Medical auditor vs medical service technician

Differences between medical auditor and medical service technician duties and responsibilities

Medical auditor example responsibilities.

• Review confidential and substantial health documentation and make sound, evidence-base decisions concerning compliance to HIPPA and other manage care policies.
• Handle and interpret medical documentation such as UB04 claim forms and EOB's on a daily basis.
• Review all EOB's to ensure claim paid per contract and submit appeals for claims underpay or deny payment in error.
• Review medical records to determine if clinical documentation support coding and DRG assignments.
• Advance knowledge - CMS and provider contract rules.
• Process HCFA and UB claims in a production environment.
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Medical service technician example responsibilities.

• Create and maintain confidential patient files; implement EHR systems to automate patient records management for the purposes of meaningful use.
• Administer and document vaccinations and perform strep tests, finger sticks, urinalysis, and various need lab tests.
• Run QC on all lab instrumentation ensuring reports are within acceptable limits.
• Keep track of all POC inventory, reagents, QC materials and equipment validations.
• Apply cold packs to affect injuries of the patient, fit crutches on patients.
• Maintain all training and CPR certifications in order to actively participate in codes with in the hospital.
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