Home >> Wisconsin >> Wausau >> How To Become A Medical Coder


Medical Coding and Billing Online Courses Wausau WI

How to Enroll In the Best Medical Biller and Coder Course near Wausau Wisconsin

Wausau Wisconsin woman medical coder at her computerNow that you have decided to enter the healthcare field by enrolling in a medical billing and coding school near Wausau WI, it's crucial that you find the right school to ensure that you receive the necessary education to ensure your success. As you no doubt know, healthcare is one of the fastest growing industries in the USA, and a growing number of options are offered both online and on campus to obtain the training that you need. But just where do you start? Many future students begin by searching for colleges that are within driving distance of their homes and then comparing cost. Or they may surf the internet looking for online classes and pick the cheapest one. But while cost and location are significant issues when making your determination, they should not be the sole ones when evaluating medical billing and coding schools. Such qualifiers as reputation and accreditation need to be taken into consideration also. We will review a checklist of topics that you should ask the medical billing and coding courses you are researching in order to find out what you need to know prior to making your decision. But first, let's take a look at what medical coders and billers do.

Medical Coding Job Summary

Wausau Wisconsin patient medical history

Medical coders are on the forefront of the billing systems for Wausau WI medical practices and healthcare organizations. They have the responsibility to review the treatment records of patients and assign universal codes to all services provided. These services may be for diagnosis, medical 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 nursing and physician notes, patient charts, and radiology and lab reports. 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 for at a lower rate, or the provider being penalized for fraudulent or improper billing. Since improper coding can in fact cost Wausau WI physicians and medical facilities many thousands of dollars in income every year, a reliable medical coder is an important asset to the healthcare organization. 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 operate at home as an independent contractor or offsite employee.

Medical Billing Job Functions

Wausau Wisconsin medical insurance forms

As important as the medical coder's job is, it would be for nothing without the collaboration of the medical biller whose labors bring in revenue. Medical billing clerks are extremely important to Wausau WI healthcare facilities and are practically responsible for keeping their doors open. Often the coder and biller may be the same individual within a medical organization, but they can also be 2 separate professionals. When the coder has completed his or her duty, the biller uses the codes furnished to fill out and submit claim forms to insurance companies, Medicaid or Medicare. After being paid by the applicable organization, patients can then be billed for deductibles or other out of pocket costs. On a regular basis, a medical biller may also do any of the following:

  • Verify medical insurance coverages for patients and help them with billing concerns or questions
  • Check on patient claims submitted and appeal any that have been denied
  • Work as an intermediate between the medical provider, the insurance companies and the patients for correct claim resolution
  • Generate and oversee Accounts Receivables reports
  • Produce and handle unpaid patient collections accounts

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

Online Medical Biller and Coder Programs

Wausau Wisconsin woman attending medical biller and coder online trainingIf you are interested in flexibility and the convenience of attending classes in your home, then selecting a medical billing and coding online program might be a good alternative. They can be particularly appealing to students living in Wausau WI who anticipate attending school while continuing to work or have additional commitments that make going to classes on campus challenging. And as an additional benefit, online programs are in many cases cheaper than the traditional classroom options. Expenses for such things as tuition, commuting and study materials may be decreased or eliminated. But be careful, as not all online schools are reputable. That's why it's imperative to verify that any online course you select is accredited to ensure a superior education. We will review the benefits of accreditation in the next section. Just be sure to confirm that any online classes you are researching is accredited by one of the national accrediting organizations, for example the Council on Higher Education Accreditation. So if you are dedicated enough to devote yourself to this style of learning, then obtaining your degree or certificate online may be the right choice for you.

What to Ask Medical Coding and Billing Programs

Once you have a better idea what a medical biller and coder does, along with what education options are available, you need to begin the process of researching schools. But since there many training options offered at community colleges as well as vocational, technical and trade schools within the Wausau WI area, you need to have a ready list of questions 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 discussed, expense and location are going to be important issues, particularly if you have a modest budget and will be driving to classes from your Wausau residence. And confirming that the program and school are accredited must be part of your vetting procedure as well. So let's take a look at a few of the other questions that you should ask the colleges you are looking at so that you can compare each one and make the right choice.

Is the Program Accredited? It's crucial that the program and school you choose are accredited by a highly regarded accrediting organization, for instance the Accrediting Commission of Career Schools. If it's an online college, it can also obtain accreditation from the Distance Education and Training Council, which focuses on distance or online learning. Not only will accreditation help confirm that the education you receive will be of superior quality, it may help secure future employment as well. A number of Wausau WI healthcare facilities will only employ entry level candidates that have completed an accredited medical billing and coding educational program. And financial aid and student loans are in many cases only offered for schools that have earned an accreditation.

What is the School's Reputation? Before picking a medical billing and coding college, find out what its ranking and reputation are compared to other programs. This is especially relevant if you have no experience in the field, since potential employers will primarily be evaluating you based on the quality of your education. As we have covered, verifying that the college is accredited is a first step. Checking with school rating organizations, such as U.S. News and World Report, can validate the quality of the school also. Another option is to check with several Wausau WI healthcare organizations that you may have an interest in working for and ask which colleges they suggest. Remember that even when the college itself does not have an excellent reputation, its medical coding and billing program may still be well regarded.

Is there an Employment Placement Program? Finding a job in Wausau WI after graduating in your new profession might be challenging without the help of a job assistance program. Find out if the schools you are considering have job assistance programs and what their job placement rates are. A high and rapid placement rate is an excellent indication that the coding and billing college has a considerable network of healthcare employers where they can place their graduates. It also implies that the college's graduates are sought after in the marketplace.

Where is the College Located? If you are planning on driving to class from your Wausau WI residence, then the location of the school will be of prime importance. Obviously if you enroll in an online medical billing and coding program, then the location of the school will not be a consideration. One thing to keep in mind is that if you attend classes at a junior or community college, many require a higher tuition for pupils that reside outside of their districts. So you might want to first consider those colleges that are within your local area.

What is the Total Expense? Medical billing and coding certification programs can fluctuate in cost depending on the type of credential acquired and the length of training furnished. But remember, tuition is not the only cost of your education. Costs also consist of such things as the cost of supplies, books and commuting. Financial assistance may be available to help reduce some of the cost, so be sure to check with the college's financial assistance department to find out what is offered in Wausau WI. Naturally if you decide to attend an online college, some of these additional costs, such as for commuting may be reduced or even eliminated.

Are Classes Available that Accommodate your Schedule? Many students continue working while attending school and require a flexible class schedule. If you can only go to classes during the evenings or on weekends near Wausau WI, confirm that they are available at those times. If you can only attend on a part-time basis, make certain that the college you choose offers that alternative. 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 Enroll in a Medical Billing Course

Select the Best Wausau WI Medical Billing and Coding Program 

Choosing the right medical coding and billing certificate or degree course is a crucial first step to help ensure your success in this rewarding sector of healthcare. Medical coding and medical billing are 2 of the most rapidly growing professions in the medical industry. As a result, there are many vocational schools, junior colleges and companies that furnish training and education in medical billing and coding. As we have reviewed, you can opt to attend classes either online or on campus. It's also essential that the school you choose offers an accredited program with an outstanding reputation within the medical care field. But however you elect to receive your education, by following the previous guidelines and posing the right questions, you will be better able to evaluate your options and pick the ideal medical billing and coding college. And with the appropriate training, you can accomplish your career objective to become a medical coding and billing clerk in Wausau Wisconsin.