Home >> South Carolina >> Mauldin >> Medical Billing Training


Medical Coding and Billing Online Programs Mauldin SC

How to Enroll In the Best Medical Billing and Coding Training Program near Mauldin South Carolina

Mauldin South Carolina woman medical biller at her computerOnce you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Mauldin SC, it's essential that you select the right program so that you receive the proper education to ensure your success. As you probably know, healthcare is among the fastest growing industries in the Country, and a growing number of options are available both on campus and online to receive the training that you need. But just where do you begin? Many potential students begin by searching for colleges that are within commuting distance of their residences and then comparing tuition. Or they might surf the internet looking for online courses and select the cheapest one. But while cost and location are significant factors when making your selection, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as accreditation and reputation must be taken into consideration also. We will cover a list of questions that you need to ask the medical billing and coding training programs you are assessing in order to learn what you need to know prior to making your decision. Before we do that, let's take a look at what medical billers and coders do and the educational and certification options offered.

Medical Coder Job Description

Mauldin South Carolina patient health history

Medical coders work on the front line of the billing systems for Mauldin SC medical practices and healthcare organizations. Coders have the responsibility to examine the treatment 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 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 depend on information from sources such as nursing and physician notes, patient charts, and lab and radiology reports. Medical Coders must know not only what total services were provided for accurate reporting, but must have a working knowledge of all government and private payer regulations that affect coding also. Improperly coded claims can lead to services not being covered, services being paid at a lower rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can literally cost Mauldin SC hospitals and doctors multiple thousands of dollars in earnings annually, a reliable medical coder is an important asset for any healthcare team. They can operate in every type of healthcare facility, including family practices, hospitals, clinics and critical care centers. It is not uncommon for professional medical coders to working from home as an independent contractor or offsite employee.

Medical Billing Job Functions

Mauldin South Carolina health insurance forms

As vital as the medical coder's role is, it would be for naught without the collaboration of the medical biller whose efforts produce revenue. Medical billing clerks are very important to Mauldin SC healthcare facilities and are literally responsible for keeping their doors open. Frequently the biller and coder can be the same man or woman within a healthcare organization, but they can also be two independent professionals. Once the coder has completed his or her duty, the biller uses the codes supplied to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After they have been paid by the applicable organization, patients can then be invoiced for deductibles or other out of pocket costs. On a regular basis, a medical biller can also do any of the following:

  • Confirm health insurance coverages for patients and assist them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Act as an intermediary between the medical provider, the insurance carriers and the patients for accurate claim resolution
  • Create and oversee Accounts Receivables reports
  • Produce and deal with unpaid patient collections accounts

Medical billers not only work for private practices, but also Mauldin SC hospitals, urgent care facilities, medical groups or nursing homes. They can work in any type of medical facility that depends on the incomes generated by billing third party payers and patients.

Medical Billing and Coding Online Instruction and Certification

hundred dollar bills and stethoscope Mauldin South CarolinaIt's essential that you obtain 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 earn a professional certification, the school you select should be accredited (more on the advantages of accreditation later). The majority of South Carolina programs just require that you have either a high school diploma or a GED to apply. The most expedient way to become either a medical biller or coder (or both) is to obtain a certificate, which usually takes about a year to accomplish. An Associate Degree is an alternative for a more expansive education, which for almost all colleges calls for 2 years of studies. Bachelor's Degrees in medical billing and coding are not widely offered. Once your training has been completed, although not mandated in the majority of states, you might want to earn a professional certification. Certification is an excellent method for those new to the profession to show potential employers that they are not only qualified but dedicated to their occupation. 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).

Graduating from an accredited medical billing and coding program, in conjunction with earning a professional certification, are the most effective ways to accelerate your new career and succeed in the fast growing healthcare field.

