Home >> Virginia >> Springfield >> How To Become A Medical Coder


Medical Coding and Billing Courses Online Springfield VA

How to Pick the Right Medical Biller and Coder Program near Springfield Virginia

Springfield Virginia female medical biller entering dataOnce you have made a decision to become part of the healthcare profession by enrolling in a medical billing and coding school near Springfield VA, it's crucial that you choose the appropriate school to ensure that you receive the proper education to ensure your success. As you probably know, healthcare is one of the fastest growing sectors in the USA, and a growing number of options are offered both on campus and online to obtain the training that you need. But just where do you start? Many potential students start by looking for programs that are within driving distance of their homes and then comparing tuition. Or they may search the internet looking for online schools and go with the least expensive one. But while location and cost are significant issues when making your determination, they should not be the sole ones when comparing medical billing and coding schools. Such qualifications as accreditation and reputation need to be considered as well. We will go over a list 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 before making your selection. But first, let's take a look at what medical billers and coders do and the training and certification options offered.

Medical Biller and Coder Online Instruction and Certification

cash with stethoscope Springfield VirginiaIt's essential that you obtain your training from a reputable school, whether it's a community college, technical or trade school. Although it is not a requirement in most cases to earn a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). The majority of Virginia programs only require that you have either a high school diploma or a GED to qualify. The quickest way to become either a medical coder or biller (or both) is to obtain a certificate, which typically takes about one year to complete. An Associate Degree is an alternative for a more comprehensive education, which for almost all colleges calls for 2 years of studies. Bachelor's Degrees for medical billing and coding are not widely offered. After your training has been completed, although not mandated in the majority of states, you might desire to acquire a professional certification. Certification is an excellent means for those new to the field to show potential employers that they are not only qualified but dedicated 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 attaining a professional certification, are the best ways to accelerate your new career and succeed in the fast growing healthcare industry.

Medical Coder Job Functions

Springfield Virginia patient medical records

Medical coders are on the front line of the billing systems for Springfield VA medical practices and healthcare organizations. They have the responsibility to analyze the treatment 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 utilized. 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 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 government and private payer regulations that impact coding as well. Inaccurately coded claims can result in services not being paid for, services being paid at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Springfield VA doctors and hospitals multiple thousands of dollars in earnings annually, a good medical coder is a vital asset to the healthcare team. They can work in any type of healthcare facility, including private practices, clinics, hospitals and emergency care centers. It is not unusual for seasoned medical coders to work at home as an offsite employee or an independent contractor.

Medical Biller Job Functions

Springfield Virginia health insurance documents

As vital as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose labors generate revenue. Medical billing clerks are extremely important to Springfield VA medical facilities and are literally responsible for keeping their doors open. Sometimes the biller and coder are the same man or woman within a medical facility, but they can also be two individual specialists. Once the coder has performed his or her task, the biller uses the codes supplied to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After they have been adjusted by the applicable entity, patients can then be charged for deductibles or additional out of pocket costs. On a routine basis, a medical billing professional can also do any of the following:

  • Check medical insurance benefits for patients and assist them with billing questions or concerns
  • Follow up on patient claims submitted and appeal any that have been denied
  • Work as an intermediate between the healthcare provider, the insurance carriers and the patients for accurate claim resolution
  • Produce and control Accounts Receivables reports
  • Generate and deal with unpaid patient collections accounts

Medical billing clerks not only work for family practices, but also Springfield VA hospitals, urgent care facilities, nursing homes or medical groups. They may work in any kind of medical facility that relies on the revenues generated by billing patients and third party payers.

Medical Biller and Coder Online Programs

Springfield Virginia student attending medical biller and coder online trainingIf you are searching for flexibility and the convenience of attending classes in your home, then enrolling in an online medical billing and coding college may be an excellent option. They can be especially attractive to those living in Springfield VA who anticipate attending school while continuing to work or have additional obligations that make attending classes on campus challenging. And as an additional benefit, online colleges are frequently less expensive than the traditional classroom alternatives. Costs for such items as tuition, course materials and commuting may be decreased or eliminated. But be cautious, as not all online colleges are reputable. That's why it's essential to confirm that any online program you select is accredited to guarantee a superior education. We will address the benefits of accreditation in the next section. Just be sure to confirm that any online training you are looking at is accredited by one of the national accrediting agencies, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this type of learning, then obtaining your degree or certificate online may be the right choice for you.

