Medical insurance coder vs insurance clerk

Differences between medical insurance coder and insurance clerk 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.
Show more

Insurance clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Establish and implement procedures for completion of patient super bills with proper diagnostic coding utilizing ICD-9 and CPT code manuals.
• Maintain patient medical records insuring diagnosis codes (ICD-9) are itemized correctly and name and address of insurance carriers record.
• Schedule and obtain authorization for outpatient procedures for patients via private insurance, worker's compensation, and Medicare/ Medicaid.
• Complete several ICD-10 training courses.
• Perform medical coding with most accurate and descriptive HCPCS code.
Show more