WHAT DOES A MEDICAL BILLER AND CODER DO?
Medical Billers and Coders are responsible for processing patient data including medical records and related insurance. In this position, you will code a patient's diagnosis and then request payment from the patient's insurance company. You will play an important role in ensuring that healthcare providers are quickly and accurately paid for the treatment they give patients.
WHAT IS A DAY IN THE LIFE OF A MEDICAL BILLER AND CODER LIKE?
A day in the life of a Medical Biller and Coder is a rewarding one. You are responsible for ensuring that healthcare providers receive appropriate compensation for the care they provide as well as helping patients get the maximum benefit of their insurance. It is a job that requires a high level of attention to detail at all times because codes must be correct to produce appropriate bills for services. Much of your time will be spent in front of a computer organizing statements, reviewing bills, and performing quality control. You also may be required to negotiate with insurance companies via phone on behalf of providers or patients. It's also important to coordinate with other coders to ensure accuracy and adherence to standards. Finally, you'll want to keep up on the latest developments and regulations in the industry through continuing education.
WHERE DO YOU WORK AS A MEDICAL BILLER AND CODER?
Medical Billers and Coders work in a variety of settings. The most common settings include hospitals, doctors' offices and insurance agencies. Some medical billing and coding professionals work for companies that develop medical software, and some work for education institutions that work to train other medical billers and coders. Government agencies have also been known to employ medial billers and coders including the National Center for Health Statistics and Medicaid offices. You may also have the ability to work for a reputable company from your own home!
WHAT IS THE DIFFERENCE BETWEEN A MEDICAL BILLER AND A MEDICAL CODER?
Medical billers are mainly responsible for submitting patient records to government agencies and insurance companies for services that have been provided in the care of the patient. Medical coders gather information on patient records and assign the proper codes for patient diagnosis which are then used by medical billers to submit claim forms.
WHAT IS A CPC?
CPC, or Certified Professional Coder, is the primary medical coding credential offered by AAPC. AAPC’s CPC certification is the gold standard in medical coding and represents world-class expertise that is highly sought and well-compensated by medical organizations across the country.
WHAT DOES CPC MEAN FOR MY CAREER IN MEDICAL CODING?
The CPC certification is the gold standard in medical coding and represents world-class expertise that is highly sought and well-compensated by medical organizations across the country.
HOW DO I GET MY CPC CERTIFICATION?
After successfully completing this online course, you will receive a prepaid voucher to register for the CPC Exam and schedule your test date. Registration should be done three weeks prior to the exam date. After passing the CPC exam, you will have your CPC-A designation without 2 years of prior experience. Completion of the included CPC Practicode will qualify as 1 year of experience towards the full CPC designation.
WHAT TYPE OF TEST IS THE CPC EXAM?
The CPC exam is a multiple-choice test. It is made up of 150 multiple-choice questions and you will have up to 5 hours and 40 minutes to finish the exam. You can and will use your codebooks to take the exam. You will be required to correctly answer 105 questions (70 percent) to pass the exam.
HOW LONG IS A CPC CERTIFICATE VALID FOR?
Once the CPC designation is achieved, your AAPC Membership (included) is required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted every two years for verification and authentication of expertise.
HOW TO BECOME A CERTIFIED PROFESSIONAL CODER?
Medical billing and coding is hardly a career you can jump into and learn on the job. A medical biller and coder must understand the Healthcare Common procedure Coding System (HCPCS), as well as CPT Category II codes and ICD-10 codes. Training courses will teach you what these codes are, how to use them, and how to assign them in common medical billing and coding procedures.
HOW DO I BECOME A MEDICAL CODER WITHOUT EXPERIENCE?
The path to a career in medical billing and coding typically starts with certification. There are different medical billing and coding certifications offered through certifying bodies, so it’s important to choose which one is right for you. The Certified Professional Coder (CPC) certification, offered by the American Academy of Professional Coders (AAPC), demonstrates a broad knowledge of medical coding techniques, including assigning diagnosis, procedure, and supply codes to cases and services.
WHICH CERTIFICATION IS BEST FOR MEDICAL BILLING AND CODING?
If you see yourself working in a physician’s office or inpatient setting, the CPC designation may be the best choice for you. Holding a CPC certification shows that you’re proficient in reviewing and assigning codes, handling compliance issues like claims denials and charge capture and anatomy, physiology and medical terminology.
WHAT DOES AAPC STAND FOR?
AAPC, or the American Academy of Professional Coders, is an independent organization founded in 1988 to provide education and professional certification to medical coders. They have over 190,000 members and offers 28 certifications related to medical billing, medical coding, healthcare documentation and more.
HOW DO I GET A MEDICAL CODING CERTIFICATION ONLINE?
