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Medical Billing and Coding Programs Online Whitehall PA

How to Choose the Right Medical Billing School near Whitehall Pennsylvania

Whitehall Pennsylvania female medical biller at her computerOnce you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Whitehall PA, it's important that you find the right school to ensure that you receive the necessary education to ensure your success. As you may already know, healthcare is among the fastest growing sectors in the USA, and increasingly more options are available both on campus and online to receive the training that you need. But just where do you begin? Many aspiring students begin by searching for programs that are within commuting distance of their residences and then comparing cost. Or they may search the internet looking for online classes and go with the least expensive one. But while cost and location are relevant factors when making your choice, they should not be the sole ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation should be considered also. We will cover a checklist of topics that you should ask the medical billing and coding schools you are assessing so that you can learn what you need to 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 offered.

Medical Coding Job Functions

Whitehall Pennsylvania patient health history

Medical coders work on the forefront of the billing systems for Whitehall PA private practices and healthcare organizations. They have the responsibility to analyze the medical records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical or dental procedures, or any equipment or medical supplies used. There are several 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 such as physician and nursing notes, patient charts, and radiology and lab reports. Medical Coders must not only know what services were provided in total for accuracy, but must have a working knowledge of all government and private payer rules that influence coding as well. Inaccurately coded claims may result in services not being paid for, services being paid at a decreased rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Whitehall PA physicians and medical facilities multiple thousands of dollars in revenue every year, a good medical coder is an important asset for any healthcare organization. They can operate in any type of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not uncommon for seasoned medical coders to operate at home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Whitehall Pennsylvania health insurance paperwork

As crucial as the medical coder's function is, it would be for naught without the contribution of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Whitehall PA healthcare facilities and are literally responsible for keeping them in business. Frequently the biller and coder are the same man or woman within a healthcare organization, but they can also be 2 individual specialists. After the coder has carried out his or her job, the biller utilizes the codes supplied to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being paid by the applicable organization, patients can then be billed for deductibles and additional out of pocket expenses. On a routine basis, a medical biller might also do any of the following:

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

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

Medical Biller and Coder Online Programs and Certification

money with stethoscope Whitehall PennsylvaniaIt's imperative that you obtain your training from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not required in most 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 biller or coder (or both) is to obtain a certificate, which typically takes about a year to complete. An Associate Degree is an alternative for a more extensive education, which for most programs requires two years of studies. Bachelor's Degrees for medical billing and coding are not widely offered. Once your education has been completed, although not mandated in the majority of states, you may want to acquire a professional certification. Certification is a great means for those new to the profession to show prospective employers that they are not only qualified but dedicated to their occupation. A few 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).

Graduating from an accredited medical billing and coding course, combined with attaining a professional certification, are the most effective ways to advance your new career and succeed in the fast growing healthcare industry.

Medical Billing and Coding Online Schools

Whitehall Pennsylvania student attending medical biller and coder online schoolIf you are searching for flexibility and the convenience of attending classes in your home, then enrolling in an online medical billing and coding course might be an excellent alternative. They can be especially appealing to individuals living in Whitehall PA who anticipate attending school while continuing to work or have additional obligations that make going to classes on campus challenging. And as an additional advantage, online colleges are frequently cheaper than the conventional classroom options. Expenses for such items as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online colleges are reputable. That's why it's essential to establish that the online course you choose is accredited to ensure a premium education. We will review the benefits of accreditation in the next section. Just make sure to establish that any online training you are considering is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this type of learning, then acquiring your degree or certificate online might be the ideal choice for you.

Things to Ask Medical Billing and Coding Schools

Now that you have a better idea just what a medical coder and biller does, as well as what training options are offered, you need to start the process of comparing schools. But since there many training options available at community colleges and trade, vocational and technical schools within the Whitehall PA area, you must have a prepared list of questions in order to analyze each one. And when you include all of the online programs that offer medical coding and billing classes, the project can become rather formidable. As we have already covered, location and cost are going to be significant issues, especially if you have a modest budget and will be driving to classes from your Whitehall home. And confirming that the program and school are accredited should be part of your vetting procedure as well. So let's review some of the other questions that you should ask the schools you are considering so that you can evaluate each one and make the right choice.

Is the School Accredited? It's essential that the school and program you decide on are accredited by a respected accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online college, it can also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help guarantee that the education you get will be of the highest quality, it could help secure future employment also. A number of Whitehall PA healthcare organizations will only hire entry level prospects that have completed an accredited medical billing and coding educational program. And financial assistance and student loans are in many cases only offered for programs that have earned an accreditation.

What is the School's Reputation? Before selecting a medical coding and billing program, find out what its reputation and ranking are among other programs. This is particularly relevant if you have no experience in the industry, since potential employers will basically be relying on the quality of your training. As we have addressed, confirming 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 also. An alternative is to call some Whitehall PA healthcare organizations that you might have an interest in working for and ask which programs they recommend. Remember that even if the school itself does not have an excellent reputation, its medical billing and coding program may still be highly regarded.

Is there an Employment Assistance Program? Finding employment in Whitehall PA after graduating in your new profession may be difficult without the help of a job assistance program. Ask if the schools 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 sizable network of healthcare employers where they can refer their graduates. It also implies that the college's graduates are sought after in the marketplace.

Where is the School's Location? If you are planning on driving to class from your Whitehall PA residence, then the location of the program will be of prime importance. Obviously if you enroll in 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 community or junior college, many require a higher tuition for enrollees that live outside of their districts. So you might prefer to first consider those colleges that are within your local area.

What is the Complete Cost? Medical billing and coding training courses can fluctuate in cost based on the type of credential obtained and the amount of training provided. 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 may be accessible to help offset a portion of the expense, so don't forget to check with the school's financial assistance department to see what is offered in Whitehall PA. Of course if you decide to attend an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Offered that Fit your Schedule? A number of students continue working while attending school and need a flexible class schedule. If you can only attend classes at night or on weekends near Whitehall PA, make sure that they are offered at those times. If you can only attend on a part time basis, make sure that the college you choose provides that option. Also, find out what the protocol is for making up classes missed due to illness, work or family emergencies.

Learn How to Choose a Billing and Coding School

Choose the Best Whitehall PA Medical Billing and Coding Program 

Choosing the right medical coding and billing degree or certificate program is a critical initial step to help assure your success in this rewarding specialty of healthcare. Medical billing and medical coding are 2 of the most rapidly growing occupations in the medical industry. As a result, there are many vocational schools, junior colleges and other institutions that offer training and instruction in medical billing and coding. As we have discussed, you can elect to attend classes either online or on campus. It's also imperative that the school you select has an accredited program with an excellent reputation within the healthcare industry. But however you choose to receive your education, by adhering to the previous guidelines and asking the appropriate questions, you will be better qualified to evaluate your options and select the right medical billing and coding program. And with the proper education, you can achieve your career goal to become a medical coding and billing specialist in Whitehall Pennsylvania.