Field reviewer vs medical biller coder

Differences between field reviewer and medical biller coder duties and responsibilities

Field reviewer example responsibilities.

• Work with and lead operators, effectively conveying information, ensuring successful wireline operation performance.
• Receive a certificate through CMS to do CMS-HCC Medicare risk adjustment review.
• Comply with all HIPAA and associate patient confidentiality requirements.
• Extract and capture all diagnosis codes base on CMS documentation standards.
• Review medical charts both off and onsite at facilities and outpatient locations.
• Perform on-site medical record reviews to validate the accuracy of ICD-9 and ICD-10 coding
Show more

Medical biller coder example responsibilities.

• Manage chart completion (ICD-9-CM and CPT coding), chart assembly and analysis and patient information privacy/security.
• Use EMR software to manage patient records and files reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Bill insurance claims using HCFA 1500 and UB-92 form.
• Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
• Have experience in all commercial insurances and government insurances including Medicare and Medicaid.
Show more