How to Pick the Right Medical Billing and Coding Program near Charleston West Virginia
Now that you have made a decision to enter the healthcare profession by enrolling in a medical billing and coding school near Charleston WV, it's important that you choose the appropriate school so that you receive the necessary education to guarantee your success. As you no doubt know, healthcare is among the fastest growing sectors in the Country, and increasingly more options are available both on campus and online to obtain the training that you need. But just where does one begin? A number of aspiring students begin by looking for schools that are within travelling distance of their residences and then comparing tuition. Or they may search the internet looking for online classes and select the least expensive one. But while location and cost are significant issues 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 considered as well. We will review a list of questions that you should ask the medical billing and coding schools you are researching in order to learn what you need to know before making your selection. But first, let's take a look at what medical coders and billers do and the training and certification options available.
Medical Coder and Biller Online Education and Certification
It's essential that you obtain your education from a reputable school, whether it's a community college, technical or trade school. While it is not a requirement in many cases to attain a professional certification, the school you choose should be accredited (more on the benefits of accreditation later). Most West Virginia colleges only require that you earn either a high school diploma or a GED to qualify. The fastest way to becoming either a medical biller or coder (or both) is to attain a certificate, which generally takes about one year to accomplish. An Associate Degree is also an option for a more extensive education, which for most programs calls for 2 years of studies. Bachelor's Degrees in medical coding and billing are not widely available. After your training has been completed, although not required in most states, you might want to earn a professional certification. Certification is an effective means for those new to the profession to show potential employers that they are not only qualified but dedicated to their career. Just some 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 coding and billing program, in conjunction with earning a professional certification, are the most effective ways to accelerate your new vocation and succeed in the fast growing medical care field.
Medical Coder Job Description
Medical coders work on the forefront of the billing systems for Charleston WV medical practices and healthcare organizations. Coders have the responsibility to review the medical records of patients and convert all services provided into universal codes. These services may be for medical, diagnosis or dental procedures, or any equipment or medical supplies 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 depend 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 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 paid for, services being paid at a reduced rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can in fact cost Charleston WV physicians and medical facilities many thousands of dollars in income each year, a proficient medical coder is an important asset to the healthcare organization. They can operate in every kind of healthcare facility, including private practices, hospitals, clinics and emergency care centers. It is not unusual for seasoned medical coders to working from home as an offsite employee or an independent contractor.
Medical Biller Job Description
As vital as the medical coder's function is, it would be for naught without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Charleston WV healthcare facilities and are literally responsible for keeping them in business. Sometimes the coder and biller can be the same individual within a medical facility, but they can also be two independent professionals. Once the coder has carried out his or her job, the biller uses the codes provided to fill out and submit claim forms to insurance companies, Medicare or Medicaid. After they have been paid by the applicable entity, patients can then be billed for deductibles or other out of pocket costs. On a routine basis, a medical biller can also do any of the following:
- Confirm health insurance benefits for patients and assist them with billing questions or concerns
- Check on submitted patient claims and appeal any that have been denied
- Work as a mediator between the medical provider, the insurance carriers and the patients for proper claim resolution
- Generate and oversee Accounts Receivables reports
- Generate and handle unpaid patient collections accounts
Medical billing clerks not only work for private practices, but also Charleston WV emergency care facilities, hospitals, medical groups or nursing homes. They can practice in every kind of healthcare facility that depends on the incomes generated by billing patients and third party payers.
Online Medical Billing and Coding Courses
If you are looking for flexibility and the convenience of attending classes at home, then selecting a medical billing and coding online course might be a good alternative. They can be particularly attractive to those living in Charleston WV who plan on attending school while continuing to work or have other obligations that make going to classes on campus challenging. And as an added benefit, online programs are often cheaper than the traditional classroom alternatives. Costs for such things as tuition, commuting and study materials may be minimized or eliminated. But be careful, as not all online schools are reputable. For that reason it's important to confirm that the online program you choose is accredited to ensure a quality education. We will cover the benefits of accreditation in the next section. Just be sure to establish that any online training you are researching is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this type of learning, then earning your certificate or degree online may be the right choice for you.
