Home >> Pennsylvania >> Wilkes Barre >> Medical Coding Classes


Medical Coding and Billing Online Courses Wilkes Barre PA

How to Pick the Best Medical Biller and Coder School near Wilkes Barre Pennsylvania

Wilkes Barre Pennsylvania woman medical biller and coder at her computerNow that you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Wilkes Barre PA, it's crucial that you choose the appropriate program so that you receive the proper education to guarantee your success. As you probably know, healthcare is among the fastest growing fields in the United States, and a growing number of options are available both online and on campus to obtain the training that you need. But just where does one start? Many future students start by searching for schools that are within driving distance of their homes and then comparing tuition. Or they might surf the internet looking for online classes and select the cheapest one. But while cost and location are important issues when making your choice, they should not be the only ones when comparing medical billing and coding schools. Such qualifiers as reputation and accreditation need to be taken into account also. We will go over a checklist of questions that you should ask the medical billing and coding training programs you are assessing in order to learn what you need to 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 Billing and Coding Online Programs and Certification

money with stethoscope Wilkes Barre PennsylvaniaIt's imperative that you obtain your training 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 obtain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). The majority of Pennsylvania colleges simply require that you earn either a high school diploma or a GED to apply. The fastest way to becoming either a medical coder or biller (or both) is to attain a certificate, which normally takes about one year to finish. An Associate Degree is an alternative for a more comprehensive education, which for the majority of colleges calls for two years of studies. Bachelor's Degrees for medical coding and billing are not widely available. Once your education has been completed, although not required in most states, you might wish to acquire a professional certification. Certification is an effective way for those new to the field to show potential employers that they are not only qualified but committed to their career. Just some 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 course, together with obtaining a professional certification, are the most effective ways to advance your new career and succeed in the fast growing healthcare field.

Medical Coder Job Description

Wilkes Barre Pennsylvania patient health history

Medical coders are on the forefront of the billing systems for Wilkes Barre PA medical practices and hospitals. Coders have the responsibility to review the treatment records of patients and convert all services provided into universal codes. These services may 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 rely on information from sources including physician and nursing notes, patient charts, and radiology and lab reports. Medical Coders must know not only what total services were provided for accuracy, but must have a functioning knowledge of all private payer and government rules that impact coding also. Inaccurately coded claims can result in services not being paid for, services being paid at a decreased rate, or the provider being penalized for improper or fraudulent billing. Since improper coding can literally cost Wilkes Barre PA doctors and hospitals multiple thousands of dollars in earnings annually, a reliable medical coder is a vital asset to the healthcare team. They can work in any type of healthcare facility, including family practices, hospitals, clinics and critical care centers. It is not unusual for experienced medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Duties

Wilkes Barre Pennsylvania health insurance documents

As crucial as the medical coder's job is, it would be for naught without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are very important to Wilkes Barre PA healthcare organizations and are literally responsible for keeping their doors open. Sometimes the coder and biller can be the same individual within a healthcare organization, but they can also be two separate specialists. Once the coder has carried out her or his duty, the biller uses the codes provided to fill out and submit claim forms to insurance carriers, Medicaid or Medicare. After being paid by the appropriate organization, patients can then be charged for deductibles or other out of pocket expenses. On a routine basis, a medical billing professional may also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing questions or concerns
  • Follow up on submitted patient claims and appeal those that have been declined
  • Function as an intermediate between the healthcare provider, the insurance carriers and the patients for correct claim resolution
  • Generate and manage Accounts Receivables reports
  • Create and deal with unpaid patient collections accounts

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

Online Medical Billing and Coding Programs

Wilkes Barre Pennsylvania student enrolled in medical biller and coder online coursesIf you are interested in flexibility and the convenience of attending classes from home, then selecting a medical billing and coding online college might be a good alternative. They can be especially attractive to students living in Wilkes Barre PA who anticipate going to school while still working or have additional obligations that make attending classes on campus difficult. And as an added benefit, online programs are in many cases cheaper than the conventional classroom options. Costs for such items as tuition, study materials and commuting may be decreased or eliminated. But be cautious, as not all online colleges are reputable. For that reason it's important to confirm that the online course you enroll in is accredited to ensure a premium education. We will cover the advantages of accreditation in the next segment. Just make sure to establish that any online training you are looking at is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then acquiring your certificate or degree online may be the right choice for you.

