Home >> Wisconsin >> Franklin >> Medical Billing And Coding Courses


Medical Coding and Billing Courses Online Franklin WI

How to Choose the Right Medical Billing and Coding Program near Franklin Wisconsin

Franklin Wisconsin female medical biller entering dataNow that you have made a decision to enter the healthcare field by enrolling in a medical billing and coding school near Franklin WI, it's essential that you select the right school so that you receive the necessary education to guarantee your success. As you may already know, healthcare is among the fastest growing industries in the United States, and a growing number of options are available both on campus and online to receive the training that you need. But just where does one start? Many aspiring students begin by looking for programs that are within driving distance of their homes and then comparing cost. Or they may search the internet looking for online courses and choose the cheapest one. But while cost and location are important factors when making your determination, they should not be the sole ones when researching medical billing and coding schools. Such qualifiers as reputation and accreditation should be taken into consideration also. We will review a checklist of topics that you need to ask the medical billing and coding training programs you are evaluating so that you can learn what you must know before making your decision. Before we do that, let's take a look at what medical coders and billers do and the training and certification options offered.

Medical Coder Job Functions

Franklin Wisconsin patient health files

Medical coders are on the forefront of the billing systems for Franklin WI medical practices and hospitals. They have the responsibility to analyze the treatment records of patients and convert all services provided into universal codes. These services can be for medical, diagnosis or dental procedures, or any medical supplies or equipment used. There are several 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 such as physician and nursing 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 functioning knowledge of all government and private payer regulations that influence coding as well. Incorrectly coded claims may result in services not being paid for, services being paid for at a decreased rate, or the physician or facility being penalized for fraudulent or improper billing. Since improper coding can in fact cost Franklin WI physicians and medical facilities multiple thousands of dollars in revenue annually, a proficient medical coder is a necessary asset for any healthcare organization. They can work in any type of healthcare facility, including family practices, hospitals, clinics and urgent care centers. It is not uncommon for seasoned medical coders to working from home as an offsite employee or an independent contractor.

Medical Billing Job Description

Franklin Wisconsin medical insurance paperwork

As essential as the medical coder's function is, it would be for naught without the collaboration of the medical biller whose efforts produce revenue. Medical billing clerks are extremely important to Franklin WI healthcare organizations and are literally responsible for keeping their doors open. In many cases the coder and biller can be the same individual within a medical facility, but they can also be 2 independent professionals. Once the coder has carried out her or his task, the biller utilizes the codes furnished to complete and submit claim forms to insurance companies, Medicaid or Medicare. After being adjusted by the appropriate organization, patients can then be billed for deductibles or other out of pocket expenses. On a regular basis, a medical billing professional may also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing concerns or questions
  • Follow up on patient claims submitted and appeal those that have been denied
  • Function as an intermediary between the medical provider, the insurance carriers and the patients for proper claim settlement
  • Create and manage Accounts Receivables reports
  • Produce and take care of unpaid patient collections accounts

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

Medical Coding and Billing Online Training and Certification

cash with stethoscope Franklin WisconsinIt's essential that you get your training from a reputable school, whether it's a trade school, vocational school or community college. While it is not a requirement in most cases to obtain a professional certification, the program you choose should be accredited (more on the benefits of accreditation later). The majority of Wisconsin programs only require that you earn either a high school diploma or a GED to be eligible. The fastest way to becoming either a medical biller or coder (or both) is to attain a certificate, which typically takes about one year to accomplish. An Associate Degree is also an option for a more expansive education, which for almost all colleges requires 2 years of studies. Bachelor's Degrees in medical coding and billing are not abundantly offered. When your training has been concluded, although not mandated in the majority of states, you might want to attain a professional certification. Certification is an excellent way for those new to the profession to show prospective employers that they are not only qualified but dedicated to their career. 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 coding and billing course, combined with earning a professional certification, are the most effective ways to advance your new profession and succeed in the fast growing healthcare field.

