Medical record consultant vs reimbursement specialist

Differences between medical record consultant and reimbursement specialist duties and responsibilities

Medical record consultant example responsibilities.

• Implement policies and procedures to achieve optimum DRG reimbursement.
• Maintain HIPPA guidelines while helping with patient requests for records, faxing documentation to other local hospitals.
• Attend client facing meetings to gather requirements and contribute to planning, facilitating, and implementation of NextGen software.
• Standardize and implement NextGen templates across multiple clients.
• Support and train end-users for PathNet laboratory implementations.
• Conduct independent analyses of Medicaid long-term services and supports.
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Reimbursement specialist example responsibilities.

• Manage the EDI clearinghouse rejections.
• Process department payroll, order supplies, and manage petty-cash funds.
• Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
• Manage cases by aggressively directing the litigation process.
• Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
• Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
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