What to Ask Medical Biller and Coder Programs

Once you have a general idea what a medical biller and coder does, along with what education options are offered, you must start the process of comparing schools. But since there are numerous training options offered at community colleges as well as trade, vocational and technical schools within the Wilkes Barre PA area, you must have a ready list of questions in order to analyze each one. And when you add all of the online schools that offer medical billing and coding classes, the task can become rather daunting. As we have already addressed, cost and location are going to be relevant factors, especially if you have a modest budget and will be commuting to classes from your Wilkes Barre home. And whether or not the school and program are accredited should be part of your vetting process also. So let's review several of the additional questions that you should ask the colleges you are looking at so that you can evaluate each one and make the right choice.

Is the Training Accredited? It's vital that the program and school you select are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online program, it may also earn accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help guarantee that the training you receive will be of the highest quality, it might help secure future employment also. Many Wilkes Barre PA medical organizations will only employ entry level candidates that have completed an accredited medical billing and coding educational program. And financial assistance and student loans are in many cases only offered for schools that have obtained an accreditation.

What is the Program's Reputation? Before enrolling in a medical coding and billing college, check out what its ranking and reputation are compared to other schools. This is particularly relevant if you have no experience in the field, since potential employers will primarily be evaluating you based on the quality of your education. As we have discussed, verifying that the program is accredited is a first step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school also. Another option is to contact some Wilkes Barre PA medical organizations that you might be interested in working for and find out which schools they recommend. Bear in mind that even if the college itself does not have an exceptional reputation, its medical coding and billing program may still be highly regarded.

Is there a Job Placement Program? Finding a job in Wilkes Barre PA after graduation in your new field may be challenging without the support of a job placement program. Check if the schools you are looking at have job assistance 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 sought after in the marketplace.

Where is the College's Location? If you are planning on driving to class from your Wilkes Barre PA home, then the location of the program will be of prime importance. Obviously if you choose an online medical billing and coding program, then the location of the college will not be a consideration. One thing to keep in mind is that if you go to classes at a junior or community college, most require a higher tuition for students that live outside of their districts. So you might want to first consider those schools that are within your local area.

What is the Overall Cost? Medical coding and billing certification programs can vary in cost depending on the type of credential earned and the length of training furnished. Just keep in mind, tuition is not the only expense for your education. Expenses also consist of such things as the cost of books, supplies and commuting. Financial aid might be obtainable to help offset a portion of the cost, so make sure to contact the school's financial assistance department to find out what is available in Wilkes Barre PA. Of course if you decide to enroll in an online college, some of these added costs, such as for commuting may be reduced or even eliminated.

Are Classes Accessible that Accommodate your Schedule? A number of students keep working while going to college and require a convenient class schedule. If you can only go to classes during the evenings or on weekends near Wilkes Barre PA, make sure that they are available at those times. If you can only enroll on a part time schedule, make sure that the school you choose provides that option. Also, find out what the procedure is for making up classes missed because of sickness, work or family responsibilities.

Learn How to Enroll in a Medical Coding School

Choose the Right Wilkes Barre PA Medical Billing and Coding School 

Choosing the ideal medical coding and billing degree or certificate course is a critical first step to help ensure your success in this exciting field of healthcare. Medical billing and medical coding are two of the fastest growing jobs in the health sector. Because of this, there are many trade schools, community colleges and companies that furnish education and training 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 college you pick offers an accredited program with an exceptional reputation within the healthcare field. But however you choose to receive your training, by adhering to the previous guidelines and posing the appropriate questions, you will be better qualified to evaluate your options and select the ideal medical billing and coding school. And with the proper education, you can achieve your career goal to become a medical billing and coding clerk in Wilkes Barre Pennsylvania.