Home >> Wisconsin >> Racine >> Billing And Coding Classes


Medical Billing and Coding Schools Online Racine WI

How to Find the Right Medical Billing Training Classes near Racine Wisconsin

Racine Wisconsin woman medical biller and coder at her computerNow that you have decided to become part of the healthcare field by enrolling in a medical billing and coding school near Racine WI, it's crucial that you choose the appropriate school so that you receive the necessary education to ensure your success. As you probably know, healthcare is among the fastest growing industries in the United States, and a growing number of options are offered both on campus and online to receive the training that you need. But just where does one begin? Many aspiring students begin by looking for colleges that are within driving distance of their homes and then comparing tuition. Or they might surf the internet looking for online courses and choose the least expensive one. But while cost and location are significant issues when making your determination, they should not be the only ones when researching medical billing and coding schools. Such qualifications as reputation and accreditation should be taken into consideration as well. We will cover a checklist of topics that you should ask the medical billing and coding schools you are assessing in order to learn what you must know prior to 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 Coding Job Functions

Racine Wisconsin patient health files

Medical coders work on the forefront of the billing systems for Racine WI private practices and healthcare organizations. Coders have the responsibility to analyze the medical 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 use 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 accuracy, but must have a functioning knowledge of all government and private payer regulations that influence coding also. Incorrectly coded claims can result in services not being paid for, services being paid for at a reduced rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Racine WI physicians and medical facilities multiple thousands of dollars in revenue each year, a good medical coder is a necessary asset for any healthcare team. They can operate in every kind of healthcare facility, including private practices, hospitals, clinics and emergency care centers. It is not uncommon for seasoned medical coders to operate at home as an independent contractor or offsite employee.

Medical Billing Job Description

Racine Wisconsin medical insurance forms

As essential as the medical coder's function is, it would be for nothing without the contribution of the medical biller whose labors produce revenue. Medical billing clerks are extremely important to Racine WI medical facilities and are essentially responsible for keeping their doors open. Often the biller and coder can be the same man or woman within a healthcare organization, but they can also be 2 independent professionals. After the coder has completed his or her duty, the biller utilizes the codes provided to fill out and submit claim forms to insurance carriers, Medicare or Medicaid. After being paid by the appropriate entity, patients can then be billed for deductibles or additional out of pocket costs. On a routine basis, a medical biller can also do any of the following:

  • Check health insurance coverages for patients and assist them with billing questions or concerns
  • Check on submitted patient claims and appeal any that have been declined
  • Function as a mediator between the medical provider, the insurance companies and the patients for accurate claim resolution
  • Produce and oversee Accounts Receivables reports
  • Create and take care of unpaid patient collections accounts

Medical billing clerks not only work for private practices, but also Racine WI emergency care facilities, hospitals, nursing homes or medical groups. They may practice in any type of healthcare facility that relies on the revenues generated from billing patients and third party payers.

Medical Billing and Coding Online Instruction and Certification

hundred dollar bills with stethoscope Racine WisconsinIt's imperative that you receive your instruction from a reputable school, whether it's a trade school, vocational school or community college. Even though it is not a requirement in many cases to obtain a professional certification, the school you select should be accredited (more on the advantages of accreditation later). The majority of Wisconsin programs only require that you earn either a high school diploma or a GED to apply. The quickest way to becoming either a medical coder or biller (or both) is to attain a certificate, which usually takes about 1 year to complete. An Associate Degree is an alternative for a more extensive education, which for most schools requires 2 years of studies. Bachelor's Degrees for medical coding and billing are not widely offered. After your training has been completed, although not required in the majority of states, you might wish to acquire a professional certification. Certification is a great way for those new to the field to show prospective employers that they are not only qualified but dedicated to their career. Just 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).

Completing an accredited medical billing and coding program, combined with attaining a professional certification, are the most effective ways to accelerate your new profession and succeed in the rapid growing healthcare field.

