Medical Billing and Coding

In today’s world of increasing demand for healthcare insurance products, the medical biller and coder is more important than ever. A person who works in the medical billing and coding field is responsible for translating a doctor’s record of services performed for a patient into terminology that can be understood by the health insurance payer. It is also a field that is easy to enter if you enjoy working in an office environment. Plus, the pay tends to increase with experience.

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Be sure to request information from more than one school in order to compare which program is best for you.

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Programs:

  • Medical Billing and Coding Certificate
  • BS in Health Information Management
  • Medical Office Administration
Founded in 1886, National College and American National University (ANU) are dedicated to the training and education of men and women for a full life and a successful career in a number of fields in business, information technology, and health care. National College and ANU offer more than 45 academic programs including numerous masters’, bachelors’, and associate degree programs, short-term diploma programs, English as a Second Language, and corporate training.

Programs:

  • Medical Billing and Coding - Diploma
Develop the skills to succeed in today's highly competitive business environment. Everest College can prepare you for a rewarding career in some of today's hottest fields.

Programs:

  • Diploma - Medical Insurance Billing and Coding
  • Diploma - Medical Administrative Assistant

Fortis Institute can give you the skills you need to train for a career in the healthcare field.

* Programs vary by location

* Please contact each individual campus for accreditation information


Programs:

  • Medical Billing and Coding Online

At Kaplan University, we offer over 180 degree and certificate programs. With three different ways to learn, you can choose the format that works best for you:

  • Study wherever you have an Internet connection, because almost all of our courses are 100% online, or
  • Take campus-based classes(with day and evening options available), or
  • Combine campus learning with online classes (blended).

Programs:

  • Medical Billing and Coding Certificate
  • Medical Office Administration
  • Associate of Applied Science:Office Management
Locations: Hagerstown

Experience the Rewards of Caring, With ECPI’s Medical Careers Institute, you can Earn Your Bachelor’s Degree in 2.5 Years or Your Associate’s Even Sooner through Our Year-Round Schedule!

Programs:

  • Health Information Management - Associate's
Locations: RichmondNewport News

Miller- Motte Technical College (MMTC) can help get you from here to a new career!

Miller- Motte Technical College (MMTC) has a history of helping students succeed through hands-on education and career training.  Our faculty and staff work to ensure that when you’ve completed your program, you’re truly ready to begin your career.

Programs:

  • Electronic Health Records - Associate of Occupational Science
Locations: Lynchburg

Founded in 1886, National College and American National University (ANU) are dedicated to the training and education of men and women for a full life and a successful career in a number of fields in business, information technology, and health care. National College and ANU offer more than 45 academic programs including numerous masters’, bachelors’, and associate degree programs, short-term diploma programs, English as a Second Language, and corporate training.

Programs:

  • Medical Billing and Coding - Diploma
Locations: Bristol
Stratford Career Institute can help you earn your diploma from home in as little as six months, thanks to their proven study methods.

Programs:

  • Medical Billing Specialist
Give your career a boost with an education from Southern New Hampshire University. We offer certificates, bachelor's, master's, and doctoral degrees in over 100 programs in a wide variety of subjects.

Programs:

    At a Glance

    Medical Billing and Coding TrainingOther Job Titles: Medical Coding & Billing Specialist, Medical Billing Clerk, Billing Coordinator
    Salary Range*: $20,800-$49,920; Average $31,000; Median $33,000
    Education/Training Required: High school to bachelors degree however employers prefer those with associate’s degree and medical billing and coding certificate
    Desired Skills/Aptitude: attention to detail and working with health information systems (computers)
    Certification/Licensing: Certification available through AAPC
    Locations with Best Opportunities: Texas, Arizona, Nevada, New Mexico
    Employment Outlook: Faster than average through 2018
    Opportunities for Advancement: Experience, cross-training, moving into management

    What is Involved in Medical Billing and Coding?

    Medical billing and coding is sometimes separated into two distinct jobs. Medical coders are responsible for taking incoming documentation from a healthcare provider facility and “coding” it so that it can be processed for payment by a health insurance company.

    The coder uses a set of standards for translating documents from a healthcare provider into a claim that the insurance payer can understand. There are three main standards or guidelines:

    • Current Procedural Terminology (CPT)
    • Healthcare Common Procedure Coding System (HCPCS)
    • International Statistical Classes of Diseases (ICD)

    CPT codes are defined and maintained by the American Medical Association (AMA). The publication assigns codes to all procedures used by medical practitioners on patients. For example, an office visit has a CPT code of 99201. HCPCS codes are based on CPT codes except used for billing to Medicare and Medicaid which are the government healthcare payers for those living on financial assistance or social security.

    ICD codes can be thought of as the diagnosis for a condition when the patient visits a healthcare provider. This code set was created by the World Health Organization and is intended to form a standard way for classifying diseases or other ailments. ICD codes are complex and the U.S. is currently on ICD-10 however there are some organizations still using ICD-9.

    Medical billers are the thread between entities of patient, insurance companies, and healthcare providers. Their responsibility is to send healthcare claims to the appropriate payer which will be an insurance company or government-funded healthcare assistance program such as Medicare and Medicaid.

    The Workplace

    Medical billers and coders can work in just about any healthcare provider or insurance facility there is. These include:

    • Doctor’s offices
    • Health insurance administration centers
    • Hospitals
    • Dental offices
    • Nursing homes
    • Pharmacies

    At these locations, medical coders are responsible for assigning the right codes for procedures performed before sending the claim documentation to the insurance payer.

    Education and Certification

    Employers prefer those with at least an associate’s degree and a certificate awarded through an approved medical billing and coding program. Some seeking to enter this field will get an associate’s degree in any discipline and then augment it with a medical billing and coding certificate. There are also associate degree programs for this field.

    Although not specifically required, employers also desire certification of its billers and coders. The most widely-known provider of certification is the AAPC (American Academy of Professional Coders). They offer several certifications all related to coding but with specialties. For example, for physician’s offices there is the Certified Professional Coder or CPC and for hospitals and outpatient facilities there is the Certified Professional Coder-Hospital Outpatient or CPC-H.

    Salary Source: Bureau of Labor Statistics, May 2012.