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How to Enroll In the Right Medical Biller and Coder Online Training Classes Raleigh North Carolina

Raleigh North Carolina Female Medical Billing and Coding clerk working in her officeNow that you have decided to enter the healthcare field by learning to be a medical billing and coding specialist in Raleigh NC, it's essential that you choose the right school so that you receive the proper education to ensure your success. As you probably know, healthcare is one of the fastest growing fields in the Country, and more and more options are offered both online and on campus to receive the training that you need. But just where do you start? Many aspiring students begin by searching for colleges that are within commuting distance of their residences and then comparing cost. Or they may search the internet looking for online schools and go with the least expensive one. But while cost and location are relevant 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 should be taken into account as well. So let's take a look at what medical coders and billers do and the educational and certification options offered.

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Medical Coder Job Functions

Raleigh North Carolina patient medical records

Medical coders work on the front line of the billing systems for Raleigh NC medical practices and healthcare organizations. They have the responsibility to examine the medical records of patients and assign universal codes to all services provided. These services can be for diagnosis, medical or dental procedures, or any medical supplies or equipment utilized. There are various codes that are used in the conversion, including:

  • 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 lab and radiology reports. Coders must know not only what total services were provided for accuracy, but must have a working knowledge of all private payer and government rules that influence coding as well. Inaccurately coded claims can result in services not being covered, services being paid for at a reduced rate, or the physician or facility being penalized for improper or fraudulent billing. Since improper coding can actually cost Raleigh NC physicians and medical facilities multiple thousands of dollars in income every year, a good medical coder is an important asset to the healthcare team. They can work in every kind of healthcare facility, including family practices, clinics, hospitals and urgent care centers. It is not uncommon for seasoned medical coders to working from home as an independent contractor or offsite employee.

Medical Biller Job Duties

Raleigh North Carolina patient health insurance forms

As crucial as the medical coder's job is, it would be for nothing without the contribution of the medical biller whose labors generate revenue. Medical billing clerks are very important to Raleigh NC medical organizations and are practically responsible for keeping their doors open. Sometimes the coder and biller can be the same individual within a healthcare organization, but they can also be two independent professionals. After the coder has carried out her or his task, the biller utilizes the codes furnished 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 charged for deductibles or other out of pocket expenses. On a regular basis, a medical billing professional may also do any of the following:

  • Confirm medical insurance coverages for patients and assist them with billing questions or concerns
  • Check on patient claims submitted and appeal those that have been denied
  • Work as an intermediate between the medical provider, the insurance carriers and the patients for proper claim settlement
  • Generate and oversee Accounts Receivables reports
  • Generate and take care of unpaid patient collections accounts

Medical billing clerks not only are employed by family practices, but also Raleigh NC emergency care facilities, hospitals, nursing homes or medical groups. They can work in every kind of healthcare facility that relies on the revenues generated from billing patients and third party payers.

Medical Biller and Coder Training and Certification

It's imperative that you receive your training from a reputable school, whether it's a technical school, vocational school or community college. While it is not required in most cases to attain a professional certification, the school you enroll in should be accredited (more on the advantages of accreditation later). Most programs simply require that you have either a high school diploma or a GED to qualify. The fastest way to become either a medical coder or biller (or both) is to obtain a certificate, which usually takes about 1 year to accomplish. An Associate Degree is an alternative for a more comprehensive education, which for the majority of schools requires 2 years of studies. Bachelor's Degrees in medical billing and coding are not widely available. When your education has been concluded, although not required in the majority of states, you might wish to earn a professional certification. Certification is an effective method for those new to the field to show potential employers that they are not only qualified but dedicated to their occupation. 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, together with earning a professional certification, are the best ways to accelerate your new career and succeed in the fast growing North Carolina medical care industry.

Medical Biller and Coder Online Courses

Raleigh North Carolina Young Woman Enrolled in Online Medical Billing and Coding coursesIf you are looking for flexibility and the convenience of attending classes in your home, then enrolling in an online medical billing and coding course may be a good alternative. They can be especially attractive to those in Raleigh NC who plan on attending school while still working or have other obligations that make attending classes on campus challenging. And as an added benefit, online programs are often cheaper than the standard classroom options. Costs for such items as tuition, commuting and study materials may be reduced or eliminated. But be cautious, as not all online courses are reputable. That's why it's important to establish that any online school you choose is accredited to guarantee a premium education. We will cover the benefits of accreditation in the next section. Just make sure to establish that any online school you are looking at is accredited by one of the national accrediting organizations, for instance the Council on Higher Education Accreditation. So if you are dedicated enough to commit yourself to this style of learning, then attaining your degree or certificate online might be the right choice for you.

More on How to Become a Medical Billing Clerk in Raleigh

Pick the Best Raleigh Online Medical Billing and Coding School

Selecting the right medical coding and billing online certificate or degree program is a very important initial step to help guarantee your success in this rewarding specialty of healthcare. Medical coding and medical billing are two of the fastest growing professions in the health industry. Because of this, there are many vocational schools, junior colleges and companies that furnish instruction and training in medical coding and billing. As we have reviewed, you can opt to attend classes either on campus or online. It's also imperative that the school you choose has an accredited program with an excellent reputation within the medical care industry. With the proper training, you can accomplish your career objective to become a medical coding and billing specialist in Raleigh North Carolina.


Raleigh Medical Billing And Coding Online Schools | Raleigh Medical Billing And Coding Online Training