How to Select the Best Medical Billing and Coding School near Philadelphia Pennsylvania
Now that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Philadelphia PA, it's important that you select the appropriate program so that you receive the necessary education to ensure your success. As you probably know, healthcare is one of the fastest growing sectors in the USA, and increasingly more options are offered both on campus and online to receive the training that you need. But just where does one start? Many aspiring students begin by searching for programs that are within travelling distance of their residences and then comparing cost. Or they may search the internet looking for online classes and pick the least expensive one. But while location and cost are significant factors when making your selection, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications 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 evaluating so that you can find out what you must know before making your decision. But first, let's take a look at what medical coders and billers do and the training and certification options offered.
Medical Billing and Coding Online Instruction and Certification
It's essential that you obtain your education from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not a requirement in most cases to earn a professional certification, the program you enroll in should be accredited (more on the benefits of accreditation later). Most Pennsylvania schools just require that you have either a high school diploma or a GED to qualify. The quickest 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 comprehensive education, which for almost all colleges requires two years of studies. Bachelor's Degrees for medical billing and coding are not abundantly available. Once your education has been concluded, although not mandated in the majority of states, you might want to acquire a professional certification. Certification is a great way for those new to the field to show prospective employers that they are not only qualified but dedicated to their career. A few of the organizations that make available 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, combined with earning a professional certification, are the most effective ways to accelerate your new career and succeed in the fast growing medical care field.
Medical Coder Job Functions
Medical coders work on the forefront of the billing systems for Philadelphia PA medical practices and healthcare organizations. They have the responsibility to examine the treatment records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies used. There are various 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 depend on information from sources including nursing and physician notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accuracy, but must have a functioning knowledge of all private payer and government rules that impact coding as well. Improperly coded claims can lead to services not being covered, services being paid at a lower rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can in fact cost Philadelphia PA doctors and hospitals many thousands of dollars in income annually, a good medical coder is an important asset for any healthcare organization. They can work in any type of healthcare facility, including private practices, hospitals, clinics and critical care centers. It is not uncommon for experienced medical coders to operate at home as an independent contractor or offsite employee.
Medical Billing Job Duties
As vital as the medical coder's job is, it would be for naught without the collaboration of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Philadelphia PA healthcare facilities and are literally responsible for keeping them in business. In many cases the biller and coder are the same individual within a medical facility, but they can also be 2 independent specialists. When the coder has performed his or her task, the biller utilizes the codes supplied to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After being paid by the appropriate organization, patients can then be charged for deductibles or other out of pocket costs. On a regular basis, a medical biller may also do any of the following:
- Verify medical insurance benefits for patients and help them with billing concerns or questions
- Follow up on submitted patient claims and appeal those that have been denied
- Function as an intermediary between the medical provider, the insurance companies and the patients for accurate claim settlement
- Create and manage Accounts Receivables reports
- Create and handle unpaid patient collections accounts
Medical billers not only are employed by private practices, but also Philadelphia PA hospitals, urgent care facilities, medical groups or nursing homes. They may work in every kind of medical facility that relies on the revenues generated from billing patients and third party payers.
Medical Biller and Coder Online Colleges
If you are searching for flexibility and the convenience of attending classes from home, then enrolling in an online medical billing and coding college might be an excellent option. They can be especially attractive to those living in Philadelphia PA who plan on going to school while continuing to work or have additional commitments that make attending classes on campus difficult. And as an additional advantage, online colleges are often less expensive than the traditional classroom options. Costs for such items as tuition, commuting and study materials may be reduced or eliminated. But be cautious, as not all online schools are reputable. That's why it's imperative to confirm that the online program you enroll in is accredited to ensure a superior education. We will address the advantages of accreditation in the next segment. Just make sure to confirm that any online school you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this style of learning, then obtaining your degree or certificate online may be the ideal choice for you.
Points to Ask Medical Biller and Coder Courses
Once you have a better idea what a medical coder and biller does, along with what training options are available, you must begin the process of researching schools. But since there a large number of training options available at community colleges and vocational, technical and trade schools within the Philadelphia PA area, you should have a prepared list of questions in order to assess each one. And when you add all of the online programs that offer medical coding and billing classes, the task can become somewhat formidable. As we have already addressed, expense and location are going to be important issues, particularly if you have a modest budget and will be driving to classes from your Philadelphia residence. And whether or not the school and program are accredited must be part of your vetting procedure as well. So let's take a look at some of the other questions that you should ask the programs you are reviewing so that you can compare each one and make the appropriate choice.
Is the Program Accredited? It's essential that the program and school you select are accredited by a recognized accrediting agency, for instance 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 distance or online learning. Not only will accreditation help guarantee that the training you get will be of the highest quality, it may help with your future employment as well. Many Philadelphia PA medical facilities will only employ entry level prospects that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only obtainable for schools that have received an accreditation.
What is the School's Reputation? Prior to selecting a medical coding and billing college, find out what its reputation and ranking are among other colleges. This is particularly important if you have no experience in the field, since potential employers will mainly be relying on the quality of your training. As we have discussed, confirming that the college is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school as well. An alternative is to contact a few Philadelphia PA healthcare organizations that you may be interested in working for and ask which programs they recommend. Bear in mind that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.
Is there a Job Assistance Program? Finding a job in Philadelphia PA after graduating in your new profession may be challenging without the help of a job assistance program. Find out if the schools you are looking at have job placement programs and what their job placement rates are. A rapid and high placement rate is a good indication that the billing and coding college has a substantial network of medical care employers where they can refer their graduates. It also suggests 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 Philadelphia PA home, then the location of the program will be of prime importance. Naturally if you choose an online medical coding and billing program, then the location of the school will not be important. One thing to keep in mind is that if you go to classes at a junior or community college, most charge a higher tuition for enrollees that live outside of their districts. So you may prefer to first research those schools that are within your local area.
What is the Total Cost? Medical coding and billing certification courses can vary in cost depending on the type of credential acquired and the amount of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such items as the cost of books, supplies and commuting. Financial aid may be accessible to help offset some of the expense, so be sure to contact the college's financial aid department to find out what is offered in Philadelphia PA. Naturally if you decide to attend an online school, some of these added costs, such as for commuting may be lessened or even eliminated.
Are Classes Offered that Accommodate your Schedule? A number of students keep working while attending college and require a convenient class schedule. If you can only attend classes at night or on weekends near Philadelphia PA, confirm that they are available at those times. If you can only attend on a part-time schedule, make certain that the college you select offers that alternative. Also, find out what the protocol is for making up classes missed due to work, illness or family emergencies.
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Select the Right Philadelphia PA Medical Billing and Coding Training
Choosing the right medical coding and billing certificate or degree program is a crucial first step to help ensure your success in this rewarding specialty of medical care. Medical coding and medical billing are two of the fastest growing professions in the health sector. Because of this, there are numerous trade schools, community colleges and companies that offer education and training in medical billing and coding. As we have discussed, you can opt to attend classes either on campus or online. It's also important that the school you select has an accredited program with an exceptional reputation within the medical care community. But however you elect to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better able to evaluate your options and pick the right medical billing and coding school. And with the appropriate education, you can achieve your career goal to become a medical billing and coding specialist in Philadelphia Pennsylvania.