Medical billing and coding externship vs registration representative

Differences between medical billing and coding externship and registration 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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Registration representative example responsibilities.

• Work with third party payer requirements including Medicare, Medicaid (AHCCCS), manage care plans, and commercial plans.
• Manage and update demographic and insurance information, including authorizations and referrals, while demonstrating HIPPA confidentiality regulations.
• Verify eligibility and insurance benefits for patients, including Medicare, Medicaid, private insurance and workers' compensation.
• Maintain patient privacy in accordance with HIPAA with a high level of professionalism, compassion, productivity, and accuracy.
• Maintain proficient level of knowledge regarding Medicare requirements, HIPAA compliance and reimbursement criteria.
• Complete registration process for inpatients, outpatients, and emergency patients accurately and efficiently in accordance with policies and procedures.
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