Home >> Pennsylvania >> Shaler >> Medical Coding Schools


Medical Coding and Billing Online Courses Shaler PA

How to Choose the Right Medical Biller and Coder Course near Shaler Pennsylvania

Shaler Pennsylvania female medical biller at her computerOnce 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 important that you select the appropriate school 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 a growing number of options are offered both online and on campus to get the training that you need. But just where does one start? A number of aspiring students begin by searching for schools that are within commuting distance of their residences and then comparing cost. Or they might surf the internet looking for online schools and choose the cheapest one. But while cost and location are important issues when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation need to be taken into account as well. We will review a checklist of questions that you need to ask the medical billing and coding training programs you are assessing so that you can learn what you need to know prior to making your selection. But first, let's take a look at what medical billers and coders do.

Medical Coding Job Description

Shaler Pennsylvania patient health history

Medical coders are on the front line of the billing systems for Shaler PA private practices and healthcare organizations. They have the responsibility to review the treatment records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical or dental procedures, or any medical supplies or equipment used. There are multiple 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 use information from sources including nursing and physician notes, patient charts, and lab and radiology reports. Coders must not only know what services were provided in total for accurate reporting, but must have a working knowledge of all private payer and government rules that influence coding as well. Improperly coded claims may 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 actually cost Shaler PA hospitals and doctors multiple thousands of dollars in income every year, a proficient medical coder is an important asset for any healthcare organization. They can work in any kind of healthcare facility, including private practices, hospitals, clinics and urgent care centers. It is not unusual for experienced medical coders to operate at home as an independent contractor or offsite employee.

Medical Biller Job Functions

Shaler Pennsylvania medical insurance paperwork

As essential 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 Shaler PA medical organizations and are literally responsible for keeping them in business. In many cases the biller and coder may be the same man or woman within a medical facility, but they can also be 2 independent specialists. After the coder has completed her or his job, the biller uses the codes provided to complete and submit claim forms to insurance carriers, Medicare or Medicaid. After being adjusted by the appropriate entity, patients can then be billed for deductibles or additional out of pocket costs. On a regular basis, a medical biller might also do any of the following:

  • Verify medical insurance coverages for patients and assist them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Work as an intermediary between the healthcare provider, the insurance companies and the patients for proper claim resolution
  • Create and manage Accounts Receivables reports
  • Produce and manage unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Shaler PA hospitals, urgent care facilities, medical groups or nursing homes. They may work in every kind of healthcare facility that depends on the incomes generated from billing patients and third party payers.

Medical Billing and Coding Online Colleges

Shaler Pennsylvania woman enrolled in medical billing and coding online trainingIf you are interested in flexibility and the convenience of attending classes from home, then selecting a medical billing and coding online program might be an excellent option. They can be particularly appealing to individuals living in Shaler PA who plan on attending school while still working or have additional obligations that make going to classes on campus challenging. And as an additional benefit, online schools are in many cases cheaper than the standard classroom options. Expenses for such things as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online colleges are reputable. For that reason it's imperative to verify that any online school you enroll in is accredited to ensure a superior education. We will review the advantages of accreditation in the next section. Just make sure to establish that any online college you are looking at is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this mode of learning, then acquiring your certificate or degree online may be the right choice for you.

What to Ask Medical Billing and Coding Colleges

Now that you have a better idea what a medical coder and biller does, as well as what training options are available, you need to begin the process of researching schools. But since there a large number of training options available at community colleges as well as vocational, technical and trade schools within the Shaler PA area, you need to have a prepared 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 project can become somewhat daunting. As we have already addressed, expense and location are going to be significant factors, particularly if you have a limited budget and will be commuting to classes from your Shaler home. And confirming that the school and program are accredited should be part of your vetting process as well. So let's take a look at several of the other questions that you should ask the schools you are looking at so that you can compare each one and make the appropriate choice.

Is the Training Accredited? It's important that the school and program you pick are accredited by a recognized accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online college, it might also obtain accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help guarantee that the education you get will be of superior quality, it may help with your future employment as well. Many Shaler PA healthcare facilities will only employ entry level prospects that have completed an accredited medical billing and coding training program. And financial assistance and student loans are frequently only obtainable for schools that have earned an accreditation.

What is the School's Reputation? Before selecting a medical billing and coding school, find out what its ranking and reputation are compared to other schools. This is particularly important if you have no experience in the field, since potential employers will basically be relying on the quality of your training. As we have discussed, making sure that the college is accredited is a first step. Checking with school rating organizations, for example U.S. News and World Report, can verify the quality of the school as well. Another option is to get in touch with several Shaler PA medical organizations that you may be interested in working for and find out which colleges they recommend. Keep in mind that even if the school itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Assistance Program? Finding a job in Shaler PA after graduating in your new field may be challenging without the help 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 rapid and high placement rate is a good indication that the billing and coding school has a significant 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 College's Location? If you are intending on driving to class from your Shaler PA home, then the location of the program will be of significant importance. Naturally if you select an medical coding and billing online program, then the location of the college will not be a consideration. One thing to bear in mind is that if you attend classes at a junior or community college, many charge a higher tuition for enrollees that reside outside of their districts. So you might prefer to first look at those colleges that are within your local area.

What is the Overall Cost? Medical coding and billing certification courses can fluctuate in cost based on the type of credential earned and the length of training furnished. But remember, tuition is not the only expense for your education. Expenditures also include such items as the cost of books, supplies and commuting. Financial aid might be obtainable to help reduce a portion of the expense, so make sure to get in touch with the college's financial aid department to see what is offered in Shaler PA. Of course if you decide to enroll in an online college, a portion of these additional costs, particularly for commuting may be reduced or even eliminated.

Are Classes Available that Match your Schedule? A number of students keep working while attending college and need a convenient class schedule. If you can only go to classes in the evenings or on weekends near Shaler PA, make sure that they are available at those times. If you can only enroll on a part time basis, verify that the school you choose offers that option. Also, ask what the protocol is for making up classes missed due to sickness, work or family responsibilities.

Find Out More on How to Choose a Medical Coding Class

Choose the Right Shaler PA Medical Billing and Coding Training 

Enrolling in the right medical coding and billing certificate or degree course is a critical first step to help ensure your success in this exciting field of medical care. Medical billing and medical coding are two of the most rapidly expanding careers in the medical industry. As a result, there are many trade schools, community colleges and companies that offer instruction and training in medical billing and coding. As we have covered, you can decide to attend classes either on campus or online. It's also essential that the college you pick offers an accredited program with an excellent reputation within the medical care industry. But however you elect to receive your education, by following the previous guidelines and posing the appropriate questions, you will be better able to analyze your options and pick the right medical billing and coding program. And with the proper training, you can accomplish your career goal to become a medical billing and coding specialist in Shaler Pennsylvania.