Questions to Ask Medical Coding and Billing Schools

Now that you have a better idea just what a medical biller and coder does, as well as what education options are offered, you must start the process of researching schools. But since there are numerous training options offered at community colleges and trade, vocational and technical schools within the Springfield VA 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 billing and coding classes, the task can become rather daunting. As we have already covered, location and cost are going to be important factors, especially if you have a limited budget and will be traveling to classes from your Springfield residence. And whether or not the school and program are accredited must be part of your vetting procedure also. So let's take a look at some of the additional questions that you should ask the colleges you are looking at so that you can evaluate each one and make the appropriate choice.

Is the Program Accredited? It's crucial that the school and program you decide on are accredited by a recognized accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online school, it may also earn accreditation from the Distance Education and Training Council, which focuses on online or distance education. Not only will accreditation help ensure that the education you receive will be of superior quality, it may help with your future employment also. A number of Springfield VA healthcare facilities will only hire entry level applicants that have completed an accredited medical coding and billing training course. And financial aid and student loans are often only available for colleges that have earned an accreditation.

What is the Program's Reputation? Prior to choosing a medical billing and coding school, find out what its ranking and reputation are among other colleges. This is especially relevant if you have no experience in the profession, since potential employers will mainly be evaluating you based on the quality of your training. As we have addressed, verifying that the college is accredited is an initial step. Checking with college rating organizations, for instance U.S. News and World Report, can confirm the quality of the school also. An alternative is to call a few Springfield VA medical organizations that you may have an interest in working for and find out which schools they recommend. Remember that even if the school itself does not have an exceptional reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Assistance Program? Obtaining a job in Springfield VA after graduating in your new field may be difficult without the support of a job assistance program. Check if the schools you are looking at 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 college has a significant network of healthcare employers where they can place their graduates. It also indicates that the school'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 Springfield VA residence, then the location of the school will be of significant importance. Obviously if you enroll in an online medical billing and coding program, then the location of the school will not be important. One thing to bear in mind is that if you go to classes at a junior or community college, many require a higher tuition for students that reside outside of their districts. So you might prefer to first consider those schools that are within your local area.

What is the Total Expense? Medical billing and coding training programs can fluctuate in cost based on the type of credential acquired and the length of training provided. Just keep in mind, tuition is not the only cost of your education. Expenses also include such items as the cost of supplies, books and commuting. Financial assistance might be accessible to help offset some of the cost, so be sure to contact the college's financial assistance department to see what is offered in Springfield VA. Of course if you decide to enroll in an online school, some of these additional costs, particularly for commuting may be lessened or even eliminated.

Are Classes Offered that Match your Schedule? A number of students continue working while attending college and require a flexible class schedule. If you can only attend classes during the evenings or on weekends near Springfield VA, verify that they are offered at those times. If you can only enroll on a part time schedule, make sure that the school you choose offers that alternative. Also, ask what the process is for making up classes missed because of illness, work or family responsibilities.

Learn How to Select a Medical Biller and Coder School

Enroll in the Best Springfield VA Medical Billing and Coding Program 

Enrolling in the right medical coding and billing degree or certificate program is a critical initial step to help guarantee your success in this exciting field of medical care. Medical coding and medical billing are 2 of the most rapidly expanding jobs in the medical sector. Because of this, there are many trade schools, community colleges and other institutions that furnish training and instruction in medical billing and coding. As we have covered, you can choose to attend classes either online or on campus. It's also important that the school you pick has an accredited program with an exceptional reputation within the healthcare community. But however you choose to receive your training, by adhering to the previous guidelines and posing the right questions, you will be better prepared to analyze your options and select the ideal medical billing and coding school. And with the proper training, you can achieve your career goal to become a medical billing and coding clerk in Springfield Virginia.