Medical billing and coding externship vs billing representative

Differences between medical billing and coding externship and billing representative 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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Billing representative example responsibilities.

• Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Process orders in compliance with Medicare, Medicaid and private insurance verification guidelines; confirming customer's eligibility and insurance coverage.
• Verify insurance eligibility for schedule appointments, and verify cash pricing for private pay patients who request cost by CPT code.
• Submit and receive Medicare and Medicaid claims electronically on a daily basis.
• Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
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