Medical Biller and Coder Online Courses

Mauldin South Carolina woman enrolled in medical billing and coding online trainingIf you are searching for flexibility and the convenience of attending classes from home, then choosing an online medical billing and coding program might be a good option. They can be especially appealing to those living in Mauldin SC who anticipate going to school while still working or have additional obligations that make attending classes on campus difficult. And as an added advantage, online schools are frequently less expensive than the conventional classroom alternatives. Costs for such things as tuition, study materials and commuting may be minimized or eliminated. But be cautious, as not all online schools are reputable. For that reason it's essential to establish that any online program you enroll in is accredited to guarantee a premium education. We will cover the advantages of accreditation in the next section. Just make sure to confirm that any online college 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 apply yourself to this type of learning, then acquiring your degree or certificate online might be the ideal choice for you.

Points to Ask Medical Billing and Coding Schools

Now that you have a better idea just what a medical coder and biller does, along with what education options are offered, you must start the process of researching schools. But since there many training options offered at community colleges as well as trade, vocational and technical schools within the Mauldin SC area, you must have a ready 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 discussed, cost and location are going to be relevant issues, particularly if you have a modest budget and will be commuting to classes from your Mauldin home. And confirming that the program and school are accredited should be part of your vetting process also. So let's review a few of the additional questions that you should ask the schools you are considering so that you can evaluate each one and make the appropriate choice.

Is the Program Accredited? It's vital that the program and school you choose are accredited by a respected accrediting organization, such as the Accrediting Commission of Career Schools. If it's an online program, it can also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help confirm that the education you get will be of the highest quality, it may help secure future employment as well. A number of Mauldin SC healthcare facilities will only hire entry level candidates that have completed an accredited medical coding and billing 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? Prior to picking a medical coding and billing school, find out what its reputation and ranking are compared to other schools. This is particularly important if you have no experience in the industry, since potential employers will basically be relying on the quality of your training. As we have discussed, verifying that the program is accredited is an initial step. Checking with school rating organizations, for instance U.S. News and World Report, can confirm the quality of the school as well. An alternative is to check with some Mauldin SC medical organizations that you might be interested in working for and find out which programs they recommend. Keep in mind that even when the college itself does not have an exceptional reputation, its medical coding and billing program may still be well regarded.

Is there a Job Placement Program? Finding a job in Mauldin SC after graduating in your new profession can be challenging without the support of a job placement 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 coding and billing school has a sizable network of healthcare employers where they can refer their graduates. It also suggests that the college's graduates are sought after in the marketplace.

Where is the College's Location? If you are anticipating driving to class from your Mauldin SC residence, then the location of the campus will be of significant importance. Naturally if you select an online medical coding and billing program, then the location of the college will not be important. One thing to remember is that if you go to classes at a junior or community college, most charge a higher tuition for enrollees that reside outside of their districts. So you may want to first consider those schools that are within your local area.

What is the Total Cost? Medical coding and billing training programs can vary in cost depending on the type of credential obtained and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Expenditures also consist of such things as the cost of books, supplies and commuting. Financial assistance may be obtainable to help offset a portion of the expense, so don't forget to contact the college's financial assistance department to see what is available in Mauldin SC. Of course if you decide to attend an online school, some of these additional costs, particularly for commuting may be minimized or even eliminated.

Are Classes Offered that Fit your Schedule? Many students keep working while going to college and require a convenient class schedule. If you can only go to classes in the evenings or on weekends near Mauldin SC, verify that they are available at those times. If you can only enroll on a part-time schedule, check that the college you choose offers that option. Also, ask what the process is for making up classes missed due to sickness, work or family emergencies.

Find Out More on How to Enroll in a Medical Billing Course

Choose the Best Mauldin SC Medical Billing and Coding Training 

Selecting the ideal medical coding and billing certificate or degree course is a critical first step to help ensure your success in this rewarding sector of healthcare. Medical coding and medical billing are two of the most rapidly growing careers in the medical sector. Because of this, there are numerous trade schools, community colleges and other institutions that offer instruction and training in medical billing and coding. As we have discussed, you can opt to attend classes either on campus or online. It's also essential that the school you select has an accredited program with an excellent reputation within the medical care industry. But however you elect to receive your training, by following the previous guidelines and asking the appropriate questions, you will be better prepared to assess your options and choose the ideal medical billing and coding school. And with the proper training, you can accomplish your career goal to become a medical billing and coding clerk in Mauldin South Carolina.