Billing coder vs medicare billing specialist

Differences between billing coder and medicare billing specialist duties and responsibilities

Billing coder example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Review documentation to assign or confirm E/M, CPT, HCPCS, modifiers and ICD-9 codes.
• Process insurance claims to various carriers like Medicare, Medicaid, commercial, and private insurances.
• Verify patient insurance and/or Medicaid eligibility status and produce 'no insurance' letters for non establish patients.
• Use EMR to submit claims.
• Correct coding of CPT, HCPCS and ICD-9 codes necessary to ensure appropriate reimbursement.
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Medicare billing specialist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
• Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
• Call Medicare to re-open claims due to date, CPT, units, or other changes.
• Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
• Comply with all HIPPA laws.
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