Medical Biller and Coder Online Courses

Racine Wisconsin student attending medical biller and coder online classesIf you are looking for flexibility and the convenience of attending classes at home, then enrolling in a medical billing and coding online school may be a great option. They can be particularly appealing to students living in Racine WI who plan on going to school while continuing to work or have other commitments that make going to classes on campus difficult. And as an additional benefit, online schools are frequently cheaper than the traditional classroom options. Expenses for such things as tuition, course materials and commuting may be minimized or eliminated. But be careful, as not all online courses are reputable. For that reason it's essential to verify that the online school you enroll in is accredited to ensure a quality education. We will cover the advantages of accreditation in the next segment. Just make sure to verify that any online classes you are considering is accredited by one of the national accrediting organizations, such as the Council on Higher Education Accreditation. So if you are dedicated enough to apply yourself to this mode of learning, then acquiring your certificate or degree online might be the right choice for you.

Points to Ask Medical Coder and Biller Programs

Once you have a general idea what a medical biller and coder does, in addition to what training options are offered, you need to start the process of evaluating colleges. But since there are numerous training options available at community colleges and technical, trade and vocational schools within the Racine WI area, you need to have a ready list of questions to assess each one. And when you add all of the online programs that offer medical billing and coding classes, the project can become somewhat formidable. As we have already addressed, location and cost are going to be important factors, especially if you have a modest budget and will be commuting to classes from your Racine residence. And whether or not the program and school are accredited should be part of your vetting process as well. So let's review some of the other questions that you should ask the schools you are reviewing so that you can analyze each one and make the ideal choice.

Is the Training Accredited? It's crucial that the school and program you decide on are accredited by a respected accrediting agency, such as the Accrediting Commission of Career Schools. If it's an online college, it might also earn accreditation from the Distance Education and Training Council, which focuses on online or distance learning. Not only will accreditation help ensure that the training you receive will be of superior quality, it may help secure future employment also. Many Racine WI medical organizations will only employ entry level prospects that have completed an accredited medical coding and billing educational 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? Before enrolling in a medical coding and billing school, find out what its ranking and reputation are among other colleges. This is especially relevant if you have no experience in the industry, since potential employers will mainly be evaluating you based on the quality of your education. As we have addressed, confirming that the school is accredited is an initial step. Checking with college rating organizations, such as U.S. News and World Report, can confirm the quality of the school also. An alternative is to call a few Racine WI healthcare organizations that you might have an interest in working for and ask which schools 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 Referral Program? Obtaining a job in Racine WI after graduating in your new field might be challenging without the help of a job assistance program. Check 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 coding and billing college has a substantial network of healthcare employers where they can refer their graduates. It also implies that the school's graduates are sought after in the marketplace.

Where is the School Located? If you are intending on driving to class from your Racine WI home, then the location of the school will be of significant importance. Obviously if you enroll in an online medical coding and billing 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 charge a higher tuition for enrollees that reside outside of their districts. So you might want to first look at those colleges that are within your local area.

What is the Complete Cost? Medical coding and billing training courses can vary in cost depending on the type of credential acquired and the amount of training provided. Just keep in mind, tuition is not the only expense for your education. Expenses also consist of such items as the cost of supplies, books and commuting. Financial aid might be available to help offset some of the expense, so make sure to contact the college's financial aid department to find out what is offered in Racine WI. Naturally if you decide to enroll in an online school, a portion of these additional costs, such as for commuting may be lessened or even eliminated.

Are Classes Accessible that Fit your Schedule? A number of students keep working while going to college and require a flexible class schedule. If you can only go to classes during the evenings or on weekends near Racine WI, confirm that they are available at those times. If you can only enroll on a part-time basis, check that the program you pick provides that option. Also, find out what the protocol is for making up classes missed because of work, illness or family responsibilities.

Find Out More on How to Choose a Medical Biller and Coder Course

Select the Right Racine WI Medical Billing and Coding School 

Choosing the right medical billing and coding degree or certificate course is a very important first step to help guarantee your success in this rewarding sector of healthcare. Medical coding and medical billing are two of the fastest expanding occupations in the medical sector. Because of this, there are a lot of trade schools, junior colleges and companies that provide training and education 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 select offers an accredited program with an excellent reputation within the healthcare community. But however you decide to receive your education, by following the previous guidelines and asking the appropriate questions, you will be better qualified to analyze your options and pick the ideal medical billing and coding school. And with the appropriate training, you can accomplish your career goal to become a medical coding and billing clerk in Racine Wisconsin.