Home >> Pennsylvania >> Reading >> Medical Billing And Coding Training


Medical Coding and Billing Programs Online Reading PA

How to Select the Best Medical Billing and Coding Training Classes near Reading Pennsylvania

Reading Pennsylvania woman medical biller and coder at her computerNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Reading PA, it's essential that you choose the right school so that you receive the proper education to ensure your success. As you probably know, healthcare is among the fastest growing sectors in the USA, and more and more options are offered both online and on campus to get the training that you need. But just where does one begin? A number of aspiring students begin by searching for programs that are within commuting distance of their homes and then comparing tuition. Or they may surf the internet looking for online schools and choose the least expensive one. But while location and cost are relevant factors when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation should be taken into consideration also. We will go over a list of topics that you should ask the medical billing and coding schools you are evaluating so that you can find out what you must know before making your selection. Before we do that, let's take a look at what medical billers and coders do and the educational and certification options offered.

Medical Coding Job Description

Reading Pennsylvania patient health history

Medical coders are on the front line of the billing systems for Reading PA medical practices and hospitals. Coders have the responsibility to examine the medical records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis 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 rely on information from sources including 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 functioning knowledge of all government and private payer regulations that influence coding as well. Improperly coded claims may lead to services not being covered, services being paid at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can actually cost Reading PA physicians and medical facilities multiple thousands of dollars in earnings annually, a good medical coder is an important asset for any healthcare team. They can work in every kind of healthcare facility, including family practices, hospitals, clinics and emergency care centers. It is not uncommon for professional medical coders to working from home as an offsite employee or an independent contractor.

Medical Biller Job Functions

Reading Pennsylvania medical insurance documents

As crucial as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Reading PA healthcare facilities and are essentially responsible for keeping them in business. Sometimes the coder and biller are the same individual within a medical organization, but they can also be two separate professionals. When the coder has carried out his or her duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been adjusted by the applicable organization, patients can then be charged for deductibles or other out of pocket costs. On a routine basis, a medical biller may also do any of the following:

  • Check health insurance coverages for patients and help them with billing concerns or questions
  • Check on submitted patient claims and appeal any that have been denied
  • Work as a mediator between the medical provider, the insurance carriers and the patients for correct claim resolution
  • Produce and manage Accounts Receivables reports
  • Generate and handle unpaid patient collections accounts

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

Medical Billing and Coding Online Training and Certification

money under stethoscope Reading PennsylvaniaIt's imperative that you get your instruction from a reputable school, whether it's a community college, technical or trade school. Even though it is not a requirement in many cases to attain a professional certification, the school you choose should be accredited (more on the advantages of accreditation later). Most Pennsylvania schools simply require that you have either a high school diploma or a GED to be eligible. The quickest way to becoming either a medical coder or biller (or both) is to attain a certificate, which typically takes about 1 year to complete. An Associate Degree is an alternative for a more expansive education, which for the majority of colleges requires 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely offered. When your training has been concluded, although not required in the majority of states, you may desire to acquire a professional certification. Certification is an excellent method for those new to the profession to show prospective employers that they are not only qualified but committed to their career. Some of the organizations that provide 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 course, along with obtaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Medical Billing and Coding Online Programs

Reading Pennsylvania student enrolled in medical biller and coder online coursesIf you are looking for convenience and the flexibility of attending classes at home, then selecting a medical billing and coding online program might be a great alternative. They can be especially attractive to those living in Reading PA who plan on going to school while still working or have other obligations that make attending classes on campus challenging. And as an added advantage, online schools are frequently less expensive than the traditional classroom options. Costs for such things as tuition, study materials and commuting may be decreased or eliminated. But be careful, as not all online colleges are reputable. For that reason it's important to verify that any online school you enroll in is accredited to guarantee a premium education. We will review the benefits of accreditation in the next section. Just make sure to confirm that any online classes you are researching is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are disciplined enough to commit yourself to this mode of learning, then attaining your certificate or degree online may be the ideal choice for you.

Questions to Ask Medical Biller and Coder Training Programs

Now that you have a better idea just what a medical coder and biller does, in addition to what training options are offered, you must start the process of comparing schools. But since there many training options offered at community colleges and trade, vocational and technical schools within the Reading PA area, you should have a prepared list of questions in order to evaluate each one. And when you include all of the online programs that offer medical billing and coding classes, the task can become rather daunting. As we have already discussed, expense and location are going to be significant issues, especially if you have a limited budget and will be traveling to classes from your Reading home. And whether or not the program and school are accredited must be part of your vetting procedure as well. So let's review some of the other questions that you should ask the colleges you are considering so that you can compare each one and make the right choice.

Is the Training Accredited? It's crucial that the program and college you pick are accredited by a highly regarded accrediting agency, for example 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 education you receive will be of superior quality, it might help secure future employment as well. Many Reading PA medical organizations will only hire entry level applicants that have completed an accredited medical coding and billing training course. And financial assistance and student loans are in many cases only available for programs that have obtained an accreditation.

What is the Program's Reputation? Before enrolling in a medical billing and coding college, find out what its reputation and ranking are among other colleges. This is especially important if you have no experience in the industry, since potential employers will primarily be relying on the quality of your training. As we have discussed, confirming that the program is accredited is an initial step. Checking with college rating organizations, for instance U.S. News and World Report, can verify the quality of the school also. Another option is to call a few Reading PA healthcare organizations that you may have an interest in working for and ask which colleges they recommend. Remember that even when the college itself does not have an excellent reputation, its medical coding and billing program may still be highly regarded.

Is there an Employment Assistance Program? Finding employment in Reading PA after graduating in your new field may be difficult without the help of a job placement program. Check 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 an excellent indication that the billing and coding school has a substantial network of healthcare employers where they can refer their graduates. It also indicates that the school's graduates are in high demand in the marketplace.

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

What is the Total Cost? Medical billing and coding training programs can vary in cost based on the type of credential acquired and the length of training furnished. But remember, tuition is not the only cost of your education. Expenses also include such items as the cost of books, supplies and commuting. Financial aid might be accessible to help reduce a portion of the expense, so make sure to contact the school's financial aid department to find out what is available in Reading PA. Naturally if you decide to attend an online school, a portion of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Offered that Fit your Schedule? Many students continue working while going to college and need a convenient class schedule. If you can only attend classes during the evenings or on weekends near Reading PA, confirm that they are available at those times. If you can only attend on a part-time basis, make sure that the program you select provides that alternative. Also, ask what the process is for making up classes missed due to sickness, work or family responsibilities.

Get Info on How to Choose a Billing and Coding School

Enroll in the Best Reading PA Medical Billing and Coding Training 

Choosing the right medical billing and coding certificate or degree program is a critical initial step to help guarantee your success in this exciting field of medical care. Medical billing and medical coding are 2 of the most rapidly growing occupations in the health industry. Because of this, there are a lot of vocational schools, junior colleges and other institutions that offer education and training in medical coding and billing. As we have reviewed, you can elect to attend classes either on campus or online. It's also essential that the school you select offers an accredited program with an outstanding reputation within the medical care field. But however you elect to receive your training, by following the previous guidelines and asking the right questions, you will be better prepared to assess your options and choose the right medical billing and coding college. And with the appropriate education, you can accomplish your career objective to become a medical coding and billing specialist in Reading Pennsylvania.