To become a certified medical coder, you need to take an online training course that teaches you the CPT®, ICD-10-CM, and HCPCS Level II code sets. Most employers are looking for applicants to have a medical coding certification such as the CPC. After successfully completing this course, you will have the knowledge and skillset to become a medical coder and will receive a 1-year AAPC Membership.
ARE MEDICAL BILLERS AND CODERS IN HIGH DEMAND?
Yes. There is a high demand for qualified medical billing and coding professionals in the healthcare industry today. Demand will increase as the population in the Unites States ages. Jobs for these professionals are on the rise and expected to grow faster than average through 2026 according to the Bureau of Labor Statistics.
WHAT IS THE SALARY FOR A MEDICAL BILLER AND CODER?
According to the AAPC based on its membership, the average Medical Biller and Coder without certification earns around $45,000 per year while those with certification earn an average of $51,500. This means that certification can help you earn up to 15 percent more in this field! Other salary websites place the median salary for those starting out in Medical Billing and Coding around $38,500.
HOW MUCH DOES A CPC CODER MAKE?
CPCs make between $18 and $25 per hour, varying by location, experience, and additional credentialing.
DO MEDICAL BILLERS OR MEDICAL CODERS MAKE MORE MONEY?
Due to the more technical nature of the job and increased training required, medical coders do tend to make more than medical billers on an annual basis. Both medical billers and medical coders are in high demand. Medical billers earn a median salary of nearly $37,000. The salary of medical coder depends on a variety of different factors including certifications, specialties and experience, but the American Academy of Professional Coders (AAPC) reports that their average salary is around $47,800.
CAN YOU GET A JOB AS BOTH A MEDICAL BILLER AND A MEDICAL CODER?
Other than a handful of exceptions, medical billing and medical coding are two separate professions. You do not need a degree for either profession, but successful coders usually obtain certification. This course will fully prepare you for a career as either a medical biller or a medical coder, including recommended certification. Once you've completed your training, you will decide which area fits your personality and career goals best and move in that direction.
CAN I GET FINANCIAL ASSISTANCE?
This course is non-credit, so it does not qualify for federal aid, FAFSA and Pell Grant. In some states, vocational rehab or workforce development boards will pay for qualified students to take our courses. Additionally, some students may qualify for financial assistance when they enroll, if they meet certain requirements. Financing is available from select schools. Learn more: Click Here
HOW CAN I GET MORE INFORMATION ABOUT THIS COURSE?
If you have questions that are not answered on our website, representatives are available via LIVE chat. You can also call us at 1-877-221-5151 during regular business hours to have your questions promptly answered. If you are visiting us during non-business hours, please send us a question using the "Contact Us" form.
WHEN CAN I START THE COURSE?
This course is open enrollment, so you can register and start the course as soon as you are ready. Access to your course can take 24-48 business hours.
HOW LONG DOES IT TAKE TO COMPLETE THIS COURSE?
This course is self-paced and open enrollment, so you can start when you want and finish at your own pace. When you register, you'll receive twelve (12) months to complete the course.
WHAT KIND OF SUPPORT WILL I RECEIVE?
You may be assigned with an instructor or team of industry experts for one-on-one course interaction. Your support will be available (via e-mail) to answer any questions you may have and to provide feedback on your performance. All of our instructors are successful working professionals in the fields in which they teach. You will be assigned to an Advisor for academic support.
WHAT HAPPENS WHEN I COMPLETE THE COURSE?
Upon successful completion of the course, you will be awarded a certificate of completion. In addition, you will receive an exam voucher for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC) after successful completion of the course and financial obligation.
WHAT IF I DON'T HAVE ENOUGH TIME TO COMPLETE MY COURSE WITHIN THE TIME FRAME PROVIDED?
The time allotted for course completion has been calculated based on the number of course hours. However, if you are unable to complete the course, contact your Student Advisor to help you work out a suitable completion date. Please note that an extension fee may be charged.
DOES THIS COURSE PREPARE FOR A CERTIFICATION?
Yes! This course prepares you to sit for the Certified Professional Coder (CPC) exam, offered by the American Academy of Professional Coders (AAPC). You will receive a voucher for the exam after successfully completing the course and your financial obligation.
CAN I REGISTER FOR A COURSE IF I AM AN INTERNATIONAL STUDENT?
Yes, ed2go courses are completely online. However, keep in mind that not all certifying bodies or industry-specific certifications are recognized internationally. Please review your country's regulations prior to enrolling in courses that prepare for certification.
AM I GUARANTEED A JOB?
This course will provide you with the skills you need to obtain an entry-level position in most cases. Potential students should always do research on the job market in their area before registering.