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Medical Coding and Billing Online Classes Philadelphia PA

How to Enroll In the Right Medical Biller and Coder College near Philadelphia Pennsylvania

Philadelphia Pennsylvania woman medical coder entering dataNow that you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Philadelphia PA, it's crucial that you select the appropriate program to ensure that you receive the proper education to guarantee your success. As you probably know, healthcare is one of the fastest growing fields in the USA, and increasingly more options are available both on campus and online to obtain the training that you need. But just where do you start? A number of potential students start by searching for colleges that are within commuting distance of their residences and then comparing cost. Or they may surf the internet looking for online classes and go with the cheapest one. But while location and cost are important issues when making your choice, they should not be the only ones when evaluating medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into account as well. We will cover a checklist of topics that you should ask the medical billing and coding schools you are evaluating so that you can find out what you need to know before making your decision. Before we do that, let's take a look at what medical billers and coders do and the training and certification options offered.

Medical Coder and Biller Online Training and Certification

money with stethoscope Philadelphia PennsylvaniaIt's important that you obtain your instruction from a reputable school, whether it's a trade school, vocational school or community college. Although it is not a requirement in most cases to attain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). Most Pennsylvania colleges just require that you have either a high school diploma or a GED to be eligible. The most expedient way to become either a medical coder or biller (or both) is to attain a certificate, which usually takes about one year to finish. An Associate Degree is also an option for a more comprehensive education, which for almost all schools requires 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely available. When your training has been completed, although not required in the majority of states, you might want to attain a professional certification. Certification is an excellent method for those new to the field to show prospective employers that they are not only qualified but committed to their occupation. Some of the organizations that offer 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).

Completing an accredited medical coding and billing course, in conjunction with attaining a professional certification, are the best ways to accelerate your new vocation and succeed in the fast growing medical care industry.

Medical Coding Job Functions

Philadelphia Pennsylvania patient health files

Medical coders work on the front line of the billing systems for Philadelphia PA medical practices and hospitals. Coders have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services can be for diagnosis, medical or dental procedures, or any medical supplies or equipment 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 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 government and private payer rules that impact coding as well. Improperly coded claims can result in services not being paid for, services being paid for at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Philadelphia PA hospitals and doctors multiple thousands of dollars in income each year, a good medical coder is a vital asset to the healthcare organization. They can operate in any type of healthcare facility, including family practices, clinics, hospitals and critical care centers. It is not uncommon for professional medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Duties

Philadelphia Pennsylvania medical insurance paperwork

As crucial as the medical coder's function is, it would be for nothing without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Philadelphia PA medical organizations and are literally responsible for keeping their doors open. In many cases the coder and biller can be the same individual within a medical organization, but they can also be two independent professionals. After the coder has carried out her or his duty, the biller uses the codes furnished to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the applicable organization, patients can then be charged for deductibles or other out of pocket expenses. On a regular basis, a medical billing professional might also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing questions or concerns
  • Check on patient claims submitted and appeal any that have been denied
  • Function as an intermediary between the healthcare provider, the insurance carriers and the patients for proper claim resolution
  • Generate and control Accounts Receivables reports
  • Generate and take care of 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 practice in any type of medical facility that relies on the incomes generated by billing patients and third party payers.

Medical Billing and Coding Online Training

Philadelphia Pennsylvania student enrolled in medical biller and coder online classesIf you are searching for flexibility and the convenience of attending classes in your home, then enrolling in an online medical billing and coding program might be a good option. They can be particularly appealing to individuals living in Philadelphia PA who anticipate attending school while still working or have other obligations that make attending classes on campus difficult. And as an additional benefit, online colleges are in many cases less expensive than the conventional classroom options. Expenses for such things as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online colleges are reputable. That's why it's essential to confirm that the online program you choose is accredited to guarantee a quality education. We will address the benefits of accreditation in the next section. Just make sure to check that any online training you are considering is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then obtaining your certificate or degree online may be the ideal choice for you.

What to Ask Medical Coder and Biller Training Programs

Now that you have a better idea just what a medical coder and biller does, as well as what training options are offered, you must start the process of comparing schools. But since there are numerous training options available at community colleges as well as vocational, technical and trade schools within the Philadelphia PA area, you need to have a ready 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 relevant issues, especially if you have a modest budget and will be commuting to classes from your Philadelphia residence. And confirming that the program and school are accredited should be part of your vetting procedure as well. So let's review some of the additional questions that you should ask the schools you are considering so that you can evaluate each one and make the best choice.

Is the Training Accredited? It's essential that the program and school you pick are accredited by a highly regarded accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online college, it can also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help confirm that the training you receive will be of the highest quality, it might help secure future employment as well. A number of Philadelphia PA healthcare organizations will only employ entry level applicants that have completed an accredited medical billing and coding educational course. And financial aid and student loans are frequently only available for programs that have earned an accreditation.

What is the School's Reputation? Prior to picking a medical billing and coding school, check out what its ranking and reputation are among other colleges. This is particularly important if you have no experience in the industry, since potential employers will primarily be evaluating you based on the quality of your education. As we have discussed, making sure that the school is accredited is an initial step. Checking with school rating organizations, for example U.S. News and World Report, can confirm the quality of the school also. An alternative is to get in touch with some Philadelphia PA healthcare organizations that you might be interested in working for and ask which programs they suggest. Bear in mind that even when the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Placement Program? Finding employment in Philadelphia PA after graduation in your new profession may be difficult without the help 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 an excellent indication that the billing and coding college has a substantial network of healthcare employers where they can refer their graduates. It also implies that the school's graduates are in high demand in the marketplace.

Where is the College's Location? If you are anticipating commuting to class from your Philadelphia PA home, then the location of the campus will be of significant importance. Obviously if you enroll in an online medical billing and coding program, then the location of the school will not be a consideration. One thing to bear in mind is that if you attend classes at a junior or community college, many require a higher tuition for enrollees that live outside of their districts. So you may prefer to first consider those schools that are within your local area.

What is the Total Expense? Medical coding and billing certification programs can differ in cost depending on the type of credential acquired and the length of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenditures also consist of such things as the cost of books, supplies and commuting. Financial aid may be obtainable to help offset a portion of the cost, so be sure to contact the school's financial aid department to find out what is offered in Philadelphia PA. Of course if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Accessible that Fit your Schedule? A number of students keep working while attending college and need a flexible class schedule. If you can only go to classes in the evenings or on weekends near Philadelphia PA, verify that they are available at those times. If you can only attend on a part-time schedule, make sure that the college you decide on offers that alternative. Also, ask what the procedure is for making up classes missed because of work, illness or family responsibilities.

Find Out More on How to Choose a Medical Coding Class

Select the Best Philadelphia PA Medical Billing and Coding Training 

Picking the right medical coding and billing certificate or degree course is a crucial initial step to help guarantee your success in this rewarding field of healthcare. Medical billing and medical coding are 2 of the most rapidly expanding jobs in the medical industry. Because of this, there are numerous trade schools, community colleges and other institutions that furnish instruction and training in medical billing and coding. As we have reviewed, you can choose to attend classes either online or on campus. It's also imperative that the college you choose offers an accredited program with an excellent reputation within the medical care community. But however you decide to receive your training, by following the previous guidelines and posing the appropriate questions, you will be better qualified to analyze your options and select the ideal medical billing and coding program. And with the proper education, you can achieve your career objective to become a medical billing and coding clerk in Philadelphia Pennsylvania.