Medical care evaluation specialist vs medical records clerk

Differences between medical care evaluation specialist and medical records clerk duties and responsibilities

Medical care evaluation specialist example responsibilities.

• Apply Medicare, Medicaid billing guidelines to achieve maximum reimbursement.
• Retrieve specific records and documents for emergency room, critical care unit, medical surgery and cardiology departments.
• Coordinate with interdisciplinary team members to ensure MDS complete accurately and timely for submission and subsequent reimbursement.

Medical records clerk example responsibilities.

• Manage transition from in-house transcription system to outsource transcription service.
• Manage front office check-in, insurance verification and certifications from doctors.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Perform infant labs and update the system with results, triage incoming patients, perform necessary resuscitation to baby and mom.
• Provide information to medical facilities and patients when necessary and respond to subpoenas and other general release of patient information.
• Experience in CPT and ICD-10 coding.
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