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Medical Coding and Billing Courses Online Philadelphia PA

How to Choose the Right Medical Coding Training Program near Philadelphia Pennsylvania

Philadelphia Pennsylvania female medical biller and coder at her computerNow that you have decided to become part of the healthcare profession by enrolling in a medical billing and coding school near Philadelphia PA, it's crucial that you find 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 fields in the USA, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where do you start? A number of future students begin by searching for programs that are within commuting distance of their residences and then comparing tuition. Or they might search the internet looking for online classes and pick the least expensive one. But while location and cost are important issues when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation should be taken into account also. We will go over a checklist of questions that you need to ask the medical billing and coding training programs you are researching in order to 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.

Medical Coding Job Functions

Philadelphia Pennsylvania patient medical records

Medical coders work on the forefront of the billing systems for Philadelphia PA private practices and hospitals. They have the responsibility to analyze 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 depend on information from sources such as physician and nursing 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 working knowledge of all government and private payer regulations that influence coding also. Improperly coded claims can result in services not being covered, services being paid for at a lower rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Philadelphia PA doctors and hospitals multiple thousands of dollars in revenue every year, a reliable medical coder is a necessary asset for any healthcare organization. They can work in every type of healthcare facility, including private practices, clinics, hospitals and urgent care centers. It is not unusual for seasoned medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Summary

Philadelphia Pennsylvania medical insurance paperwork

As vital as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Philadelphia PA medical organizations and are essentially responsible for keeping them in business. Frequently the biller and coder may be the same man or woman within a medical facility, but they can also be 2 independent professionals. Once the coder has carried out her or his task, the biller uses the codes supplied to complete and submit claim forms to insurance companies, Medicare or Medicaid. After they have been paid by the applicable organization, patients can then be invoiced for deductibles and other out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

  • Check health insurance benefits for patients and help them with billing questions or concerns
  • Follow up on patient claims submitted and appeal those that have been denied
  • Act as a mediator between the medical provider, the insurance carriers and the patients for accurate claim settlement
  • Create and oversee Accounts Receivables reports
  • Create and handle unpaid patient collections accounts

Medical billers not only are employed by family practices, but also Philadelphia PA emergency care facilities, hospitals, medical groups or nursing homes. They may work in any type of medical facility that depends on the revenues generated from billing patients and third party payers.

Medical Billing and Coding Online Colleges

Philadelphia Pennsylvania student enrolled in medical biller and coder online trainingIf you are searching for flexibility and the convenience of attending classes at home, then enrolling in an online medical billing and coding school may be a good option. They can be particularly appealing to individuals living in Philadelphia PA who plan on going to school while still working or have other obligations that make going to classes on campus difficult. And as an added advantage, online schools are frequently cheaper than the traditional classroom options. Costs for such things as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online schools are reputable. That's why it's important to verify that any online school you enroll in is accredited to ensure a quality education. We will address the benefits of accreditation in the next segment. Just be sure to confirm that any online college you are researching is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this mode of learning, then attaining your certificate or degree online may be the right choice for you.

What to Ask Medical Coding and Billing Programs

Now that you have a better idea what a medical coder and biller does, as well as what training options are available, you must begin the process of researching colleges. But since there many training options offered at community colleges as well as vocational, technical and trade schools within the Philadelphia PA area, you need to have a prepared list of questions in order to analyze each one. And when you include all of the online schools that offer medical billing and coding classes, the task can become rather daunting. As we have already covered, expense and location are going to be significant factors, especially if you have a modest budget and will be traveling to classes from your Philadelphia residence. And verifying that the school and program are accredited should be part of your vetting process as well. So let's review several of the other questions that you should ask the programs you are considering so that you can evaluate each one and make the appropriate choice.

Is the School Accredited? It's essential that the school and program you select are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, it may also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you get will be of superior quality, it might help secure future employment also. A number of Philadelphia PA medical facilities will only hire entry level applicants that have completed an accredited medical billing and coding training course. And financial aid and student loans are often only available for colleges that have obtained an accreditation.

What is the School's Reputation? Prior to selecting a medical billing and coding college, check out what its reputation and ranking are among other colleges. This is particularly relevant if you have no experience in the field, since potential employers will mostly be evaluating you based on the quality of your education. As we have discussed, making sure that the school is accredited is a first step. Checking with college rating organizations, for instance U.S. News and World Report, can verify the quality of the school as well. An alternative is to contact a few Philadelphia PA healthcare organizations that you may have an interest in working for and find out which programs they recommend. Keep in mind that even when the college itself does not have an exceptional reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Placement Program? Finding a job in Philadelphia PA after graduating in your new field might be challenging without the support of a job placement program. Find out if the colleges you are reviewing 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 school 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 Located? If you are intending on driving to class from your Philadelphia PA residence, then the location of the campus will be of prime importance. Obviously if you select an online medical coding and billing program, then the location of the college will not be a factor. One thing to keep in mind is that if you go to classes at a junior or community college, most require a higher tuition for enrollees that live outside of their districts. So you might want to first research those schools that are within your local area.

What is the Complete Expense? Medical billing and coding training courses can vary in cost based on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such things as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the cost, so be sure to contact the school's financial assistance department to find out what is available in Philadelphia PA. Naturally if you decide to enroll in an online college, some of these added costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Fit your Schedule? Many students continue working while attending college and require a convenient class schedule. If you can only attend classes during 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 certain that the program you choose offers that option. Also, ask what the process is for making up classes missed due to work, illness or family emergencies.

Learn How to Select a Medical Coding School

Choose the Best Philadelphia PA Medical Billing and Coding Training 

Selecting the right medical coding and billing degree or certificate course is a critical first step to help ensure your success in this rewarding field of medical care. Medical coding and medical billing are 2 of the fastest expanding jobs in the medical industry. As a result, there are many trade schools, community colleges and other institutions that offer training and instruction in medical coding and billing. As we have reviewed, you can decide to attend classes either on campus or online. It's also imperative that the college you select has an accredited program with an excellent reputation within the healthcare community. But however you choose to receive your education, by following the previous guidelines and asking the right questions, you will be better qualified to analyze your options and choose the ideal medical billing and coding program. And with the proper education, you can realize your career objective to become a medical billing and coding specialist in Philadelphia Pennsylvania.