medical care. Medical billing and medical coding are two of the most rapidly growing occupations in the health sector. As a result, there are many vocational schools, community colleges and companies that provide 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 imperative that the college you select has an accredited program with an excellent reputation within the healthcare community. But however you decide to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and pick the ideal medical billing and coding program. And with the appropriate training, you can achieve your career objective to become a medical billing and coding specialist in Penn Hills Pennsylvania.