The Truth About Medical Billing and Coding Careers

When I worked in the admissions office of anWhen you check out the AHIMA and AAPC
allied health college, my primary responsibility waswebsites - and I really hope that you do - you will
enrolling prospective students in the school’snotice that their credentialing programs are all
medical assistant, dental assistant, massageabout medical coding. You may have visited the
therapy, health information management and billingwebsites of some allied health colleges and noticed
& coding programs.that their medical billing & coding programs
To the college I was just a salesman with a quotaare really a bunch of medical coding classes with a
to fill. To me, I was a professional responsible forcouple of billing courses thrown in for good
providing a high school senior, a drop out with ameasure.
GED or a person “re-careering” withI think there are a couple of reasons why most
objective information to help them make acurriculums focuses the bulk of their coursework
decision that could effect their life for quite someon coding rather than billing:
time. I wanted to do my part to help that person:: Students are more “employable” with
get the most out of the time and money theycombined coding and billing skills
were willing to invest in themselves.:: The health care industry is placing more value on
A common theme with many of the students Icoding skills
enrolled in the medical billing & coding:: Medical billing can be learned on the job and
program was an interest in a health care careerrequires little to no technical knowledge
without the “blood and guts” (a term II may repeat this in other posts but if you really
remember using to relax and get a smile fromare thinking about making the financial and
the student); or in other words the close contactpersonal commitment to a medical billing or a billing
with patients that would be experienced by a& coding program, I can’t stress enough
medical or dental assistant. For them, anthe importance of performing your due diligence
administrative position like billing & coding wasso you can make the quality decisions that will put
just what the doctor ordered (pun intended).you in the best possible position to be successful.
In this school, like many others, the medical billingBy due diligence I mean partnering with a parent,
& coding program was combined and camementor or someone else you trust to be honest
in two flavors: a nine month certificate programand objective to help guide you in your decision
and an eighteen month degreed program. Themaking process. You also need to be completely
difference? At the conclusion of the nine monthhonest with yourself, know your strengths and
program, the student received a certificate (notweaknesses and apply that knowledge to your
to be confused with a diploma) documenting theirdecision making process. For example, if you
completion of the coursework.struggled in high school or have a learning disability
The student was also prepped to take theyou may not be able to pass the coursework and
American Health Information Managementshould consider other employment options. On the
Association’s (AHIMA) Certified Codingother hand if you were an outstanding student
Specialist (CCS) exam. Upon passing the exam,you might consider pursuing an undergraduate
the student was awarded the CCS credential. Atdegree in health information management (see
the conclusion of the eighteen month degreedAHIMA.org for more information about a health
program, the student would have earned aninformation management program).
associate’s degree and, like the certificateYou should consult with the AHIMA and AAPC
program, would be prepped to take the CCSwebsites to see of there are schools near you on
exam.their approved list. I do know the AAPC also
If I used any sales tactics it was to persuade theoffers Internet-based or distance learning courses.
typical billing & coding student to enroll in theIf you are considering a program not approved
degreed program. By typical I mean a personby either organization then be sure to at least
with a high school diploma/GED and little to nocheck out the school on the Better Business
practical work experience. The reason? NotBureau website and Google to see what previous
because the school made more money (they did),students have to say.
but because I firmly believed - and still do - inFinally - and I’m probably get some hate mail
education as the best way for someone to- but please be very wary about any company
better themselves personally and professionally.offering medical billing correspondence courses and
To me the certificate program was a strongcertificates. You will find out the certificates
second choice and usually selected by thosearen’t worth the paper they’re printed on
students that, among other things, wanted to getwhen it comes time to find a job. Why? There is
in to the workforce faster or couldn’t affordno AMA sanctioned body that issues medical billing
the degreed program. As I mentioned earlier,certifications. The certificate is simply
upon graduation the student would receive adocumentation showing that you took and passed
certificate stating that they completed thesome billing training program.
coursework and be prepped to take the CCSI can’t tell you how many times someone
exam. To me the real value was taking andsent me a resume just because they had
hopefully earning the CCS credential.completed a medical billing correspondence course.
There are several credentials that can be earnedI would not hire anyone with no prior experience.
by a medical billing and coding professional.Why? I don’t want to train a newbie and
Credentialing is a big deal. Why? Having thosecan’t afford the liability exposure - someone
letters after you name (e.g. Jane Doe, CCS)not knowing what they’re doing can run off
proves that you have demonstrated theclients. I stick by this hiring policy after learning the
knowledge, skills and ability required to pass anhard way. Bottom line - no prior experience, no
exam issued by a nationally recognized Americanjob.
Medical Association (AMA) sanctioned organization.Sources:
In the world of medical coding there are twoAmerican Health Information Association
organizations offering credentialing sanctioned by(ww.AHIMA.org)
the AMA: AHIMA and the American Academy ofAmerican Association of Professional Coders
Professional Coders (AAPC).(ww.AAPC.