Medical billing and coding externship vs authorization specialist

Differences between medical billing and coding externship and authorization specialist duties and responsibilities

Medical billing and coding externship example responsibilities.

• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Verify correct ICD-10 and CPT codes for a variety of specialties.
• Review physicians' appointment notes to determine appropriate ICD-9 and HCPCS code for the medical service render.
• Identify and code the principal diagnosis and procedures using ICD-9-CM and CPT-4 codes to each patient's medical records
• Perform billing and collection procedures, utilize CPT-4 and ICD-9 coding, insurance claim preparation, processing and follow-ups.
• Resolve and research of insurance denials, rejections, providing correction of claims, involving CPT and HCPCS codes.
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Authorization specialist example responsibilities.

• Demonstrate knowledge of HIPAA by appropriately managing patient confidentiality.
• Utilize CMS and InterQual criteria to establish authorizations for members requiring medical services for a Medicare advantage insurance company.
• Build authorization, match ICD-10 codes with there procedure codes
• Provide patients with patient registration forms in order to follow up on patient check-in and check-out utilizing a proprietary management system.
• Obtain verification of insurance coverage and authorizations for clinical visits and surgical procedures for patients.
• Perform all components of the office registration including arrival, check-in and future appointments.
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