Field reviewer vs medical coder

Differences between field reviewer and medical 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
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Medical coder example responsibilities.

• Manage all EDI relate communication with trading partners and assist to produce all operational documents for all end users.
• Manage all aspects of AR including writing letters for medical necessity, claim denials, bundling issues and charge capture.
• Manage health records while applying ICD-10 coding to update and process insurance claims for time and accuracy to various insurance companies.
• Manage the outsourced transcription company.
• Create documentation education classes to general surgery residents, increasing the leveling of reporting which lead to increase revenues.
• Adhere to regulations with CPT-4, ICD-9-CM and HCPCS coding with medical terminology and effort meet all audit requirements.
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