Home >> Pennsylvania >> Philadelphia >> Medical Billing And Coding Classes


Medical Billing and Coding Programs Online Philadelphia PA

How to Select the Right Medical Billing and Coding Course near Philadelphia Pennsylvania

Philadelphia Pennsylvania female medical biller at her computerNow that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Philadelphia PA, it's essential that you select the appropriate program to ensure that you receive the necessary education to guarantee your success. As you probably know, healthcare is among the fastest growing industries in the United States, 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 start? Many potential students begin by searching for programs that are within travelling distance of their residences and then comparing tuition. Or they may surf the internet looking for online classes and choose the least expensive one. But while cost and location are relevant factors when making your selection, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation need to be taken into consideration as well. We will go over a list of questions that you need to ask the medical billing and coding schools you are researching so that you can find out what you must know prior to making your decision. But first, let's take a look at what medical coders and billers do.

Medical Coding Job Summary

Philadelphia Pennsylvania patient medical files

Medical coders are on the forefront of the billing systems for Philadelphia PA medical practices and hospitals. Coders have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies utilized. There are multiple 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 nursing and physician notes, patient charts, and lab and radiology 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 rules that affect coding also. Incorrectly coded claims may result in services not being covered, services being paid at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Philadelphia PA physicians and medical facilities multiple thousands of dollars in earnings every year, a proficient medical coder is a vital asset for any healthcare team. They can work in any kind of healthcare facility, including family practices, hospitals, clinics and critical care centers. It is not unusual for professional medical coders to work at home as an independent contractor or offsite employee.

Medical Billing Job Functions

Philadelphia Pennsylvania medical insurance forms

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 Philadelphia PA medical organizations and are essentially responsible for keeping them in business. In many cases the biller and coder can be the same person within a medical facility, but they can also be two individual specialists. When the coder has carried out her or his job, the biller utilizes the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been adjusted by the appropriate organization, patients can then be charged for deductibles and other out of pocket costs. On a regular basis, a medical billing professional can also do any of the following:

  • Check medical insurance benefits for patients and help them with billing concerns or questions
  • Check on patient claims submitted and appeal those that have been declined
  • Act as an intermediary between the healthcare provider, the insurance companies and the patients for accurate claim settlement
  • Create and manage Accounts Receivables reports
  • Create and manage unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Philadelphia PA hospitals, urgent care facilities, nursing homes or medical groups. They can work in any type of healthcare facility that relies on the incomes generated from billing patients and third party payers.

Medical Billing and Coding Online Programs

Philadelphia Pennsylvania student attending medical billing and coding online trainingIf you are searching for convenience and the flexibility of attending classes at home, then selecting a medical billing and coding online college may be an excellent alternative. They can be particularly appealing to individuals living in Philadelphia PA who anticipate going to school while still working or have additional responsibilities that make going to classes on campus challenging. And as an added benefit, online schools are in many cases cheaper than the traditional classroom options. Expenses for such items as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online colleges are reputable. For that reason it's important to confirm that any online program you enroll in is accredited to ensure a premium education. We will address the benefits of accreditation in the next segment. Just make sure to establish that any online training you are considering is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this style of learning, then attaining your degree or certificate online might be the ideal choice for you.

Points to Ask Medical Biller and Coder Colleges

Now that you have a better idea just what a medical biller and coder does, along with what training options are available, you need to start the process of comparing schools. But since there a large number of training options offered at community colleges as well as trade, vocational and technical schools within the Philadelphia PA area, you must have a prepared list of questions to evaluate each one. And when you add all of the online programs that offer medical coding and billing classes, the task can become somewhat daunting. As we have already covered, expense and location are going to be important factors, especially if you have a modest budget and will be commuting to classes from your Philadelphia residence. And whether or not the program and school are accredited must be part of your vetting procedure as well. So let's review a few of the other questions that you should ask the schools you are considering so that you can evaluate each one and make the right choice.

Is the Training Accredited? It's essential that the program and school you select are accredited by a respected accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online program, it might also receive accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help confirm that the training you receive will be of superior quality, it could help secure future employment as well. Many Philadelphia PA medical facilities will only hire entry level candidates that have completed an accredited medical billing and coding training program. And financial aid and student loans are in many cases only offered for schools that have received an accreditation.

What is the School's Reputation? Before enrolling in a medical coding and billing school, find out what its reputation and ranking are among other programs. This is especially important if you have no experience in the field, since potential employers will mainly be evaluating you based on the quality of your training. As we have discussed, making sure that the college is accredited is an initial step. Checking with school rating organizations, for example U.S. News and World Report, can verify the quality of the school as well. Another option is to get in touch with some Philadelphia PA medical organizations that you might be interested in working for and find out which schools 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 highly regarded.

Is there an Employment Referral Program? Obtaining a job in Philadelphia PA after graduation in your new profession might be challenging without the help of a job placement program. Ask if the schools 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 college has a considerable network of healthcare 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 Located? If you are planning on driving to class from your Philadelphia PA home, then the location of the school will be of significant importance. Of course if you choose an online medical coding and billing program, then the location of the school will not be a factor. One thing to bear in mind is that if you go to classes at a junior or community college, most charge a higher tuition for students that reside outside of their districts. So you might want to first consider those schools that are within your local area.

What is the Complete Cost? Medical billing and coding certification programs can fluctuate in cost based on the type of credential obtained and the amount of training provided. But remember, tuition is not the only expense for your education. Expenditures also consist of such items as the cost of books, supplies and commuting. Financial aid may be accessible to help reduce some of the expense, so be sure to get in touch with the college's financial assistance department to see what is available in Philadelphia PA. Naturally if you decide to enroll in an online college, some of these additional costs, such as for commuting may be minimized or even eliminated.

Are Classes Available that Fit your Schedule? A number of students keep working while attending school and need a convenient class schedule. If you can only attend classes at night or on weekends near Philadelphia PA, make sure that they are offered at those times. If you can only enroll on a part time basis, verify that the program you decide on offers that option. Also, find out what the procedure is for making up classes missed because of illness, work or family responsibilities.

Learn How to Select a Medical Billing Class

Enroll in the Right Philadelphia PA Medical Billing and Coding Program 

Selecting the ideal medical coding and billing certificate or degree course is a crucial initial step to help ensure your success in this rewarding field of healthcare. Medical coding and medical billing are two of the most rapidly expanding professions in the medical industry. As a result, there are many vocational schools, community colleges and companies that offer training and instruction in medical coding and billing. As we have discussed, you can choose to attend classes either on campus or online. It's also imperative that the college you pick has an accredited program with an outstanding reputation within the healthcare community. But however you choose to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better prepared to assess your options and select the ideal medical billing and coding school. And with the appropriate training, you can achieve your career goal to become a medical billing and coding clerk in Philadelphia Pennsylvania.