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Medical Billing and Coding Programs Online Pittsburgh PA

How to Pick the Best Medical Billing School near Pittsburgh Pennsylvania

Pittsburgh Pennsylvania woman medical coder at her computerNow that you have made a decision to become part of the healthcare field by enrolling in a medical billing and coding school near Pittsburgh PA, it's essential that you choose the appropriate school so 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 United States, and increasingly more options are offered both online and on campus to obtain the training that you need. But just where do you begin? Many future students start by searching for programs that are within driving distance of their homes and then comparing cost. Or they may surf the internet looking for online schools and choose the least expensive one. But while cost and location are important issues when making your choice, they should not be the only ones when evaluating medical billing and coding schools. Such qualifications as accreditation and reputation should be taken into consideration also. We will cover a list of topics that you should ask the medical billing and coding courses you are assessing in order to learn what you need to know prior to making your decision. Before we do that, let's take a look at what medical coders and billers do and the academic and certification options offered.

Medical Coder Job Duties

Pittsburgh Pennsylvania patient health files

Medical coders work on the front line of the billing systems for Pittsburgh 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 medical, diagnosis or dental procedures, or any medical supplies or equipment 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 government and private payer regulations that impact coding as well. Inaccurately coded claims can result in services not being paid for, services being paid for at a lower rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can literally cost Pittsburgh PA doctors and hospitals multiple thousands of dollars in income every year, a good medical coder is a necessary asset for any healthcare organization. They can operate in every type of healthcare facility, including family practices, clinics, hospitals and critical care centers. It is not unusual for seasoned medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Duties

Pittsburgh Pennsylvania medical insurance paperwork

As important as the medical coder's role is, it would be for nothing without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are very important to Pittsburgh PA medical organizations and are essentially responsible for keeping them in business. Sometimes the biller and coder can be the same person within a healthcare organization, but they can also be 2 separate professionals. After the coder has carried out her or his duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been paid by the appropriate organization, patients can then be invoiced for deductibles and other out of pocket costs. On a regular basis, a medical billing clerk may also do any of the following:

  • Verify medical insurance coverages for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal any that have been denied
  • Act as an intermediate between the medical provider, the insurance carriers and the patients for accurate claim settlement
  • Create and manage Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

Medical billers not only work for private practices, but also Pittsburgh PA hospitals, urgent care facilities, nursing homes or medical groups. They can practice in every kind of medical facility that relies on the incomes generated by billing patients and third party payers.

Medical Biller and Coder Online Instruction and Certification

hundred dollar bills and stethoscope Pittsburgh PennsylvaniaIt's important that you obtain your instruction from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in most cases to earn a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). Most Pennsylvania programs simply require that you earn either a high school diploma or a GED to apply. The quickest way to becoming either a medical coder or biller (or both) is to attain a certificate, which normally takes about 1 year to finish. An Associate Degree is an alternative for a more extensive education, which for the majority of programs requires two years of studies. Bachelor's Degrees in medical coding and billing are not abundantly available. When your training has been concluded, although not mandated in the majority of states, you may desire to attain a professional certification. Certification is a great means for those new to the profession to show potential employers that they are not only qualified but dedicated to their occupation. A few 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 billing and coding program, combined with obtaining a professional certification, are the best ways to advance your new profession and succeed in the rapid growing healthcare field.

Online Medical Biller and Coder Colleges

Pittsburgh Pennsylvania female attending medical biller and coder online classesIf you are searching for convenience and the flexibility of attending classes from home, then enrolling in an online medical billing and coding course may be an excellent alternative. They can be particularly attractive to individuals living in Pittsburgh PA who anticipate going to school while still working or have other responsibilities that make going to classes on campus difficult. And as an added benefit, online programs are frequently less expensive than the standard classroom alternatives. Costs for such things as tuition, course materials and commuting may be minimized or eliminated. But be cautious, as not all online courses are reputable. That's why it's essential to verify that any online course you enroll in is accredited to ensure a superior education. We will address the advantages of accreditation in the next section. Just be sure to establish that any online instruction you are researching is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are disciplined enough to apply yourself to this mode of learning, then earning your certificate or degree online may be the ideal choice for you.