Questions to Ask Medical Biller and Coder Colleges
Once you have a general idea just what a medical biller and coder does, as well as what training options are offered, you need to begin the process of evaluating colleges. But since there a large number of training options available at community colleges as well as technical, trade and vocational schools within the Charleston WV area, you need to have a ready list of questions in order to evaluate each one. And when you add all of the online schools that offer medical billing and coding classes, the task can become somewhat daunting. As we have already addressed, expense and location are going to be important issues, especially if you have a limited budget and will be driving to classes from your Charleston home. And confirming that the school and program are accredited must be part of your vetting process as well. So let's review some of the additional questions that you should ask the programs you are looking at so that you can evaluate each one and make the appropriate choice.
Is the Training Accredited? It's important that the program and school you pick are accredited by a respected accrediting agency, for example the Accrediting Commission of Career Schools. If it's an online school, it can also earn accreditation from the Distance Education and Training Council, which focuses on distance or online education. Not only will accreditation help guarantee that the training you get will be of superior quality, it may help with your future employment also. A number of Charleston WV medical organizations will only hire entry level applicants that have completed an accredited medical coding and billing training program. And financial aid and student loans are in many cases only obtainable for colleges that have received an accreditation.
What is the Program's Reputation? Prior to enrolling in a medical billing and coding school, check out what its reputation and ranking are compared to other colleges. This is especially relevant if you have no experience in the industry, since potential employers will mostly be evaluating you based on the quality of your education. As we have discussed, verifying that the school is accredited is an initial step. Checking with school rating organizations, for example U.S. News and World Report, can verify the quality of the school as well. An alternative is to call a few Charleston WV healthcare organizations that you might have an interest in working for and ask which programs they suggest. Remember that even if the college itself does not have an outstanding reputation, its medical coding and billing program may still be highly regarded.
Is there a Job Referral Program? Finding employment in Charleston WV after graduation in your new field might be difficult without the help of a job placement program. Find out if the colleges you are looking at have job placement 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 substantial network of medical care employers where they can place their graduates. It also suggests that the school's graduates are sought after in the marketplace.
Where is the College's Location? If you are anticipating commuting to class from your Charleston WV home, then the location of the program will be of prime importance. Of course if you enroll in an medical billing and coding online program, then the location of the college will not be a consideration. 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 live outside of their districts. So you might prefer to first consider those colleges that are within your local area.
What is the Overall Expense? Medical billing and coding certification programs can fluctuate in cost based on the type of credential obtained and the length of training furnished. But remember, tuition is not the only expense for your education. Costs also consist of such things as the cost of supplies, books and commuting. Financial assistance may be available to help offset some of the cost, so make sure to contact the college's financial assistance department to find out what is offered in Charleston WV. Of course if you decide to enroll in an online school, some of these added costs, such as for commuting may be minimized or even eliminated.
Are Classes Offered that Accommodate your Schedule? A number of students continue working while attending school and require a convenient class schedule. If you can only attend classes at night or on weekends near Charleston WV, confirm that they are available at those times. If you can only attend on a part-time basis, verify that the program you select provides that option. Also, find out what the process is for making up classes missed due to illness, work or family emergencies.
Learn How to Select a Billing and Coding Program
Choose the Right Charleston WV Medical Billing and Coding Training
Picking the right medical billing and coding certificate or degree program is a critical first step to help assure your success in this exciting specialty of medical care. Medical billing and medical coding are two of the fastest expanding occupations in the health sector. Because of this, there are a lot of vocational schools, community colleges and companies that furnish instruction and training in medical coding and billing. As we have discussed, you can opt to attend classes either on campus or online. It's also essential that the college you choose has an accredited program with an outstanding reputation within the medical care industry. But however you decide to receive your education, by adhering to the previous guidelines and asking the right questions, you will be better able to analyze your options and select the right medical billing and coding college. And with the appropriate education, you can realize your career objective to become a medical coding and billing clerk in Charleston West Virginia.