Billing coder vs senior billing analyst

Differences between billing coder and senior billing analyst 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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Senior billing analyst example responsibilities.

• Lead the requirement gathering effort from key customers for development of new JAVA applications and for troubleshooting customer issues.
• Range of knowledge in CPT, ICD-9, HCPCS codes and other billing standards.
• Forecast, prepare, and analyze cash flow, DSO, and bad debt reserve
• Monitor compliance to corporate financial and legal policies and (Sarbanes-Oxley law) SOX compliance.
• Maintain invoice files and supporting documentation as required for audits and in accordance with SOX requirements.
• Prepare certification of medical necessity and prior authorization forms for Medicaid reimbursement and follow through on appeals when applicable.
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