Medical care evaluation specialist vs records manager

Differences between medical care evaluation specialist and records manager 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.

Records manager example responsibilities.

• Implement and manage projects with complex HL7 interfaces between multiple clinical systems including writing project plans.
• Establish compliant records training program to meet objectives in standards such as HIPAA, FOIA.
• Develop and execute recordkeeping and docketing system to track activities of multi-district class action litigation, and introduce records retention policies/procedures.
• Ensure record privacy, confidentiality, and HIPAA compliance.
• Maintain all student records in compliance with HIPPA and Medicaid.
• Ensure records are readily available for re-use, regulatory review, audit, and litigation.
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