Home >> Pennsylvania >> Shaler >> Medical Billing And Coding Courses


Medical Coding and Billing Online Schools Shaler PA

How to Find the Best Medical Billing College near Shaler Pennsylvania

Shaler Pennsylvania woman medical coder entering dataNow that you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Shaler PA, it's crucial that you find the right program so that you receive the necessary education to ensure your success. As you no doubt know, healthcare is among the fastest growing industries in the United States, and increasingly more options are offered both online and on campus to receive the training that you need. But just where does one start? A number of future students begin by searching for colleges that are within commuting distance of their homes and then comparing tuition. Or they may surf the internet looking for online courses and pick the cheapest one. But while cost and location are relevant issues when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into account also. We will review a list of topics that you need to ask the medical billing and coding courses you are evaluating so that you can learn what you must know before making your decision. Before we do that, let's take a look at what medical billers and coders do and the academic and certification options available.

Medical Coder Job Description

Shaler Pennsylvania patient health records

Medical coders work on the front line of the billing systems for Shaler PA medical practices and healthcare organizations. They have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services may be for diagnosis, medical or dental procedures, or any medical supplies or equipment used. 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 including nursing and physician notes, patient charts, and lab and radiology reports. Coders must know not only what total services were provided for accurate reporting, but must have a working knowledge of all private payer and government regulations that influence coding also. Inaccurately coded claims may result in services not being covered, services being paid for at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost Shaler PA doctors and hospitals multiple thousands of dollars in earnings annually, a proficient medical coder is a vital asset for any healthcare organization. They can work in every kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not unusual for professional medical coders to work at home as an offsite employee or an independent contractor.

Medical Billing Job Duties

Shaler Pennsylvania medical insurance documents

As important as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose efforts generate revenue. Medical billing clerks are extremely important to Shaler PA healthcare facilities and are essentially responsible for keeping their doors open. Often the biller and coder are the same man or woman within a healthcare facility, but they can also be two individual professionals. Once the coder has performed her or his duty, the biller utilizes the codes furnished to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate organization, patients can then be billed for deductibles and other out of pocket expenses. On a routine basis, a medical biller may also do any of the following:

  • Verify health 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 a mediator between the healthcare provider, the insurance companies and the patients for accurate claim resolution
  • Produce and oversee Accounts Receivables reports
  • Create and handle unpaid patient collections accounts

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

Medical Coder and Biller Online Programs and Certification

money with stethoscope Shaler PennsylvaniaIt's essential that you get your instruction from a reputable school, whether it's a trade school, vocational school or community college. Although it is not a requirement in many cases to earn a professional certification, the school you select should be accredited (more on the advantages of accreditation later). The majority of Pennsylvania schools only require that you have either a high school diploma or a GED to be eligible. The quickest way to become either a medical coder or biller (or both) is to earn a certificate, which generally takes about 1 year to complete. An Associate Degree is an alternative for a more extensive education, which for almost all programs requires 2 years of studies. Bachelor's Degrees for medical billing and coding are not abundantly offered. When your training has been completed, although not required in the majority of states, you may want to acquire a professional certification. Certification is an effective 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 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 obtaining a professional certification, are the best ways to advance your new profession and succeed in the rapid growing healthcare field.

Medical Biller and Coder Online Classes

Shaler Pennsylvania woman attending medical biller and coder online classesIf you are searching for convenience and the flexibility of attending classes in your home, then choosing a medical billing and coding online school may be an excellent option. They can be especially appealing to students living in Shaler PA who plan on going to school while continuing to work or have additional responsibilities that make going to classes on campus difficult. And as an additional advantage, online schools are frequently less expensive than the conventional classroom alternatives. Expenses for such things as tuition, study materials and commuting may be reduced or eliminated. But be cautious, as not all online programs are reputable. For that reason it's essential to establish that the online school you choose is accredited to guarantee a superior education. We will cover the benefits of accreditation in the next section. Just be sure to verify that any online school you are looking at is accredited by one of the national accrediting agencies, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this mode of learning, then attaining your certificate or degree online might be the right choice for you.

Things to Ask Medical Coder and Biller Schools

Once you have a better idea what a medical biller and coder does, along with what training options are available, you need to start the process of evaluating schools. But since there are numerous training options offered at community colleges as well as technical, trade and vocational schools within the Shaler PA area, you need to have a prepared list of questions to assess each one. And when you include all of the online colleges that offer medical coding and billing classes, the task can become rather daunting. As we have already covered, expense and location are going to be important issues, especially if you have a modest budget and will be traveling to classes from your Shaler residence. And verifying that the program and school are accredited must be part of your vetting process also. So let's take a look at some of the additional questions that you should ask the programs you are reviewing so that you can analyze each one and make the best choice.

Is the Program Accredited? It's vital that the program and college you choose are accredited by a recognized accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online school, it might also receive accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help ensure that the training you get will be of superior quality, it might help secure future employment as well. A number of Shaler PA medical facilities will only hire entry level candidates that have completed an accredited medical coding and billing training course. And financial aid and student loans are frequently only offered for programs that have received an accreditation.

What is the School's Reputation? Before picking a medical coding and billing school, check out what its reputation and ranking are among other colleges. This is especially imperative if you have no experience in the field, since potential employers will mainly be evaluating you based on the quality of your education. As we have discussed, making sure that the program is accredited is an initial step. Checking with college rating organizations, for example U.S. News and World Report, can validate the quality of the school as well. An alternative is to call a few Shaler PA medical organizations that you may be interested in working for and find out which programs they suggest. Keep in mind 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 a Job Placement Program? Finding employment in Shaler PA after graduating in your new profession can be challenging without the help of a job assistance program. Ask if the colleges you are considering 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 college has a substantial network of medical care employers where they can refer their graduates. It also suggests 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 Shaler PA home, then the location of the program will be of prime importance. Of course if you select an online medical coding and billing program, then the location of the college will not be important. One thing to keep in mind is that if you attend classes at a community or junior college, most require a higher tuition for students 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 training courses can differ in cost depending on the type of credential acquired and the length of training provided. But remember, tuition is not the only expense for your education. Expenses also consist of such items as the cost of supplies, books and commuting. Financial aid may be available to help reduce a portion of the expense, so don't forget to check with the school's financial aid department to find out what is offered in Shaler PA. Of course if you decide to enroll in an online college, a portion of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Accessible that Fit your Schedule? Many students continue working while going to college and require a flexible class schedule. If you can only attend classes at night or on weekends near Shaler PA, confirm that they are offered at those times. If you can only attend on a part-time basis, make sure that the school you select offers that option. Also, ask what the protocol is for making up classes missed because of work, illness or family emergencies.

Learn How to Select a Medical Coding Class

Enroll in the Right Shaler PA Medical Billing and Coding Training 

Enrolling in the ideal medical billing and coding certificate or degree course is a very important first step to help assure your success in this exciting field of healthcare. Medical billing and medical coding are 2 of the most rapidly expanding jobs in the health industry. Because of this, there are a lot of vocational schools, junior colleges and companies that offer training and education in medical billing and coding. As we have discussed, you can elect to attend classes either on campus or online. It's also essential that the school you pick has an accredited program with an exceptional reputation within the healthcare field. But however you elect to receive your education, by following the previous guidelines and asking the right questions, you will be better prepared to assess your options and pick the ideal medical billing and coding program. And with the appropriate education, you can achieve your career objective to become a medical billing and coding specialist in Shaler Pennsylvania.