Medical insurance coder vs billing and insurance coordinator

Differences between medical insurance coder and billing and insurance coordinator duties and responsibilities

Medical insurance coder example responsibilities.

• Assign to PacifiCare of Washington a medical insurance manage care plan (HMO).
• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Maintain and update ICD-9, CPT-4 & HCPCS coding for practice.
• Bill major insurance carriers and Medicaid using ICD-9 and CPT codes.
• Deliver explanation of insurance coverage and patient responsibilities to patients base on their policy.
• Determine diagnosis and E/M level.
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Billing and insurance coordinator example responsibilities.

• Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
• Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
• Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
• Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
• Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
• Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
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