Medical Biller and Coder Online Courses

Franklin Wisconsin female attending medical billing and coding online trainingIf you are looking for convenience and the flexibility of attending classes in your home, then enrolling in a medical billing and coding online course might be a good option. They can be especially appealing to students living in Franklin WI who plan on attending school while continuing to work or have additional responsibilities that make going to classes on campus difficult. And as an added benefit, online colleges are often less expensive than the conventional classroom alternatives. Costs for such items as tuition, commuting and study materials may be reduced or eliminated. But be careful, as not all online courses are reputable. That's why it's essential to confirm that the online course you enroll in is accredited to guarantee a premium education. We will address the advantages of accreditation in the next segment. Just make sure to confirm that any online college you are considering is accredited by one of the national accrediting agencies, for example the Council on Higher Education Accreditation. So if you are disciplined enough to devote yourself to this type of learning, then obtaining your certificate or degree online may be the right choice for you.

Questions to Ask Medical Biller and Coder Training Programs

Now that you have a better idea just what a medical biller and coder does, along with what education options are available, you need to begin the process of comparing schools. But since there many training options available at community colleges and technical, trade and vocational schools within the Franklin WI area, you must have a prepared list of questions in order to assess each one. And when you add all of the online schools that offer medical coding and billing classes, the task can become rather formidable. As we have already covered, expense and location are going to be important issues, especially if you have a limited budget and will be driving to classes from your Franklin home. And verifying that the program and school are accredited must 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 reviewing so that you can compare each one and make the best choice.

Is the School Accredited? It's crucial that the program and college you pick are accredited by a highly regarded accrediting agency, for instance the Accrediting Commission of Career Schools. If it's an online program, it might 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 receive will be of the highest quality, it may help with your future employment also. Many Franklin WI healthcare facilities will only employ entry level candidates that have completed an accredited medical coding and billing educational program. And financial aid and student loans are in many cases only offered for programs that have earned an accreditation.

What is the School's Reputation? Before picking a medical billing and coding school, check out what its ranking and reputation are among other schools. This is particularly relevant if you have no experience in the industry, since potential employers will mainly be relying on the quality of your training. As we have addressed, verifying that the college is accredited is an initial 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 check with a few Franklin WI healthcare organizations that you may be interested in working for and ask which programs they suggest. Bear in mind that even when the school itself does not have an excellent reputation, its medical billing and coding program may still be well regarded.

Is there an Employment Placement Program? Finding employment in Franklin WI after graduating in your new profession can be challenging without the support of a job assistance program. Ask if the colleges you are looking at have job placement programs and what their job placement rates are. A high and rapid placement rate is a good indication that the billing and coding college has a substantial network of healthcare employers where they can place their graduates. It also suggests that the school's graduates are in high demand in the marketplace.

Where is the College's Location? If you are intending on commuting to class from your Franklin WI residence, then the location of the campus will be of significant importance. Naturally if you enroll in an online medical billing and coding program, then the location of the college will not be a factor. One thing to remember is that if you attend classes at a community or junior college, most charge a higher tuition for enrollees that reside outside of their districts. So you may want to first consider those colleges that are within your local area.

What is the Total Cost? Medical billing and coding training programs can vary in cost depending on the type of credential earned and the amount of training provided. Just keep in mind, tuition is not the only cost of your education. Costs also consist of such items as the cost of books, supplies and commuting. Financial assistance may be accessible to help offset some of the cost, so be sure to get in touch with the school's financial aid department to find out what is offered in Franklin WI. Naturally if you decide to attend an online college, a portion of these added costs, particularly for commuting may be minimized or even eliminated.

Are Classes Offered that Accommodate your Schedule? A number of students keep working while attending school and need a convenient class schedule. If you can only go to classes during the evenings or on weekends near Franklin WI, verify that they are available at those times. If you can only attend on a part time basis, confirm that the college you choose offers that alternative. Also, ask what the protocol is for making up classes missed due to illness, work or family emergencies.

Learn How to Enroll in a Billing and Coding Program

Enroll in the Best Franklin WI Medical Billing and Coding School 

Enrolling in the ideal medical coding and billing certificate or degree program is a crucial first step to help assure your success in this exciting specialty of healthcare. Medical coding and medical billing are 2 of the most rapidly growing professions in the health industry. As a result, there are a lot of trade schools, junior colleges and companies that offer education and training in medical billing and coding. As we have reviewed, you can elect to attend classes either on campus or online. It's also imperative that the college you pick has an accredited program with an exceptional reputation within the healthcare community. But however you decide to receive your education, by adhering to the previous guidelines and posing the appropriate questions, you will be better prepared to analyze your options and pick the right medical billing and coding program. And with the appropriate education, you can achieve your career objective to become a medical coding and billing clerk in Franklin Wisconsin.