Points to Ask Medical Coder and Biller Programs

Now that you have a general idea just what a medical biller and coder does, as well as what training options are offered, you must start the process of comparing schools. But since there many training options offered at community colleges and technical, trade and vocational schools within the Pittsburgh PA area, you need to have a ready list of questions in order to assess each one. And when you include all of the online colleges that offer medical billing and coding classes, the task can become somewhat daunting. As we have already discussed, location and cost are going to be significant factors, especially if you have a modest budget and will be driving to classes from your Pittsburgh home. And verifying that the school and program are accredited must be part of your vetting procedure as well. So let's review several of the additional questions that you should ask the programs you are looking at so that you can evaluate each one and make the ideal choice.

Is the Training Accredited? It's important that the program and school you select are accredited by a respected accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, it can also earn accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help ensure that the training you get will be of superior quality, it could help with your future employment also. A number of Pittsburgh PA healthcare organizations will only hire entry level candidates that have completed an accredited medical coding and billing training program. And financial aid and student loans are frequently only available for colleges that have earned an accreditation.

What is the School's Reputation? Prior to enrolling in a medical coding and billing school, find out what its reputation and ranking are compared to other schools. This is particularly relevant if you have no experience in the profession, since potential employers will mainly be evaluating you based on the quality of your training. As we have covered, verifying that the school is accredited is a first step. Checking with school rating organizations, for instance U.S. News and World Report, can verify the quality of the school as well. An alternative is to contact several Pittsburgh PA healthcare organizations that you might be interested in working for and ask which colleges they recommend. Remember that even if the college itself does not have an outstanding reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Assistance Program? Finding employment in Pittsburgh PA after graduation in your new field can be challenging without the help of a job placement program. Find out if the schools you are reviewing have job placement programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the billing and coding school has a sizable network of healthcare employers where they can place their graduates. It also implies that the college's graduates are in high demand in the marketplace.

Where is the School's Location? If you are anticipating driving to class from your Pittsburgh PA residence, then the location of the program will be of prime importance. Of course if you enroll in an online medical coding and billing program, then the location of the college will not be a consideration. One thing to remember is that if you go to classes at a community or junior college, most require a higher tuition for students that live outside of their districts. So you may want to first consider those schools that are within your local area.

What is the Total Expense? Medical billing and coding training programs can fluctuate in cost depending on the type of credential earned 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 supplies, books and commuting. Financial aid might be obtainable to help offset a portion of the expense, so be sure to contact the college's financial aid department to see what is available in Pittsburgh PA. Naturally if you decide to attend an online college, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Available that Accommodate your Schedule? Many students keep working while attending school and require a flexible class schedule. If you can only attend classes in the evenings or on weekends near Pittsburgh PA, make sure that they are available at those times. If you can only enroll on a part-time schedule, make certain that the program you select provides that option. Also, ask what the process is for making up classes missed due to illness, work or family emergencies.

Find Out More on How to Enroll in a Billing and Coding Class

Enroll in the Best Pittsburgh PA Medical Billing and Coding Program 

Enrolling in the ideal medical billing and coding certificate or degree course is a critical first step to help assure your success in this exciting sector of healthcare. Medical coding and medical billing are 2 of the fastest growing jobs in the medical industry. Because of this, there are many vocational schools, community colleges and other institutions that provide training and education in medical coding and billing. As we have covered, you can decide to attend classes either online or on campus. It's also important that the college you pick offers an accredited program with an outstanding reputation within the healthcare field. But however you elect to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better able to analyze your options and select the ideal medical billing and coding school. And with the appropriate training, you can realize your career objective to become a medical coding and billing specialist in Pittsburgh Pennsylvania.